Ir J Med Sci (2017) 186:757 DOI 10.1007/s11845-017-1586-z LETTER TO THE EDITOR Deﬁnitions and resistance rate difference 1 1 E. Guclu O. Karabay Received: 16 February 2017 / Accepted: 17 February 2017 / Published online: 22 February 2017 Royal Academy of Medicine in Ireland 2017 Dear Editor, deﬁnitions, extensions of infections already present on admission should not be accepted as health care-associated We read the study by Stapleton and colleagues  on the or nosocomial infection . So, samples originating from antibiotic consumption data and relation between antibiotic the emergency department and hospital words on the ﬁrst resistance patterns of Escherichia coli urinary isolates with two day of admission could not be classiﬁed as hospital great interest. However, we have some comments regard- origin. If the researchers did the correct classiﬁcation, the ing this study. rate of resistance in hospital-derived isolates could be Authors retrieved their data from the microbiology detected higher than they reported. laboratory information system and classiﬁed as being of community or hospital origin. They classiﬁed the samples originating from general practitioners in the surrounding catchment area, from hospital outpatients and long-term References care facilities as community; and samples from the emer- gency department and hospital wards as hospital. However, 1. Stapleton PJ, Lundon DJ, McWade R, Scanlon N, Hannan MM, O’Kelly F, Lynch M (2017) Antibiotic resistance patterns of this classiﬁcation can lead to the misrepresentation of Escherichia coli urinary isolates and comparison with antibiotic community origins to hospital based or hospital origins as consumption data over 10 years, 2005–2014. Ir J Med Sci. doi:10. community based. According to Centers for Disease Con- 1007/s11845-016-1538-z trol and Prevention (CDC) 1988 guidelines; infections 2. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM (1988) CDC deﬁnitions for nosocomial infections, 1988. Am J Infect identiﬁed from samples taken more than 48 h after Control 16:128 admission and before discharge should be categorized as 3. Horan TC, Andrus M, Dudeck MA (2008) CDC/NHSN surveil- hospital acquired, and those taken before or within 48 h of lance deﬁnition of health care-associated infection and criteria for admission should be categorized as community acquired speciﬁc types of infections in the acute care setting. Am J Infect Control 36(5):309–332 . Moreover, CDC changed the deﬁnitions in 2008 and started to use the generic term ‘‘health care-associated infection’’ instead of nosocomial. According to new & E. Guclu email@example.com Department of Infectious Diseases and Clinical Microbiology, Sakarya University Faculty of Medicine, Sakarya 54100, Turkiye
Irish Journal of Medical Science (1971 -) – Springer Journals
Published: Feb 22, 2017
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