{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T09:04:04Z","timestamp":1649149444731},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2016,12,20]],"date-time":"2016-12-20T00:00:00Z","timestamp":1482192000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec id=\"S0899823X16003020_abs1\" sec-type=\"general\"><jats:title>BACKGROUND<\/jats:title><jats:p>In Canadian hospitals, clinical information is coded according to national coding standards and is routinely collected as administrative data. Administrative data may complement active surveillance programs by providing in-hospital MRSA infection data in a standardized and efficient manner, but only if infections are accurately captured.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X16003020_abs2\" sec-type=\"general\"><jats:title>OBJECTIVE<\/jats:title><jats:p>To assess the accuracy of administrative data regarding in-hospital bloodstream infections (BSIs) and all-body-site infections due to MRSA.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X16003020_abs3\" sec-type=\"methods\"><jats:title>METHODS<\/jats:title><jats:p>A retrospective study of all (adult and pediatric) in-hospital MRSA infections was conducted by comparing administrative data against surveillance data from 217 acute Canadian hospitals (124 in Ontario, 93 in Alberta) over a 12-month period. Hospital-associated MRSA BSI cases in Ontario, and for all-body-site MRSA infections in Alberta were identified. Pearson correlation coefficients were used to compare the number of hospital-level MRSA cases within administrative versus surveillance datasets. The correlation of all-body-site MRSA infections versus MRSA BSIs was also assessed using the Ontario administrative data.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X16003020_abs4\" sec-type=\"results\"><jats:title>RESULTS<\/jats:title><jats:p>Strong correlations between hospital-level MRSA cases in administrative and surveillance datasets were identified for Ontario (r=0.79; 95% CI, 0.72\u20130.85) and Alberta (r=0.92; 95% CI, 0.88\u20130.94). A strong correlation between all-body-site and bloodstream-only MRSA infection rates was identified across Ontario hospitals (r=0.95; <jats:italic>P<\/jats:italic>&lt;.0001; 95% CI, 0.93\u20130.96).<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X16003020_abs5\" sec-type=\"conclusions\"><jats:title>CONCLUSIONS<\/jats:title><jats:p>This study provides good evidence of the comparability of administrative and surveillance datasets in identifying in-hospital MRSA infections. With standard definitions, administrative data can provide estimates of in-hospital infections for monitoring and\/or comparisons across hospitals.<\/jats:p><jats:p><jats:italic>Infect Control Hosp Epidemiol<\/jats:italic> 2017;38:436\u2013443<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2016.302","type":"journal-article","created":{"date-parts":[[2016,12,20]],"date-time":"2016-12-20T10:48:39Z","timestamp":1482230919000},"page":"436-443","source":"Crossref","is-referenced-by-count":2,"title":["A Comparison of Administrative Data Versus Surveillance Data for Hospital-Associated Methicillin-Resistant <i>Staphylococcus aureus<\/i> Infections in Canadian Hospitals"],"prefix":"10.1017","volume":"38","author":[{"given":"Jessica Y.","family":"Ramirez Mendoza","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Daneman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary N.","family":"Elias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph E.","family":"Amuah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Bush","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantal M.","family":"Couris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kira","family":"Leeb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,12,20]]},"reference":[{"key":"S0899823X16003020_ref1","volume-title":"Antimicrobial Resistance: Global Report on Surveillance","year":"2014"},{"key":"S0899823X16003020_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2013.03.009"},{"key":"S0899823X16003020_ref10","volume-title":"Provincial Surveillance of Gram-Positive Antibiotic-Resistant Organisms (ARO). Surveillance Protocol","year":"2012"},{"key":"S0899823X16003020_ref13","unstructured":"Indicator Library: Peer Group Methodology. Canadian Institute for Health Information website. http:\/\/indicatorlibrary.cihi.ca\/download\/attachments\/1114124\/Peer-Group-Methodology_EN.pdf. Published 2016. Accessed November 3, 2016."},{"key":"S0899823X16003020_ref7","unstructured":"Public Health Agency of Canada. Antimicrobial Resistant Organisms (ARO) Surveillance Summary Report for Data From January 1, 2009 to December 31, 2014. Ottawa, Canada: Public Health Agency of Canada; 2015."},{"key":"S0899823X16003020_ref11","volume-title":"Canadian Coding Standards for Version 2012 ICD-10-CA and CCI","year":"2012"},{"key":"S0899823X16003020_ref9","unstructured":"Appendix A: MRSA bacteremia case definition, rate calculation and case reporting thresholds. Ontario Ministry of Health and Long-Term Care website. https:\/\/www.oha.com\/KnowledgeCentre\/Library\/Documents\/Letter%20from%20John%20McKinlay%20re%20MRSA%20-%20VRE%20Bacteremia.pdf. Published 2008. Accessed March 16, 2015."},{"key":"S0899823X16003020_ref16","doi-asserted-by":"publisher","DOI":"10.1086\/657936"},{"key":"S0899823X16003020_ref3","volume-title":"Best Practices for Surveillance of Health Care-Associated Infections in Patient and Resident Populations","year":"2014"},{"key":"S0899823X16003020_ref2","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2005.46.4.496"},{"key":"S0899823X16003020_ref14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001268"},{"key":"S0899823X16003020_ref17","volume-title":"Case Definition and Minimum Data Set for the Surveillance of Methicillin-Resistant Staphylococcus Aureus (MRSA) in Acute Care Hospitals Across Canada","year":"2009"},{"key":"S0899823X16003020_ref21","volume-title":"CIHI Data Quality Study of the 2009\u20132010 Discharge Abstract Database","year":"2012"},{"key":"S0899823X16003020_ref8","unstructured":"New hospital-associated methicillin-resistant Staphylococcus aureus (MRSA) bacteremia rate per 1,000 patient days. Health Quality Ontario website. http:\/\/indicatorlibrary.hqontario.ca\/Indicator\/Summary\/New-hospital-associated-MRSA-rate\/EN. Published 2016. Accessed May 20, 2016."},{"key":"S0899823X16003020_ref12","volume-title":"International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Canada [ICD-10-CA] Version 2012","year":"2012"},{"key":"S0899823X16003020_ref19","doi-asserted-by":"publisher","DOI":"10.3201\/eid1106.040831"},{"key":"S0899823X16003020_ref5","first-page":"21","article-title":"The evolution of methicillin-resistant Staphylococcus aureus in Canadian hospitals: 5 years of national surveillance","volume":"165","author":"Simor","year":"2001","journal-title":"Can Med Assoc"},{"key":"S0899823X16003020_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2011.03.005"},{"key":"S0899823X16003020_ref4","volume-title":"Annex A - Screening, Testing and Surveillance for Antibiotic-Resistant Organisms (AROs). Annexed to: Routine Practices and Additional Precautions in All Health Care Settings","year":"2013"},{"key":"S0899823X16003020_ref6","volume-title":"Canadian Consensus Development Conference: Surveillance and Screening of AROs (Antimicrobial-Resistant Organisms)\u2014Consensus Statement of the Jury","year":"2014"},{"key":"S0899823X16003020_ref15","unstructured":"Kreppel AJ . Correlation of Discharge Diagnostic Codes With Laboratory-Confirmed Methicillin-Resistant Staphylococcus Aureus Bloodstream Infections at a Large Pediatric Hospital [Dissertation]. Wright State University; 2012."}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X16003020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T01:56:25Z","timestamp":1555552585000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X16003020\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,20]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["S0899823X16003020"],"URL":"https:\/\/doi.org\/10.1017\/ice.2016.302","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,20]]}}}