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Risk Factors for Central-Line–Associated Bloodstream Infections: A Focus on Comorbid Conditions

Published online by Cambridge University Press:  02 January 2015

Christopher S. Pepin ,
Kerri A. Thom ,
John D. Sorkin ,
Surbhi Leekha ,
Max Masnick ,
Michael Anne Preas ,
Lisa Pineles  and
Anthony D. Harris
Christopher S. Pepin*
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD
Kerri A. Thom
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD
John D. Sorkin
Affiliation:
Baltimore VA Medical Center Geriatrics Research, Education, and Clinical CenterUniversity of Maryland Claude D. Pepper Older Americans Independence Center and Division of Gerontology and Geriatric Medicine University of Maryland School of Medicine Baltimore, Maryland.
Surbhi Leekha
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD
Max Masnick
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD
Michael Anne Preas
Affiliation:
University of Maryland Medical Center, Baltimore, MD
Lisa Pineles
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD
Anthony D. Harris
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD
*
Address correspondence to Christopher S. Pepin, BS, Department of Epidemiology and Public Health, University of Maryland School of Medicine, 685 W Baltimore Street, MSTF Suite 334, Baltimore, MD 21201 (chris.pepin@umaryland.edu).
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Abstract

Centers for Disease Control and Prevention (CDC) risk adjustment methods for central-line–associated bloodstream infections (CLABSI) only adjust for type of intensive care unit (ICU). This cohort study explored risk factors for CLABSI using 2 comorbidity classification schemes, the Charlson Comorbidity Index (CCI) and the Chronic Disease Score (CDS). Our study supports the need for additional research into risk factors for CLABSI, including electronically available comorbid conditions.

Infect Control Hosp Epidemiol 2014;00(0): 1–3

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 36 , Issue 4 , April 2015 , pp. 479 - 481
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Dudeck, MA, Horan, TC, Peterson, KD, et al. National Healthcare Safety Network (NHSN) Report, data summary for 2010, device-associated module. Am J Infect Control 2011;39:798–816.Google Scholar
2. Moehring, RW, MD, Anderson, DJ, MD, MPH. Commentary: “But My Patients Are Different!”: Risk Adjustment in 2012 and Beyond. Infect Control Hosp Epidemiol 2011;32:987–989.Google Scholar
3. Roy, MC, Herwaldt, LA, Embrey, R, Kuhns, K, Wenzel, RP, Perl, TM. Does the Centers for Disease Control’s NNIS system risk index stratify patients undergoing cardiothoracic operations by their risk of surgical-site infection? Infect Control Hosp Epidemiol 2000;21:186–190.CrossRefGoogle ScholarPubMed
4. Olsen, MA, Higham-Kessler, J, Yokoe, DS, et al. Developing a risk stratification model for surgical site infection after abdominal hysterectomy. Infect Control Hosp Epidemiol 2009;30:1077–1083.Google Scholar
5. Xue, DQ, Qian, C, Yang, L, Wang, XF. Risk factors for surgical site infections after breast surgery: a systematic review and meta-analysis. Eur J Surg Oncol 2012;38:375–381.CrossRefGoogle ScholarPubMed
6. McGregor, JC, Perencevich, EN, Furuno, JP, et al. Comorbidity risk-adjustment measures were developed and validated for studies of antibiotic-resistant infections. J Clin Epidemiol 2006;59:1266–1273.CrossRefGoogle ScholarPubMed
7. National Healthcare Safety Network, Centers for Disease Control and Prevention. The National Healthcare Safety Network (NHSN) Manual: Patient Safety Component Protocol. Central line–associated bloodstream infection (CLABSI) event. http://www.cdc.gov/nhsn/PDFs/pscManual/4PSC_CLABScurrent.pdf. Published June 2014. Accessed July 7, 2014.Google Scholar
8. Von Korff, M, Wagner, EH, Saunders, K. A chronic disease score from automated pharmacy data. J Clin Epidemiol 1992;45:197–203.Google Scholar
9. Charlson, ME, Pompei, P, Ales, KL, MacKenzie, CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987;40:373–383.Google Scholar
10. Deyo, RA, Cherkin, DC, Ciol, MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992;45:613–619.Google Scholar