艰难梭菌感染发病状态分类纳入急诊科就诊：修订定义。

IF 3.1 3区医学 Q1 INFECTIOUS DISEASES

Journal of Hospital Infection Pub Date : 2025-09-20 DOI:10.1016/j.jhin.2025.08.013

Antoine Salzmann, Akaninyene Otu, Olisaeloka Nsonwu, Christopher R Bell, Colin S Brown, Dakshika Jeyaratnam, Russell Hope, Dimple Chudasama

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引用次数: 0

摘要

用于将艰难梭菌感染（CDI）分类为医院或社区发病的算法通常依赖于患者入院和标本日期之间的持续时间进行分类。然而，这并没有考虑到病人在住院前在急诊科的住院情况。英国卫生安全局（UKHSA）在2024年4月实施的修订定义中解决了这一问题。在英国，从2020年4月至2024年3月，传统定义导致6.7%的医院发病CDI病例被错误归类为社区发病。这些发现加强了更新英格兰CDI发病定义的基本原理，确保更准确和标准化的CDI分类。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Inclusion of Emergency Department attendance on classification of Clostridioides difficile infections onset status: A revised definition.

Algorithms used to classify Clostridioides difficile infection (CDI) as hospital- or community-onset have commonly relied on the duration between patient hospital admission and specimen date for classification. This however fails to account for patient stays in emergency departments prior to inpatient hospital admission. The UK Health Security Agency (UKHSA) addresses this concern in a revised definition, implemented as of April 2024. In England, from April 2020 to March 2024, conventional definitions led to 6.7% of hospital-onset CDI cases being misclassified as community-onset. These findings reinforce the rationale for updating England's CDI onset definition, ensuring more accurate and standardized CDI categorisation.

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来源期刊

Journal of Hospital Infection 医学-传染病学

CiteScore

12.70

自引率

5.80%

发文量

271

审稿时长

19 days

期刊介绍： The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.