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Volume 10, Number 11—November 2004

Enhanced Identification of Postoperative Infections among Inpatients

Deborah S. Yokoe*Comments to Author , Gary A. Noskin†, Susan M. Cunningham†, Gianna Zuccotti‡, Theresa Plaskett‡, Victoria J. Fraser§, Margaret A. Olsen§, Jerome I. Tokars¶, Steven Solomon¶, Trish M. Perl#, Sara E. Cosgrove#, Richard S. Tilson*, Maurice Greenbaum**, David C. Hooper††, Kenneth E. Sands‡‡, John Tully§§, Loreen A. Herwaldt¶¶, Daniel J. Diekema¶¶, Edward S. Wong##, Michael Climo##, and Richard Platt***
Author affiliations: *Brigham and Women's Hospital, Boston, Massachusetts, USA; †Northwestern University, Chicago, Illinois, USA; ‡Memorial Sloan-Kettering Cancer Center, New York, New York, USA; §Washington University School of Medicine, St. Louis, Missouri, USA; ¶Centers for Disease Control and Prevention, Atlanta, Georgia, USA; #Johns Hopkins Medical Institutions, Baltimore, Maryland, USA; **North Shore Medical Center-Salem Hospital, Salem, Massachusetts, USA; ††Massachusetts General Hospital, Boston, Massachusetts, USA; ‡‡Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA; §§Mount Auburn Medical Center, Cambridge, Massachusetts, USA; ¶¶University of Iowa Carver College of Medicine, Iowa City, Iowa, USA; ##McGuire Veterans Affairs Medical Center, Richmond, Virginia, USA; ***Harvard Pilgrim Health Care, Boston, Massachusetts, USA

Main Article

Table A6

Sensitivity and positive predictive value of routine surveillance and antimicrobial exposure screeninga

Hospital Sensitivity (%)
Positive predictive value (%)
Routine surveillance Antimicrobial exposure Diagnosis codes Antimicrobial exposure
or diagnosis code Antimicrobial exposure Diagnosis codes Antimicrobial exposure
or diagnosis code
1A 58 83 50 92 40 50 38
1B 30 94 48 98 52 73 52
1C 32 86 54 95 27 43 27
1D 50 100 0 100 20 0 20
1E 82 82 45 91 56 83 59
Phase 1 pooled 39 90 48 96 42 61 42
2A 9 87 100 100 45 49 39
2B 44 73 75 100 48 100 56
2C NA 98 80 100 21 40 20
2D NA 89 72 92 46 81 44
Phase 2 pooled 38 84 78 97 37 67 38

aSSI, surgical site infections; NA, routine SSI surveillance for this procedure type was not performed at this hospital.
bUsing a 2-day antimicrobial interval or diagnosis code screening for identifying SSI after cesarean delivery.

Main Article

Page created: April 17, 2012
Page updated: April 17, 2012
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