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Catheter-Associated Urinary Tract Infection Does Changing the Definition Change Quality?

Published online by Cambridge University Press:  02 January 2015

Matthew J. Press*
Affiliation:
Departments of Public Health and Medicine, Weill Cornell Medical College, New York, New York Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, Pennsylvania
Joshua P. Metlay
Affiliation:
Center for Healthcare Improvement and Patient Safety, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania, Philadelphia, Pennsylvania
*
Department of Public Health, Weill Cornell Medical College, 402 East 67th Street, New York, NY 10065 ([email protected])

Abstract

The Centers for Disease Control and Prevention (CDC) recently narrowed its definition of catheter-associated urinary tract infection (CAUTI) to exclude asymptomatic bacteriuria. Although CAUTI rates decreased after the definition was changed, rates of related measures remained relatively stagnant, which indicates that longitudinal measurements of CAUTI may be misleading and that the change in definition did not itself impact care.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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