ICU Acquired Antibiotic Resistant Organism (ARO) rate

Identification of new MRSA, VRE or ESBL colonization in ICU patient

Indicators
Indicator:	ICU Acquired Antibiotic Resistant Organism (ARO) rate
Created/Raw:	Created
Program:	Critical Care
Start Date:
End Date:
Reports:	Critical Care Program Quality Indicator Report

• Cargo

• SMW:

• Categories

• Default form:

QI domain

• Safe

Significance

ARO can cause significant morbidity and mortality. The spread of these organisms can be decreased with good hand hygiene and antibiotic stewardship.

Sampling Plan / Procedure

100 % of all patients will be monitored for acquired resistant organisms to antibiotics.

Inclusion Criteria

All

Exclusion Criteria

None

Frequency

• Recorded once per patient
• On quarterly basis based on discharge dates, tabulate the number of cases on acquired and total number of patient days or Total ICU_LOS in Length of Stay (ICU Report)

Definition and Derivation

• Identification of new antibiotic resistant organism in ICU patient
• New ARO acquired cases per 1000 ICU patient days

Numerator

Number of new ICU ARO acquired cases

Denominator

Total ICU_LOS in Length of Stay (ICU Report)

Data Sources

• Starting 2019, antibiotic resistant organism is part of the ICD10 collection with code U82 to U84 under the Acquired Diagnosis / Complication.

• Before 2019, only colonization with resistant organisms were collected with old diagnosis code 99 and saved in table L_Dxs

SAS Program

• The SAS program to get the antibiotic resistant organism is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
• The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and (datetimes.sas or datetime_short.sas )

Report Users

Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee

Related articles

ExpandRelated articles:

Antibiotic Resistant Organism (← links) User:JMojica (← links)