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Burden of present-on-admission infections and health care-associated infections, by race and ethnicity.

Abstract：

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.

journal_name

Am J Infect Control

journal_title

American journal of infection control

authors

Jeon CY,Muennig P,Furuya EY,Cohen B,Nash D,Larson EL

doi

10.1016/j.ajic.2014.08.019

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

1296-302

issue

12

eissn

0196-6553

issn

1527-3296

pii

S0196-6553(14)01134-1

journal_volume

42

pub_type

杂志文章

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