Document Detail

Burden of present-on-admission infections and health care-associated infections, by race and ethnicity.
MedLine Citation:
PMID:  25465260     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: In the United States incidence of sepsis and pneumonia differ by race, but it is unclear whether this is due to intrinsic factors or health care factors.
METHODS: We conducted a study of 52,006 patients hospitalized during 2006-2008 at a referral hospital in upper Manhattan. We examined how the prevalence of present-on-admission and health care-associated infection compared between non-Hispanic blacks, Hispanics, and non-Hispanic whites adjusting for sociodemographic factors, admission through the emergency department, and comorbid conditions.
RESULTS: Non-Hispanic blacks had 1.59-fold (95% confidence interval [CI], 1.29-1.96) and 1.55-fold (95% CI, 1.35-1.77) risk of community-acquired bloodstream infection and urinary tract infection compared with non-Hispanic whites. Hispanic patients had 1.31-fold (95% CI, 1.15-1.49) risk of presenting with community-acquired urinary tract infection compared with non-Hispanic whites. Controlling for admission through the emergency department, comorbidity, and neighborhood income attenuated the differences in prevalence of infections.
CONCLUSIONS: We found that health disparities in present-on-admission infections might be largely explained by potential lack of ambulatory care, socioeconomic factors, and comorbidity.
Christie Y Jeon; Peter Muennig; E Yoko Furuya; Bevin Cohen; Denis Nash; Elaine L Larson
Publication Detail:
Type:  Journal Article     Date:  2014-11-25
Journal Detail:
Title:  American journal of infection control     Volume:  42     ISSN:  1527-3296     ISO Abbreviation:  Am J Infect Control     Publication Date:  2014 Dec 
Date Detail:
Created Date:  2014-12-03     Completed Date:  -     Revised Date:  2014-12-05    
Medline Journal Info:
Nlm Unique ID:  8004854     Medline TA:  Am J Infect Control     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1296-302     Citation Subset:  IM    
Copyright Information:
Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
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