2015
Quantifying the Exposure to Antibiotic-Resistant Pathogens Among Patients Discharged From a Single Hospital Across All California Healthcare Facilities
Datta R, Brown S, Nguyen VQ, Cao C, Billimek J, Avery T, Lee BY, Huang SS. Quantifying the Exposure to Antibiotic-Resistant Pathogens Among Patients Discharged From a Single Hospital Across All California Healthcare Facilities. Infection Control And Hospital Epidemiology 2015, 36: 1275-1282. PMID: 26387690, DOI: 10.1017/ice.2015.181.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsCaliforniaCarrier StateClostridiumCross InfectionDrug Resistance, BacterialFemaleHospitalsHumansKlebsiella pneumoniaeLength of StayMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedNursing HomesPatient DischargePatient ReadmissionRetrospective StudiesVancomycin-Resistant EnterococciYoung AdultConceptsMethicillin-resistant Staphylococcus aureusClostridium difficile infectionVancomycin-resistant enterococciNursing homesAntibiotic-resistant pathogensDays of dischargeHealthcare facilitiesLength of stayExtended-spectrum β-lactamaseYear of dischargeMultiple cohort studiesTime-dependent exposureESBL carriersMore readmissionsCDI patientsHospital readmissionDifficile infectionSingle hospitalReadmissionHospitalPatientsKlebsiella pneumoniaeΒ-lactamaseStaphylococcus aureusNoncarriers
2014
Protective Effect of Methicillin-Susceptible Staphylococcus aureus Carriage against Methicillin-Resistant S. aureus Acquisition in Nursing Homes: A Prospective Cross-Sectional Study
Datta R, Quan V, Kim D, Peterson EM, Reynolds C, Meyers H, Cheung M, Huang SS. Protective Effect of Methicillin-Susceptible Staphylococcus aureus Carriage against Methicillin-Resistant S. aureus Acquisition in Nursing Homes: A Prospective Cross-Sectional Study. Infection Control And Hospital Epidemiology 2014, 35: 1257-1262. PMID: 25203179, DOI: 10.1086/678062.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCaliforniaCarrier StateCross-Sectional StudiesFemaleHumansMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedNasal CavityNursing HomesPrevalenceProspective StudiesStaphylococcal InfectionsStaphylococcus aureusConceptsProspective cross-sectional studyCross-sectional studyS. aureus prevalencePoint prevalenceAdmission prevalenceNursing homesAureus prevalenceInverse associationMethicillin-resistant S. aureus (MRSA) prevalenceS. aureus acquisitionMethicillin-susceptible Staphylococcus aureus (MSSA) carriageDay of admissionStaphylococcus aureus carriageNursing home stayBlood agarMinimal associationMSSA carriageAureus carriageMRSA acquisitionPercentage of residentsNares swabsProtective effectSkin lesionsTotal swabsSheep blood agarSubstantial Shifts in Ranking of California Hospitals by Hospital-Associated Methicillin-Resistant Staphylococcus aureus Infection Following Adjustment for Hospital Characteristics and Case Mix
Tehrani DM, Phelan MJ, Cao C, Billimek J, Datta R, Nguyen H, Kwark H, Huang SS. Substantial Shifts in Ranking of California Hospitals by Hospital-Associated Methicillin-Resistant Staphylococcus aureus Infection Following Adjustment for Hospital Characteristics and Case Mix. Infection Control And Hospital Epidemiology 2014, 35: 1263-1270. PMID: 25203180, DOI: 10.1086/678069.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCaliforniaComorbidityCross InfectionDiagnosis-Related GroupsFemaleHospitalsHumansMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedPneumonia, StaphylococcalRetrospective StudiesRisk FactorsSepsisYoung AdultConceptsHA-MRSA infectionsCase mixHospital rankingsCalifornia acute care hospitalsHospital-Associated MethicillinRetrospective cohort studyMethicillin-resistant Staphylococcus aureusAcute care hospitalsFacility-level characteristicsPatient population characteristicsFacility-level factorsMandatory hospitalizationMRSA pneumoniaSerious comorbiditiesCohort studyCare hospitalHospital proportionHospital characteristicsCommunity hospitalPopulation characteristicsHospital case mixAdmissionInfection prevention performanceHospitalInfection risk
2013
High Nasal Burden of Methicillin-Resistant Staphylococcus aureus Increases Risk of Invasive Disease
