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Lack of correlation between standardized antimicrobial administration ratios (SAARs) and healthcare-facility–onset Clostridioides difficile infection rates in Veterans Affairs medical facilities

Published online by Cambridge University Press:  01 December 2022

Martin E. Evans Open the ORCID record for Martin E. Evans [Opens in a new window] ,
Makoto M. Jones ,
Kelly W. Davis Open the ORCID record for Kelly W. Davis [Opens in a new window] ,
Matthew T. Lane ,
Loretta A. Simbartl ,
Brian P. McCauley Open the ORCID record for Brian P. McCauley [Opens in a new window] ,
Natalie Gauldin  and
Gary A. Roselle Open the ORCID record for Gary A. Roselle [Opens in a new window]
Martin E. Evans*
Affiliation:
National Infectious Diseases Service, Specialty Care Services, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC Lexington Veterans Affairs Healthcare System, Lexington, Kentucky Division of Infectious Diseases, Department of Internal Medicine, University of Kentucky School of Medicine, Lexington, Kentucky
Makoto M. Jones
Affiliation:
VA Salt Lake City Health Care System, Salt Lake City, Utah Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah
Kelly W. Davis
Affiliation:
Lexington Veterans Affairs Healthcare System, Lexington, Kentucky
Matthew T. Lane
Affiliation:
Lexington Veterans Affairs Healthcare System, Lexington, Kentucky
Loretta A. Simbartl
Affiliation:
National Infectious Diseases Service, Specialty Care Services, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC
Brian P. McCauley
Affiliation:
National Infectious Diseases Service, Specialty Care Services, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC
Natalie Gauldin
Affiliation:
National Infectious Diseases Service, Specialty Care Services, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC
Gary A. Roselle
Affiliation:
National Infectious Diseases Service, Specialty Care Services, Veterans Health Administration, US Department of Veterans Affairs, Washington, DC Cincinnati Veterans Affairs Healthcare System, Cincinnati, Ohio Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati School of Medicine, Cincinnati, Ohio
*
Author for correspondence: Martin E. Evans, E-mail: martin.evans@va.gov
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Abstract

We detected no correlation between standardized antimicrobial administration ratios (SAARs) and healthcare facility-onset Clostridioides difficile infection (HO-CDI) rates in 102 acute-care Veterans Affairs medical centers over 16 months. SAARs may be useful for investigating trends in local antimicrobial use, but no ratio threshold demarcated HO-CDI risk.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 44 , Issue 6 , June 2023 , pp. 945 - 947
Creative Commons
This is a work of the US Government and is not subject to copyright protection within the United States. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America.
Copyright
© Department of Veterans Affairs, 2022

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