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Failure of Risk-Adjustment by Test Method for C. difficile Laboratory-Identified Event Reporting
Journal article   Peer reviewed

Failure of Risk-Adjustment by Test Method for C. difficile Laboratory-Identified Event Reporting

Alexandre R Marra, Michael B Edmond, Bradley A Ford, Loreen A Herwaldt, Abdullah R Algwizani and Daniel J Diekema
Infection control and hospital epidemiology, Vol.38(1), pp.109-111
01/2017
DOI: 10.1017/ice.2016.227
PMID: 27745553

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Abstract

Using an algorithm including both enzyme immunoassay (EIA) and nucleic acid amplification (NAAT) for Clostridium difficile infection (CDI) diagnosis, we found that the use of NAAT versus EIA almost doubled our hospital-onset CDI laboratory-identified (LabID) event standardized infection ratio (SIR). We recommend that the current risk adjustment approach be modified. Infect Control Hosp Epidemiol 2016:1-3.
Algorithms Tertiary Care Centers Risk Adjustment Humans Clostridium difficile Cross Infection - diagnosis Clostridium Infections - diagnosis Immunoenzyme Techniques Nucleic Acid Amplification Techniques

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