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医疗机构相关性艰难梭菌实验室确诊事件报告方法改变对标准化感染比的直接影响。

Immediate impact of healthcare-facility-onset Clostridium difficile laboratory-identified events reporting methodology change on standardized infection ratios.

机构信息

1Division of Infectious Diseases,Department of Medicine,Medical College of Wisconsin,Milwaukee,Wisconsin.

2Infection Prevention and Control Department,Froedtert Memorial Lutheran Hospital,Milwaukee,Wisconsin.

出版信息

Infect Control Hosp Epidemiol. 2018 Dec;39(12):1484-1486. doi: 10.1017/ice.2018.241. Epub 2018 Oct 23.

DOI:10.1017/ice.2018.241
PMID:30348236
Abstract

In 2018, the Clostridium difficile LabID event methodology changed so that hospitals doing 2-step tests, nucleic acid amplification test (NAAT) plus enzyme immunofluorescence assay (EIA), had their adjustment modified to EIA-based tests, and only positive final tests (eg, EIA) were counted in the numerator. We report the immediate impact of this methodological change at 3 Milwaukee hospitals.

摘要

2018 年，艰难梭菌检测方法发生了变化，对于进行两步检测的医院（核酸扩增检测[NAAT]加酶免疫荧光检测[EIA]），调整方法改为基于 EIA 的检测，只有最终阳性检测（如 EIA）才被计入分子。我们报告了在密尔沃基的 3 家医院中这一方法改变的即时影响。

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