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


  • Cargo


  • SMW:
  • Categories
  • Default form:

{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 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.
Antibiotic resistance codes:
  • 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

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