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MRSA prevalence and hospital-level antibiotic use: A retrospective study across 122 acute-care hospitals

Published online by Cambridge University Press:  17 September 2020

Daniel J. Livorsi Open the ORCID record for Daniel J. Livorsi [Opens in a new window] ,
Rajeshwari Nair ,
Brian C. Lund ,
Bruce Alexander ,
Brice F. Beck ,
Michihiko Goto  and
Eli N. Perencevich
Daniel J. Livorsi*
Affiliation:
Center for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans’ Affairs Health Care System, Iowa City, IA, USA Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
Rajeshwari Nair
Affiliation:
Center for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans’ Affairs Health Care System, Iowa City, IA, USA Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
Brian C. Lund
Affiliation:
Center for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans’ Affairs Health Care System, Iowa City, IA, USA
Bruce Alexander
Affiliation:
Center for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans’ Affairs Health Care System, Iowa City, IA, USA
Brice F. Beck
Affiliation:
Center for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans’ Affairs Health Care System, Iowa City, IA, USA
Michihiko Goto
Affiliation:
Center for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans’ Affairs Health Care System, Iowa City, IA, USA Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
Eli N. Perencevich
Affiliation:
Center for Access & Delivery Research & Evaluation (CADRE), Iowa City Veterans’ Affairs Health Care System, Iowa City, IA, USA Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
*
Author for correspondence: Daniel Livorsi, E-mail: daniel-livorsi@uiowa.edu
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Abstract

We evaluated the relationship between local MRSA prevalence rates and antibiotic use across 122 VHA hospitals in 2016. Higher hospital-level MRSA prevalence was associated with significantly higher rates of antibiotic use, even after adjusting for case mix and stewardship strategies. Benchmarking anti-MRSA antibiotic use may need to adjust for MRSA prevalence.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 3 , March 2021 , pp. 353 - 355
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Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

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