Health Care–Associated Bloodstream Infections

Letters5 August 2003Health Care–Associated Bloodstream InfectionsKeith S. Kaye, MD, MPH, N. Deborah Friedman, MBBS, and Daniel J. Sexton, MDKeith S. Kaye, MD, MPHDuke University Medical Center; Durham, NC 27710 (Kaye, Friedman, Sexton), N. Deborah Friedman, MBBSDuke University Medical Center; Durham, NC 27710 (Kaye, Friedman, Sexton), and Daniel J. Sexton, MDDuke University Medical Center; Durham, NC 27710 (Kaye, Friedman, Sexton)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-3-200308050-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:The primary objective of our study was to develop a new classification scheme for bloodstream infection that distinguishes among community-acquired and health care–associated bloodstream infections. Dr. Zetola states that subgroups within the health care–associated category we proposed have not been proven to be associated with infection caused by antimicrobial-resistant bacteria and that use of unnecessary broad-spectrum antibiotics might harm patients by leading to resistance. The most significant antimicrobial-resistant pathogen isolated in our study was methicillin-resistant S. aureus (MRSA). This was the infecting pathogen in 19% of patients with health care–associated bacteremia and 20% of patients with nosocomial bacteremia ...References1. Morin CA, Hadler JL. Population-based incidence and characteristics of community-onset Staphylococcus aureus infections with bacteremia in 4 metropolitan Connecticut areas, 1998. J Infect Dis. 2001;184:1029-34. PMID: 11574918 CrossrefMedlineGoogle Scholar2. Steinberg JP, Clark CC, Hackman BO. Nosocomial and community-acquired Staphylococcus aureus bacteremias from 1980 to 1993: impact of intravascular devices and methicillin resistance. Clin Infect Dis. 1996;23:255-9. PMID: 8842259 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Duke University Medical Center; Durham, NC 27710 (Kaye, Friedman, Sexton) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoHealth Care–Associated Bloodstream Infections in Adults: A Reason To Change the Accepted Definition of Community-Acquired Infections N. Deborah Friedman , Keith S. Kaye , Jason E. Stout , Sarah A. McGarry , Sharon L. Trivette , Jane P. Briggs , Wanda Lamm , Connie Clark , Jennifer MacFarquhar , Aaron L. Walton , L. Barth Reller , and Daniel J. Sexton Health Care–Associated Bloodstream Infections Nicola M. 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