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Recommendations For Metrics For Multidrug-Resistant Organisms In Healthcare Settings: SHEA/HICPAC Position Paper

Published online by Cambridge University Press:  02 January 2015

Adam L. Cohen ,
David Calfee ,
Scott K. Fridkin ,
Susan S. Huang ,
John A. Jernigan ,
Ebbing Lautenbach ,
Shannon Oriola ,
Keith M. Ramsey ,
Cassandra D. Salgado  and
Robert A. Weinstein
...Show all authors
Adam L. Cohen*
Affiliation:
Divisions of Bacterial Diseases, Centers For Disease Control And Prevention, Atlanta, Georgia
David Calfee
Affiliation:
Department of Medicine, Mount Sinai School of Medicine, New York, New York
Scott K. Fridkin
Affiliation:
Healthcare Quality Promotion, Centers For Disease Control And Prevention, Atlanta, Georgia
Susan S. Huang
Affiliation:
Division of Infectious Diseases, University of California Irvine Medical Center, Orange, San Diego, California
Ebbing Lautenbach
Affiliation:
Departments of Medicine and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania
Shannon Oriola
Affiliation:
Sharp Metropolitan Medical Campus, San Diego, California
Keith M. Ramsey
Affiliation:
Departments of Safety and Infection Control, Pitt County Memorial Hospital, and the Department of Medicine, The Brody School of Medicine at East Carolina University, Greenville, North Carolina
Cassandra D. Salgado
Affiliation:
Medical University of South Carolina, Charleston, South Carolina
Robert A. Weinstein
Affiliation:
Cook County Bureau of Health Services and Rush Medical College, Chicago, Illinois
*
Division of Bacterial Diseases, Centers For Disease Control And Prevention, 1600 Clifton Road, Ms C-23, Atlanta, Ga30333 (dvjl@cdc.gov)
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Monitoring multidrug-resistant organisms (MDROs) and the infections they cause in a healthcare setting is important to detect newly emerging antimicrobial resistance profiles, to identify vulnerable patient populations, and to assess the need for and effectiveness of interventions; however, it is unclear which metrics are the best, because most of the metrics are not standardized. This document describes useful and practical metrics and surveillance considerations for measuringMDROs and the infections they cause in the practice of infection prevention and control in healthcare settings. These metrics are designed to aid healthcare workers in documenting trends over time within their facility and should not be used for interfacility comparison.

Information

Type
Shea/Hicpac Position Paper
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 10 , October 2008 , pp. 901 - 913
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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