Title

The Use of Clinical Coding Data for the Surveillance of Healthcare-Associated Urinary Tract Infections in Australia

Document Type

Article

Publication Date

5-2016

Publication Details

This article was originally published as:

Mitchell, B. G., & Ferguson, J. K. (2016). The use of clinical coding data for the surveillance of healthcare-associated urinary tract infections in Australia. Infection, Disease and Health, 21(1), 32-35. doi: 10.1016/j.idh.2016.03.002

ISSN: 2468-0451

ANZSRC / FoR Code

060502 Infectious Agents| 111003 Clinical Nursing: Secondary (Acute Care)| 111706 Epidemiology| 111716 Preventive Medicine

Reportable Items

C1

Abstract

Introduction

Given the trends in antimicrobial resistance, particularly for Gram-negative organisms, the surveillance of urinary tract infections (UTIs) has the potential to become increasingly important in the future. Whilst considering accuracy and efficiency, we undertook a cohort study in a large Australian health district to inform future discussions around surveillance approaches to healthcare-associated UTIs (HAUTI).

Methods

A retrospective cohort study in eight hospitals was conducted to examine the clinical coding data of all patients hospitalised for more than two days over a four-and-half-year period. These data were compared to a conservative laboratory-based HAUTI definition.

Results

The data from 162,503 patient admissions were examined. During the study period, 2821 of the admitted patients acquired a HAUTI. Of those patients identified as having a laboratory-diagnosed HAUTI, 29.3% had a clinical code relating to a UTI.

Conclusion

The clinical coding data used to identify cases of HAUTI is very unreliable as a significant proportion of cases were not identified. To ensure the efficient and effective use of resources, a range of approaches should be considered in the event of HAUTI surveillance being required.

Comments

Due to copyright restrictions this article is unavailable for download.

This article may be accessed from the publisher here.

Please refer to publisher version or contact the library.

Share

COinS