Lack of correlation between standardized antimicrobial administration ratios (SAARs) and healthcare-facility–onset Clostridioides difficile infection rates in Veterans Affairs medical facilities

Author:

Evans Martin E.ORCID,Jones Makoto M.,Davis Kelly W.ORCID,Lane Matthew T.,Simbartl Loretta A.,McCauley Brian P.ORCID,Gauldin Natalie,Roselle Gary A.ORCID

Abstract

Abstract We detected no correlation between standardized antimicrobial administration ratios (SAARs) and healthcare facility-onset Clostridioides difficile infection (HO-CDI) rates in 102 acute-care Veterans Affairs medical centers over 16 months. SAARs may be useful for investigating trends in local antimicrobial use, but no ratio threshold demarcated HO-CDI risk.

Publisher

Cambridge University Press (CUP)

Subject

Infectious Diseases,Microbiology (medical),Epidemiology

Reference10 articles.

1. 3. VHA Directive 1031, antimicrobial stewardship programs, January 30, 2019. Veterans’ Health Administration website. https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8195. Accessed September 24, 2022.

2. Associations of facility-level antibiotic use and hospital-onset Clostridioides difficile infection in US acute-care hospitals, 2012–2018

3. 10. New and revised requirements for antibiotic stewardship. The Joint Commission website. https://www.jointcommission.org/-/media/tjc/documents/standards/r3-reports/r3_antibioticstewardship_july2022_final.pdf. Published June 20, 2022. Accessed June 30, 2022.

4. 4. National Healthcare Safety Network (NHSN) manual: patient safety component. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/PDFs/pscManual/12pscMDRO_CDADcurrent.pdf. Accessed September 20, 2022.

5. Trends in facility-level rates of Clostridioides difficile infections in US hospitals, 2019–2020

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