Health CareAssociated Bloodstream Infections
Authors: Keith S. Kaye, N. Deborah Friedman, Daniel J. Sexton
Journal: Annals of Internal Medicine (2003)

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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