- Poster presentation
- Open Access
Extending the classification of healthcare-associated bloodstream infection to other main foci: respiratory, urinary and intra-abdominal
© Cardoso et al. 2011
- Published: 1 March 2011
- Public Health
- Cohort Study
- Adult Patient
- Emergency Medicine
- Antibiotic Therapy
Healthcare-associated infection (HCAI) is a growing phenomena associated with the increase of the outpatient clinical care. Friedman in 2002 proposed a new classification for healthcare-associated bloodstream infections, suggesting that they are different from nosocomial and community-acquired infections . The authors extend this classification to other main focus of infection: respiratory, urinary and intra-abdominal.
A prospective cohort study (1 year), in five wards of a university hospital, including all consecutive adult patients that met the CDC definition of infection. Only the first episode of infection was characterized. They were classified in community-acquired (CAI), HCAI (using Friedman's classification ) and hospital-acquired (HAI), and data on the host and the infectious episode were collected.
Differences were observed according to the type and focus of infection. These results reinforce the need for this classification and probably the need for specific antibiotic therapy guidelines for this group of patients.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.