Evidence map›Paper›PMID 23575195›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2013

A regional informatics platform for coordinated antibiotic-resistant infection tracking, alerting, and prevention.

Abel N Kho, Bradley N Doebbeling, John P Cashy, Marc B Rosenman, Paul R Dexter, David C Shepherd, Larry Lemmon, Evgenia Teal, Shahid Khokar, J Marc Overhage

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. How Introducing a Registry With Automated Alerts for Carbapenem-resistant Enterobacteriaceae (CRE) May Help Control CRE Spread in a Region.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  3. Article
  4. Review
  5. Article
  6. Design and implementation of a privacy preserving electronic health record linkage tool in Chicago.Journal of the American Medical Informatics Association : JAMIA · 2015
    Article
  7. Clinical microbiology informatics.Clinical microbiology reviews · 2014
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Abel N KhoDepartment of Medicine, Northwestern University, Chicago, IL 60611, USA. abel.kho@nmff.org
Bradley N Doebbeling
John P Cashy
Marc B Rosenman
Paul R Dexter
David C Shepherd
Larry Lemmon
Evgenia Teal
Shahid Khokar
J Marc Overhage

Funding

REGENSTRIEF MEDICAL INFORMATICS RESEARCH FELLOWSHIPST15LM007117 · NLM · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI FINNELL, JOHN T · 1997 to 2011
$5.0M
NLM NIH HHS T15 LM007117
6 · The paper itself

Abstract

backgroundWe developed and assessed the impact of a patient registry and electronic admission notification system relating to regional antimicrobial resistance (AMR) on regional AMR infection rates over time. We conducted an observational cohort study of all patients identified as infected or colonized with methicillin-resistant Staphylococcus aureus (MRSA) and/or vancomycin-resistant enterococci (VRE) on at least 1 occasion by any of 5 healthcare systems between 2003 and 2010. The 5 healthcare systems included 17 hospitals and associated clinics in the Indianapolis, Indiana, region.

methodsWe developed and standardized a registry of MRSA and VRE patients and created Web forms that infection preventionists (IPs) used to maintain the lists. We sent e-mail alerts to IPs whenever a patient previously infected or colonized with MRSA or VRE registered for admission to a study hospital from June 2007 through June 2010.

resultsOver a 3-year period, we delivered 12 748 e-mail alerts on 6270 unique patients to 24 IPs covering 17 hospitals. One in 5 (22%-23%) of all admission alerts was based on data from a healthcare system that was different from the admitting hospital; a few hospitals accounted for most of this crossover among facilities and systems.

conclusionsRegional patient registries identify an important patient cohort with relevant prior antibiotic-resistant infection data from different healthcare institutions. Regional registries can identify trends and interinstitutional movement not otherwise apparent from single institution data. Importantly, electronic alerts can notify of the need to isolate early and to institute other measures to prevent transmission.

Indexed as

Epidemiologic MethodsMedical Informatics ApplicationsMethicillin ResistanceVancomycin ResistanceAdolescentAdultAgedAged, 80 and overChildCohort StudiesDisease NotificationEnterococcusFemaleGram-Positive Bacterial InfectionsHospitalizationHumansclinical decision supporthealth information exchangeinfection controlMRSAVRE

Identifiers

PMID23575195
PMCPMC6276894

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.