ICU Acquired Antibiotic Resistant Organism (ARO) rate
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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 |
{Discussion | who=Julie |question= Is the definition in "description" still correct now that we report against resistance rather than specific pathogens being resistant? }}
QI domain
- Safe
Significance
AROs 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 infections with organisms resistant 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 LOS Per Service
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 LOS Per Service
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\datetimes.sas
Report Users
Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
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