Datta R, Shah A, Huang SS, Cui E, Nguyen V, Welbourne SJ, Quan KA, Thrupp L. High Nasal Burden of Methicillin-Resistant Staphylococcus aureus Increases Risk of Invasive Disease. Journal Of Clinical Microbiology 2013, 52: 312-314. PMID: 24153126, PMCID: PMC3911445, DOI: 10.1128/jcm.01606-13.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBacterial LoadCarrier StateCohort StudiesFemaleHumansMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedNasal MucosaPrevalenceRetrospective StudiesRisk AssessmentStaphylococcal InfectionsYoung Adult
2012
What Is Nosocomial? Large Variation in Hospital Choice of Numerators and Denominators Affects Rates of Hospital-Onset Methicillin-Resistant Staphylococcus aureus
Datta R, King M, Kim D, Nguyen C, Elkins K, Gombosev A, Avery TR, Meyers H, Cheung M, Huang SS. What Is Nosocomial? Large Variation in Hospital Choice of Numerators and Denominators Affects Rates of Hospital-Onset Methicillin-Resistant Staphylococcus aureus. Infection Control And Hospital Epidemiology 2012, 33: 1166-1169. PMID: 23041819, DOI: 10.1086/668025.Peer-Reviewed Original ResearchMeSH KeywordsBiasCaliforniaCross InfectionHealth Care SurveysHumansMethicillin-Resistant Staphylococcus aureusStaphylococcal Infections
2011
Methicillin-Resistant Staphylococcus aureus Infection and Hospitalization in High-Risk Patients in the Year following Detection
Huang SS, Hinrichsen VL, Datta R, Spurchise L, Miroshnik I, Nelson K, Platt R. Methicillin-Resistant Staphylococcus aureus Infection and Hospitalization in High-Risk Patients in the Year following Detection. PLOS ONE 2011, 6: e24340. PMID: 21949707, PMCID: PMC3174953, DOI: 10.1371/journal.pone.0024340.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCommunity-Acquired InfectionsFemaleHospitalizationHumansMaleMethicillin-Resistant Staphylococcus aureusMiddle AgedPatient ReadmissionRetrospective StudiesRiskStaphylococcal InfectionsYoung AdultConceptsMethicillin-resistant Staphylococcus aureus (MRSA) infectionsPost-discharge infectionsStaphylococcus aureus infectionMRSA infectionHealthcare utilizationAureus infectionTertiary care medical centerPrimary bloodstream infectionsRetrospective cohort studyHigh-risk patientsTertiary care patientsHarvard Pilgrim Health CareSubstantial attributable mortalitySingle hospitalizationMRSA carriageMRSA carriersAdult patientsCohort studyHospital dischargeSubsequent readmissionCare patientsAttributable mortalityBloodstream infectionsCommon infectionsMost infectionsColonization with antibiotic-susceptible strains protects against methicillin-resistant Staphylococcus aureus but not vancomycin-resistant enterococci acquisition: a nested case-control study
Huang SS, Datta R, Rifas-Shiman S, Kleinman K, Placzek H, Lankiewicz JD, Platt R. Colonization with antibiotic-susceptible strains protects against methicillin-resistant Staphylococcus aureus but not vancomycin-resistant enterococci acquisition: a nested case-control study. Critical Care 2011, 15: r210. PMID: 21914221, PMCID: PMC3334754, DOI: 10.1186/cc10445.Peer-Reviewed Original ResearchConceptsMethicillin-resistant Staphylococcus aureusMethicillin-sensitive Staphylococcus aureusVancomycin-resistant enterococciInitial negative swabCase-control studyVancomycin-sensitive enterococciMRSA acquisitionVRE acquisitionICU admissionRisk factorsNegative swabsStaphylococcus aureusHigh endemic settingMRSA-positive patientsVancomycin-resistant enterococci acquisitionThird-generation cephalosporinsSensitive strainsPredictors of acquisitionBilateral naresMSSA carriageMSSA infectionsSame hospitalizationICU patientsLow albuminMRSA infectionEnvironmental Cleaning Intervention and Risk of Acquiring Multidrug-Resistant Organisms From Prior Room Occupants
Datta R, Platt R, Yokoe DS, Huang SS. Environmental Cleaning Intervention and Risk of Acquiring Multidrug-Resistant Organisms From Prior Room Occupants. JAMA Internal Medicine 2011, 171: 491-494. PMID: 21444840, DOI: 10.1001/archinternmed.2011.64.Peer-Reviewed Original ResearchConceptsMethicillin-resistant Staphylococcus aureusRisk of acquisitionPrior room occupantsVancomycin-resistant enteroccociIntensive care unitCare unitIntervention periodAcquisition of MRSAIntensive care unit roomsRetrospective cohort studyMultidrug-resistant organismsAcademic medical centerEnvironmental cleaning interventionsVRE acquisitionEligible patientsMRSA carriersVRE transmissionCardiac surgeryCohort studyMRSA acquisitionNeurosurgery unitThoracic surgeryMedical CenterVRE carriersGeneral surgery