Classification of bloodstream infections in patients recently discharged from acute-care facilities: Hospital acquired or healthcare-associated community onset?

Riad Khatib; Mamta Sharma; Mohamad G Fakih; Kathleen M Riederer; Leonard B Johnson

doi:10.1017/ice.2019.245

Classification of bloodstream infections in patients recently discharged from acute-care facilities: Hospital acquired or healthcare-associated community onset?

Infect Control Hosp Epidemiol. 2019 Nov;40(11):1313-1315. doi: 10.1017/ice.2019.245. Epub 2019 Sep 19.

Authors

Riad Khatib¹, Mamta Sharma^{1

2}, Mohamad G Fakih¹, Kathleen M Riederer³, Leonard B Johnson¹

Affiliations

¹ Department of Medicine, Ascension St John Hospital, Grosse Pointe Woods, Michigan.
² Department of Infection Control, Ascension St John Hospital, GrossePointe Woods, Michigan.
³ Department of Medical Education, Ascension St John Hospital, Grosse Pointe Woods, Michigan.

PMID: 31535608
DOI: 10.1017/ice.2019.245

Abstract

Laboratory-identified bloodstream infections (LAB-ID BSIs) in recently discharged patients are likely to be classified as healthcare-associated community-onset (HCA-CO) infections, even though they may represent hospital-onset (HO) infections. A review of LAB-ID BSIs among patients discharged within 14 days revealed that 109 of 756 cases (14.4%) were HO infections. The BSI risk being misclassified as HCA CO may underestimate the hospital infection risk.

MeSH terms

Aged
Bacteremia / classification*
Bacteremia / microbiology
Bacteria / classification*
Bacteria / isolation & purification
Critical Care
Cross Infection / epidemiology*
Cross Infection / microbiology
Female
Humans
Male
Middle Aged
Patient Discharge / statistics & numerical data*