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Clinical Utility of Infection Control Documentation of Prior Methicillin-Resistant Staphylococcus aureus Colonization or Infection for Optimization of Empirical Antibiotic Therapy

Published online by Cambridge University Press:  02 January 2015

Marin L. Schweizer*
Affiliation:
Departments of Epidemiology and Preventive Medicine, Baltimore, Maryland
Jon P. Furuno
Affiliation:
Departments of Epidemiology and Preventive Medicine, Baltimore, Maryland
Anthony D. Harris
Affiliation:
Departments of Epidemiology and Preventive Medicine, Baltimore, Maryland
Jessina C. McGregor
Affiliation:
Oregon State University College of Pharmacy, Portland, Oregon
Kerri A. Thom
Affiliation:
Departments of Epidemiology and Preventive Medicine, Baltimore, Maryland
Jennifer K. Johnson
Affiliation:
Pathology, Baltimore, Maryland
Michelle D. Shardell
Affiliation:
Departments of Epidemiology and Preventive Medicine, Baltimore, Maryland
Eli N. Perencevich
Affiliation:
University of Maryland School of Medicine, and the Veterans Affairs Maryland Health Care System, Baltimore, Maryland
*
100 N. Greene St., Lower Level, Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, Maryland, 20201 (mschweiz@epi.umaryland.edu)

Abstract

This 5-year study of 25,378 hospitalizations measured the utility of infection control documentation of prior methicillin-resistant Staphylococcus aureus (MRSA) colonization or infection for the optimization of empirical antibiotic therapy. Documented prior MRSA colonization or infection was predictive of subsequent MRSA infections (odds ratio, 4.05). Physicians appear to use this documentation when prescribing empirical therapy for suspected bacteremia.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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References

1.Huletsky, A, Lebel, P, Picard, FJ, et al.Identification of methicillin-resistant Staphylococcus aureus carriage in less than 1 hour during a hospital surveillance program. Clin Infect Dis 2005;40:976981.CrossRefGoogle ScholarPubMed
2.Deyo, RA, Cherkin, DC, Ciol, MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992;45:613619.CrossRefGoogle ScholarPubMed
3.World Health Organization. The International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM). Ann Arbor: National Center for Health Statistics; 1978.Google Scholar
4.Perencevich, EN, Stone, PW, Wright, SB, et al.Raising standards while watching the bottom line: making a business case for infection control. Infect Control Hosp Epidemiol 2007;28:11211133.CrossRefGoogle ScholarPubMed