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Re: Racial and ethnic disparities in healthcare-associated infections in the United States, 2009-2011


, : Re: Racial and ethnic disparities in healthcare-associated infections in the United States, 2009-2011. Journal of Urology 193(5): 1559-1559

Little is known about racial and ethnic disparities in the occurrence of healthcare-associated infections (HAIs) in hospitalized patients. To determine whether racial/ethnic disparities exist in the rate of occurrence of HAIs captured in the Medicare Patient Safety Monitoring System (MPSMS). Chart-abstracted MPSMS data from randomly selected all-payer hospital discharges of adult patients (18 years old or above) between January 1, 2009, and December 31, 2011, for 3 common medical conditions: acute cardiovascular disease (composed of acute myocardial infarction and heart failure), pneumonia, and major surgery for 6 HAI measures (hospital-acquired antibiotic-associated Clostridium difficile, central line-associated bloodstream infections, postoperative pneumonia, catheter-associated urinary tract infections, hospital-acquired methicillin-resistant Staphylococcus aureus, and ventilator-associated pneumonia). The study sample included 79,019 patients who had valid racial/ethnic information divided into 6 racial/ethnic groups-white non-Hispanic (n = 62,533), black non-Hispanic (n = 9,693), Hispanic (n = 4,681), Asian (n = 1,225), Native Hawaiian/Pacific Islander (n = 94), and other (n = 793)-who were at risk for at least 1 HAI. The occurrence rate for HAIs was 1.1% for non-Hispanic white patients, 1.3% for non-Hispanic black patients, 1.5% for Hispanic patients, 1.8% for Asian patients, 1.7% for Native Hawaiian/Pacific Islander patients, and 0.70% for other patients. Compared with white patients, the age/gender/comorbidity-adjusted odds ratios of occurrence of HAIs were 1.1 (95% confidence interval [CI], 0.99-1.23), 1.3 (95% CI, 1.15-1.53), 1.4 (95% CI, 1.07-1.75), and 0.7 (95% CI, 0.40-1.12) for black, Hispanic, Asian, and a combined group of Native Hawaiian/Pacific Islander and other patients, respectively. Among patients hospitalized with acute cardiovascular disease, pneumonia, and major surgery, Asian and Hispanic patients had significantly higher rates of HAIs than white non-Hispanic patients.

US$19.90

PMID: 25895772

DOI: 10.1016/j.juro.2015.02.007


Other references

Yoshikawa, C.; Qiu, J.; Shimizu, Y.; Huang, C-Feng.; Gelling, O-Jan.; van den Bosch, E., 2016: Concentrated polymer brush-modified silica particle coating confers biofouling-resistance on modified materials. NlmCategory="UNASSIGNED">Biofouling, an undesired adsorption of biological material to otherwise inert surfaces, is detrimental in medical, pharmaceutical, and other sectors. Concentrated polymer brushes (CPB) confer non-biofouling pr...

Komai, H.; Naito, Y.; Fujiwara, K.; Noguchi, Y., 2002: Cosmetic benefits of lower midline skin incision for pediatric open heart operation. A review of 100 cases. Since we developed the procedure in 1996, we have now performed 100 pediatric open heart operations using a lower midline skin incision and a minimal sternotomy approach. To elucidate the benefits of this approach, we analyzed these 100 cases retr...

Chauhan, I.S., 1968: Social cleavages in trade relationships - a study of Indians in Fiji. Analysis of the present occupational differentiation of the Indian population in Labasa (Fiji Islands) within the framework of the system of production and distribution of the town reveals that the field of trade relationships came into existence...

Cai QingNian; Zhang QingWen; L.H.aShi; Sun XiuZhen; Cheo MingtSang, 1997: The influence of avermectin to natural enemies in cotton fields. From more than 50 antibiotics screened, the most effective insecticidal antibiotic was avermectin [abamectin] to control cotton bollworm [Helicoverpa armigera]. The effects on Trichogramma chilonis, Coccinella septempunctata and Erigonidium gramin...

Musyal S.A.; Babinkova N.I., 1969: Terminology and properties of microcomponents of humic coals. Bituminous and brown coals, macerals.

Ulger, N.; Celik, C.; Cakici, O.; Soyletir, G., 2003: Antimicrobial susceptibility of Bacteroides fragilis group organisms isolated from clinical specimens and human intestinal microbiota. Anaerobe 9(5): 259, October

Strobl, F.F.; Rominger, A.; Wolpers, S.; Rist, C.; Bamberg, F.; Thierfelder, K.M.; Nikolaou, K.; Uebleis, C.; Hacker, M.; Reiser, M.F.; Saam, T., 2014: Impact of cardiovascular risk factors on vessel wall inflammation and calcified plaque burden differs across vascular beds: a PET-CT study. To evaluate the effect of age, gender and cardiovascular risk factors on vessel wall inflammation and the calcified plaque burden in different vascular beds as assessed by PET/CT. 315 patients (mean age: 57.8 years, 123 male and 192 female) who u...

Nakatani, Yukinobu, 2001: Cimicicapsus Poppius a separate genus, with description of new species (Heteroptera: Miridae). The deraeocorine plant bug genus Cimicicapsus is considered as a separated genus, not a subgenus of Deraeocoris Kirschbaum. Three East Asian species of Cimicicapsus are reported, including a description of a new species C. miyakei from Amami Is.,...

Huang, H.; Liu, N.; Yang, C.; Liao, S.; Guo, H.; Zhao, K.; Li, X.; Liu, S.; Guan, L.; Liu, C.; Xu, L.; Zhang, C.; Song, W.; Li, B.; Tang, P.; Dou, Q.Ping.; Liu, J., 2013: HDAC inhibitor L-carnitine and proteasome inhibitor bortezomib synergistically exert anti-tumor activity in vitro and in vivo. Combinations of proteasome inhibitors and histone deacetylases (HDAC) inhibitors appear to be the most potent to produce synergistic cytotoxicity in preclinical trials. We have recently confirmed that L-carnitine (LC) is an endogenous HDAC inhibit...

Stein, B., 1967: Histochemical studies of the adrenal cortex after an intervention in the regulatory system of the anterior hypophysis-thyroid gland. Acta Histochemica 26(2): 222-236