Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Home
Hostname: page-component-ffbbcc459-nq5v5 Total loading time: 2.401 Render date: 2022-03-08T21:20:57.130Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }
  • English
Infection Control & Hospital Epidemiology Infection Control & Hospital Epidemiology

Article contents

Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections

Published online by Cambridge University Press:  10 October 2018

Yusuf Y. Chao Open the ORCID record for Yusuf Y. Chao[Opens in a new window] ,
Larry K. Kociolek Open the ORCID record for Larry K. Kociolek[Opens in a new window] ,
Xiaotian T. Zheng ,
Tonya Scardina  and
Sameer J. Patel
Yusuf Y. Chao*
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Larry K. Kociolek
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Xiaotian T. Zheng
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Tonya Scardina
Affiliation:
Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
Sameer J. Patel
Affiliation:
Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois
*
Author for correspondence: Yusuf Y. Chao, MD, Ann & Robert H. Lurie Children’s Hospital of Chicago, Department of Pediatrics, Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, 225 E. Chicago Avenue, Chicago, IL 60611. E-mail: yusuf.chao@phhs.org
Get access Rights & Permissions[Opens in a new window]

Abstract

Traditional antibiograms can guide empiric antibiotic therapy, but they may miss differences in resistance across patient subpopulations. In this retrospective descriptive study, we constructed and validated antibiograms using International Classification of Disease, Tenth Revision (ICD-10) codes and other discrete data elements to define a cohort of previously healthy children with urinary tract infections. Our results demonstrate increased antibiotic susceptibility. This methodology may be modified to create other syndrome-specific antibiograms.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 12 , December 2018 , pp. 1473 - 1475
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION: Some findings reported in this manuscript were presented as preliminary data in an abstract/poster at the IDWeek 2017 conference on October 4, 2017, in San Diego, California. The abstract was included in Open Forum Infectious Diseases, Volume 4, on October 4, 2017.

Cite this article: Chao YY, et al. (2018). Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections Infection Control & Hospital Epidemiology 2018, 39, 1473–1475. doi: 10.1017/ice.2018.246

References

1. Barlam, TF, Cosgrove, SE, Abbo, LM, et al. Implementing an antibiotic stewardship program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis 2016;62:e51–e77.CrossRefGoogle Scholar
2. Tamma, PD, Robinson, GL, Gerber, JS, et al. Pediatric antimicrobial susceptibility trends across the United States. Infect Control Hosp Epidemiol 2013;34:1244–1251.CrossRefGoogle ScholarPubMed
3. Feudtner, C, Feinstein, JA, Zhong, W, Hall, M, Dai, D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr 2014;14:1–7.CrossRefGoogle ScholarPubMed
4. Hebert, C, Ridgway, J, Vekhter, B, Brown, EC, Weber, SG, Robicsek, A. Demonstration of the weighted-incidence syndromic combination antibiogram: an empiric prescribing decision aid. Infect Control Hosp Epidemiol 2012;33:381–388.CrossRefGoogle ScholarPubMed
5. Spiekerman, KM, Patel, SJ, Patel, R, Kociolek, LK. Availability, perceptions, and characteristics of antibiograms among Illinois pediatricians. Infect Drug Resist 2016;9:269–274.CrossRefGoogle ScholarPubMed
6. Dahle, KW, Korgenski, EK, Hersh, AL, Srivastava, R, Gesteland, PH. Clinical value of an ambulatory-based antibiogram for uropathogens in children. J Ped Infect Dis Soc 2012;1:333–336.CrossRefGoogle ScholarPubMed
7. Simpao, AF, Ahumada, LM, Larru Martinez, B, et al. Design and implementation of a visual analytics electronic antibiogram within an electronic health record system at a tertiary pediatric hospital. Appl Clin Informat 2018;9:37–45.Google Scholar
8. Randhawa, V, Sarwar, S, Walker, S, Elligsen, M, Palmay, L, Daneman, N. Weighted-incidence syndromic combination antibiograms to guide empiric treatment of critical care infections: a retrospective cohort study. Crit Care (London) 2014;18:R112.CrossRefGoogle ScholarPubMed
Supplementary material: File

Chao et al. supplementary material

Chao et al. supplementary material 1

Download Chao et al. supplementary material(File)
File 24 KB
2
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Utilizing the electronic health record to construct antibiograms for previously healthy children with urinary tract infections
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *