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Health Care–Associated Bloodstream Infections in Adults: A Reason To Change the Accepted Definition of Community-Acquired Infections

N. Deborah Friedman, MBBS; Keith S. Kaye, MD, MPH; Jason E. Stout, MD, MHS; Sarah A. McGarry, MD; Sharon L. Trivette, RN; Jane P. Briggs, RN; Wanda Lamm, RN; Connie Clark, RN; Jennifer MacFarquhar, RN; Aaron L. Walton, MD; L. Barth Reller, MD; and Daniel J. Sexton, MD
[+] Article and Author Information

From Duke University Medical Center and Durham Regional Hospital, Durham, North Carolina, and Nash General Hospital, Rocky Mount, North Carolina.


Acknowledgments: The authors thank the microbiology laboratory staff at Duke University Medical Center, Durham Regional Hospital, and Nash General Hospital for their analysis of bloodstream isolates.

Grant Support: By an educational grant from Merck Pharmaceuticals.

Potential Financial Conflicts of Interest: None disclosed.

Corresponding Author: Daniel J. Sexton, MD, Division of Infectious Diseases, Duke University Medical Center, Box 3605, Durham, NC 27710.

Current Author Addresses: Drs. Friedman, Kaye, Stout, McGarry, and Sexton; Ms. MacFarquhar; and Ms. Clark: Division of Infectious Diseases, Duke University Medical Center, Box 3605, Durham, NC 27710.

Ms. Trivette and Ms. Briggs: Departments of Employee Health and Infection Control, Durham Regional Hospital, Roxboro Road, Durham, NC 27701.

Ms. Lamm: Department of Infection Control, Nash General Hospital, 2460 Curtis Ellis Drive, Rocky Mount, NC 27804.

Dr. Walton: Box 31284, Duke University Medical Center, Durham, NC 27710.

Dr. Reller: Clinical Microbiology, Box 3938, Duke University Medical Center, Durham, NC 27710.

Author Contributions: Conception and design: N.D. Friedman, K.S. Kaye, J.E. Stout, D.J. Sexton.

Analysis and interpretation of the data: N.D. Friedman, K.S. Kaye, J.E. Stout, D.J. Sexton.

Drafting of the article: N.D. Friedman, D.J. Sexton.

Critical revision of the article for important intellectual content: N.D. Friedman, K.S. Kaye, J.E. Stout, D.J. Sexton.

Final approval of the article: N.D. Friedman, K.S. Kaye, J.E. Stout, D.J. Sexton.

Provision of study materials or patients: N.D. Friedman, S.A. McGarry, S.L. Trivette, J.P. Briggs, W. Lamm, C. Clark, J. MacFarquhar, A.L. Walton.

Statistical expertise: K.S. Kaye, J.E. Stout.

Obtaining of funding: N.D. Friedman, D.J. Sexton.

Administrative, technical, or logistic support: N.D. Friedman, K.S. Kaye, J.E. Stout, A.L. Walton, D.J. Sexton.

Collection and assembly of data: N.D. Friedman, S.A. McGarry, S.L. Trivette, J.P. Briggs, W. Lamm, C. Clark, J. MacFarquhar, A.L. Walton.


Ann Intern Med. 2002;137(10):791-797. doi:10.7326/0003-4819-137-10-200211190-00007
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This prospective cohort study was done at Duke University Medical Center (Durham, North Carolina), Durham Regional Hospital (Durham, North Carolina), and Nash General Hospital (Rocky Mount, North Carolina). Approval of the study protocol was obtained from the institutional review boards at each hospital, which waived the requirement for obtaining informed consent.

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Summary for Patients

Classifying Types of Bacterial Infections

The summary below is from the full report titled “Health Care–Associated Bloodstream Infections in Adults: A Reason To Change the Accepted Definition of Community-Acquired Infections.” It is in the 19 November 2002 issue of Annals of Internal Medicine (volume 137, pages 791-797). The authors are ND Friedman, KS Kaye, JE Stout, SA McGarry, SL Trivette, JP Briggs, W Lamm, C Clark, J MacFarquhar, AL Walton, LB Reller, and DJ Sexton.

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