{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:50:16Z","timestamp":1791809416467,"version":"4.3.4"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X26104516_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      The impact of adopting the proposed National HealthCare Safety Network healthcare facility-onset antibiotic-treated\n                      <jats:italic>Clostridioides difficile<\/jats:italic>\n                      infection (HT-CDI) surveillance definition on the number of CDI cases that would qualify for healthcare-associated infection (HAI) surveillance reporting from US Veterans Affairs (VA) facilities is unknown.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104516_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively evaluated CDI cases from 25 acute care VA medical centers from July 2022 through June 2024 using the proposed HT-CDI surveillance definition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104516_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 789 cases were analyzed. Use of the HT-CDI surveillance definition increased the number of reportable CDI HAIs by 23%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104516_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In VA, adoption of the proposed HT-CDI surveillance definition increased the number of reportable cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ice.2026.10451","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T05:23:46Z","timestamp":1786512226000},"page":"1012-1015","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Estimating the impact of a healthcare facility-onset antibiotic-treated\n                    <i>Clostridioides difficile<\/i>\n                    infection surveillance definition on the number of cases reportable by US veterans affairs medical centers"],"prefix":"10.1017","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6725-875X","authenticated-orcid":false,"given":"Martin","family":"Evans","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05rsv9s98","id-type":"ROR","asserted-by":"publisher"}],"name":"Veterans Health Administration, US Department of Veterans Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3049-1301","authenticated-orcid":false,"given":"Brian","family":"McCauley","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05rsv9s98","id-type":"ROR","asserted-by":"publisher"}],"name":"Veterans Health Administration, US Department of Veterans Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2803-7438","authenticated-orcid":false,"given":"Natalie","family":"Hicks","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05rsv9s98","id-type":"ROR","asserted-by":"publisher"}],"name":"Veterans Health Administration, US Department of Veterans Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makoto","family":"Jones","sequence":"additional","affiliation":[{"name":"VA Salt Lake City Health Care System"},{"name":"University of Utah School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loretta","family":"Simbartl","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05rsv9s98","id-type":"ROR","asserted-by":"publisher"}],"name":"Veterans Health Administration, US Department of Veterans Affairs"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"S0899823X26104516_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2022.313"},{"key":"S0899823X26104516_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2023.262"},{"key":"S0899823X26104516_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2023.185"},{"key":"S0899823X26104516_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2023.55"},{"key":"S0899823X26104516_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2020.452"},{"key":"S0899823X26104516_ref9","unstructured":"9. VHA Office of Productivity, Efficiency, and Staffing. VHA facility complexity model fact sheet. dvagov.sharepoint.com\/sites\/VHAOPES\/Training\u00a0Content\u00a0and\u00a0Resources\/Forms\/AllItems.aspx?id=%2Fsites%2FVHAOPES%2FTraining\u00a0Content\u00a0and\u00a0Resources%2FFY23 Facility Complexity Model\u00a0Fact\u00a0Sheet%2Epdf&parent=%2Fsites%2FVHAOPES%2FTraining\u00a0Content\u00a0and\u00a0Resources. Accessed October 23, 2024."},{"key":"S0899823X26104516_ref11","unstructured":"11. Centers for Medicare and Medicaid Services. Hospital compare. https:\/\/www.medicare.gov\/hospitalcompare\/search.html. Accessed October 22, 2024."},{"key":"S0899823X26104516_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2023.18"},{"key":"S0899823X26104516_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2021.145"},{"key":"S0899823X26104516_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciad523"},{"key":"S0899823X26104516_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2021.333"},{"key":"S0899823X26104516_ref2","unstructured":"2. National Healthcare Safety Network. Multidrug-resistant organism & Clostridioides difficile infection (MDRO\/CDI) module. Centers for disease control and preventio. MDRO&CDIProtocol(cdc.gov). Accessed September 17, 2024."}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X26104516","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:37:20Z","timestamp":1791808640000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X26104516\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,12]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0899823X26104516"],"URL":"https:\/\/doi.org\/10.1017\/ice.2026.10451","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,12]]},"assertion":[{"value":"\u00a9 Department of Veterans Affairs, 2026","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is a work of the US Government and is not subject to copyright protection within the United States. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}