Reporting of meticillin-resistant and -susceptible Staphylococcus aureus on death certificates in Irish hospitals.

Hdl Handle:
http://hdl.handle.net/10147/129396
Title:
Reporting of meticillin-resistant and -susceptible Staphylococcus aureus on death certificates in Irish hospitals.
Authors:
Collins, C J; Fraher, M H; O'Connell, K; Fennell, J; FitzGerald, S F; O'Sullivan, N; Cormican, M; Fenelon, L E; Murphy, P; Hannan, M M
Affiliation:
Department of Clinical Microbiology, Mater Misericordiae University Hospital, Dublin, Ireland.
Citation:
Reporting of meticillin-resistant and -susceptible Staphylococcus aureus on death certificates in Irish hospitals. 2011, 77 (2):143-7 J. Hosp. Infect.
Journal:
The Journal of hospital infection
Issue Date:
Feb-2011
URI:
http://hdl.handle.net/10147/129396
DOI:
10.1016/j.jhin.2010.10.005
PubMed ID:
21227537
Abstract:
The documentation of infection with meticillin-resistant Staphylococcus aureus (MRSA) on death certificates has been the subject of considerable public discussion. Using data from five tertiary referral hospitals in Ireland, we compared the documentation of MRSA and meticillin-susceptible S. aureus (MSSA) on death certificates in those patients who died in hospital within 30 days of having MRSA or MSSA isolated from blood cultures. A total of 133 patients had MRSA or MSSA isolated from blood cultures within 30 days of death during the study period. One patient was excluded as the death certificate information was not available; the other 132 patients were eligible for inclusion. MRSA and MSSA were isolated from blood cultures in 59 (44.4%) and 74 (55.6%) cases respectively. One patient was included as a case in both categories as both MRSA and MSSA were isolated from a blood culture. In 15 (25.4%) of the 59 MRSA cases, MRSA was documented on the death certificate. In nine (12.2%) of the 74 patients with MSSA cases, MSSA was documented on the death certificate. MRSA was more likely to be documented on the death certificate than MSSA (odds ratio: 2.46; 95% confidence interval: 1.01-6.01; P < 0.05). These findings indicate that there may be inconsistencies in the way organisms and infections are documented on death certificates in Ireland and that death certification data may underestimate the mortality related to certain organisms. In particular, there appears to be an overemphasis by certifiers on the documentation of MRSA compared with MSSA.
Item Type:
Article
Language:
en
MeSH:
Death Certificates; Disease Notification; Documentation; Hospital Mortality; Hospitals; Humans; Ireland; Methicillin-Resistant Staphylococcus aureus; Reproducibility of Results; Retrospective Studies; Staphylococcal Infections; Staphylococcus aureus
ISSN:
1532-2939

Full metadata record

DC FieldValue Language
dc.contributor.authorCollins, C Jen
dc.contributor.authorFraher, M Hen
dc.contributor.authorO'Connell, Ken
dc.contributor.authorFennell, Jen
dc.contributor.authorFitzGerald, S Fen
dc.contributor.authorO'Sullivan, Nen
dc.contributor.authorCormican, Men
dc.contributor.authorFenelon, L Een
dc.contributor.authorMurphy, Pen
dc.contributor.authorHannan, M Men
dc.date.accessioned2011-05-11T11:18:13Z-
dc.date.available2011-05-11T11:18:13Z-
dc.date.issued2011-02-
dc.identifier.citationReporting of meticillin-resistant and -susceptible Staphylococcus aureus on death certificates in Irish hospitals. 2011, 77 (2):143-7 J. Hosp. Infect.en
dc.identifier.issn1532-2939-
dc.identifier.pmid21227537-
dc.identifier.doi10.1016/j.jhin.2010.10.005-
dc.identifier.urihttp://hdl.handle.net/10147/129396-
dc.description.abstractThe documentation of infection with meticillin-resistant Staphylococcus aureus (MRSA) on death certificates has been the subject of considerable public discussion. Using data from five tertiary referral hospitals in Ireland, we compared the documentation of MRSA and meticillin-susceptible S. aureus (MSSA) on death certificates in those patients who died in hospital within 30 days of having MRSA or MSSA isolated from blood cultures. A total of 133 patients had MRSA or MSSA isolated from blood cultures within 30 days of death during the study period. One patient was excluded as the death certificate information was not available; the other 132 patients were eligible for inclusion. MRSA and MSSA were isolated from blood cultures in 59 (44.4%) and 74 (55.6%) cases respectively. One patient was included as a case in both categories as both MRSA and MSSA were isolated from a blood culture. In 15 (25.4%) of the 59 MRSA cases, MRSA was documented on the death certificate. In nine (12.2%) of the 74 patients with MSSA cases, MSSA was documented on the death certificate. MRSA was more likely to be documented on the death certificate than MSSA (odds ratio: 2.46; 95% confidence interval: 1.01-6.01; P < 0.05). These findings indicate that there may be inconsistencies in the way organisms and infections are documented on death certificates in Ireland and that death certification data may underestimate the mortality related to certain organisms. In particular, there appears to be an overemphasis by certifiers on the documentation of MRSA compared with MSSA.-
dc.language.isoenen
dc.subject.meshDeath Certificates-
dc.subject.meshDisease Notification-
dc.subject.meshDocumentation-
dc.subject.meshHospital Mortality-
dc.subject.meshHospitals-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMethicillin-Resistant Staphylococcus aureus-
dc.subject.meshReproducibility of Results-
dc.subject.meshRetrospective Studies-
dc.subject.meshStaphylococcal Infections-
dc.subject.meshStaphylococcus aureus-
dc.titleReporting of meticillin-resistant and -susceptible Staphylococcus aureus on death certificates in Irish hospitals.en
dc.typeArticleen
dc.contributor.departmentDepartment of Clinical Microbiology, Mater Misericordiae University Hospital, Dublin, Ireland.en
dc.identifier.journalThe Journal of hospital infectionen
dc.description.provinceLeinster-

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