Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T11:05:46.597Z Has data issue: false hasContentIssue false

Factors affecting the geographic variability of antibiotic-resistant healthcare-associated infections in the United States using the CDC Antibiotic Resistance Patient Safety Atlas

Published online by Cambridge University Press:  12 April 2019

Julianne N. Kubes*
Affiliation:
Emory University Rollins School of Public Health, Atlanta, Georgia
Scott K. Fridkin
Affiliation:
Emory University School of Medicine, Atlanta, Georgia
*
Author for correspondence: Julianne N. Kubes, Email: [email protected]

Abstract

We utilized publicly available data from the Centers for Disease Control to explore possible causes of state-to-state variability in antibiotic-resistant healthcare-associated infections. Outpatient antibiotic prescribing rates of fluoroquinolones and cephalosporins explained some variability in extended-spectrum cephalosporin-resistant Escherichia coli after adjusting for differences in age and healthcare facility composition.

Type
Concise Communication
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baur, D, Gladstone, BP, Burkert, F, et al. Effect of antibiotic stewardship on the incidence of infection and colonization with antibiotic-resistant bacteria and Clostridium difficile infection: a systematic review and meta-analysis. Lancet Infect Dis 2017;17:9901001.10.1016/S1473-3099(17)30325-0CrossRefGoogle Scholar
Dantes, R, Mu, Y, Hicks, LA, et al. Association between outpatient antibiotic prescribing practices and community-associated Clostridium difficile infection. Open Forum Infect Dis 2015;2(3):ofv113.10.1093/ofid/ofv113CrossRefGoogle ScholarPubMed
Antibiotic resistance patient safety atlas. Centers for Disease Control and Prevention website. https://gis.cdc.gov/grasp/PSA/. Accessed December 9, 2017.Google Scholar
Dantes, R, Mu, Y, Belflower, R, et al. National burden of invasive methicillin-resistant Staphylococcus aureus infections, United States, 2011. JAMA Intern Med 2013;173:19701978.Google ScholarPubMed
Nursing Home Compare datasets. Centers for Medicare and Medicaid Services website. https://data.medicare.gov/data/nursing-home-compare. Accessed December 20, 2017.Google Scholar
Hospital Compare datasets. Centers for Medicare and Medicaid Services website. https://www.medicare.gov/hospitalcompare. Accessed December 20, 2017.Google Scholar
Long Term Care Hospital Compare datasets. Centers for Medicare and Medicaid Services website. https://www.medicare.gov/longtermcarehospitalcompare. Accessed December 20, 2017.Google Scholar
Sievert, DM, Ricks, P, Edwards, JR, et al. Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention. Infect Control Hosp Epidemiol 2013;34:114.10.1086/668770CrossRefGoogle ScholarPubMed