title: Present or absent on admission: results of changes in National Healthcare Safety Network surveillance definitions.
abstract: In January 2013, the National Healthcare Safety Network definition of "present on admission" was created. Using existing surveillance data from 2013, we identified health care-associated infections (HAIs) that met prior present on admission criteria but not the new definition. We identified a number of infections classified as HAI despite evidence that infection was clinically present on admission. These findings have important implications for states with mandatory HAI reporting using National Healthcare Safety Network definitions.
authors.affiliation: Department of Infection Prevention and Control, The Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address: farrelll@email.chop.edu.
authors.forename: Lauren
authors.initials: L
authors.lastname: Farrell
authors.affiliation: Department of Infection Prevention and Control, The Children's Hospital of Philadelphia, Philadelphia, PA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Gilman
authors.affiliation: Department of Infection Prevention and Control, The Children's Hospital of Philadelphia, Philadelphia, PA.
authors.forename: Eva
authors.initials: E
authors.lastname: Teszner
authors.affiliation: Department of Infection Prevention and Control, The Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics and Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Susan E
authors.initials: SE
authors.lastname: Coffin
authors.affiliation: Department of Infection Prevention and Control, The Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics and Division of Infectious Diseases, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Julia Shaklee
authors.initials: JS
authors.lastname: Sammons
mesh_terms: D003428:Cross Infection / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D062665:Epidemiological Monitoring; D006268:Health Facilities; D006801:Humans; D012189:Retrospective Studies
keywords: Hospital-acquired infections; Mandatory reporting