External Validation of Difficult-to-Treat Resistance Prevalence and Mortality Risk in Gram-Negative Bloodstream Infection Using Electronic Health Record Data From 140 US Hospitals
Author(s) -
Sameer S. Kadri,
Yi Ling Lai,
Emily Ricotta,
Jeffrey R. Strich,
Ahmed Babiker,
Chanu Rhee,
Michael Klompas,
John P. Dekker,
John H. Powers,
Robert L. Danner,
Jennifer Adjemian
Publication year - 2019
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofz110
Subject(s) - medicine , bloodstream infection , gram , electronic health record , intensive care medicine , health records , emergency medicine , health care , genetics , bacteria , economics , biology , economic growth
Difficult-to-treat resistance (DTR; ie, co-resistance to all first-line antibiotics) in gram-negative bloodstream infection (GNBSI) is associated with decreased survival in administrative data models. We externally validated DTR prevalence and associated mortality risk in GNBSI using detailed clinical data from electronic health records to adjust for baseline differences in acute illness severity.
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