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The National Healthcare Safety Network (NHSN) of the Centers for Disease Control and Prevention (CDC) needed a modernized approach to manage resources containing standardized terminology that specify microorganism data submitted electronically for legacy reporting. Health care-associated infections (HAIs) reported to NHSN require the submission of data regarding specific microorganisms attributed to the patient's condition. Data on microorganisms submitted to the NHSN electronically must use the SNOMED CT terminology standard. Terminology artifacts that guide submission of microorganism data have been maintained in spreadsheets that have become increasingly challenging to manage. This case report details the initial use case for the implementation of off-the-shelf software within the NHSN to modernize the maintenance of terminology assets. Resources that guide reporting microorganisms for HAIs were used as a prototype to demonstrate how a software application can be practically implemented to streamline the maintenance of complex terminology assets. Mission-critical artifacts have been reconciled and consolidated into a single source of truth knowledgebase using an off-the-shelf software solution. This report shares progress and lessons learned regarding the modernization of NHSN's Pathogen Codes resource and its derivative artifacts. A model is now available that can be replicated across other NHSN legacy artifacts. Our experience can be applied to other public health use cases and information systems facing similar challenges with attachments to legacy terminology resources and systems.
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http://dx.doi.org/10.2196/66088 | DOI Listing |
Am J Infect Control
September 2025
Department of Nursing (Brooks, Roettger, Schultz, and Krier), Quality (Bates), and Administration (Anil), Mayo Clinic Health System in Southwest Minnesota, Mankato, Minnesota; Department of Automotive and Manufacturing Engineering (Bhandari), Minnesota State University, Mankato, Minnesota. Electroni
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August 2025
Department of Medical Microbiology, Faculty of Medical Science in Katowice, Medical University of Silesia, Katowice, Poland.
Introduction: Toxigenic strains of are the leading cause of healthcare-associated bacterial infections in Poland. In the Silesian Voivodeship, with 4.5 million inhabitants, the incidence of infection (CDI) in 2023 reached 65.
View Article and Find Full Text PDFPediatr Rev
September 2025
Division of Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Central line-associated bloodstream infections (CLABSIs) are a common and significant health care-associated infection in hospitalized and nonhospitalized pediatric patients with central venous catheters. Interventions to prevent such infections have evolved over the last 2 decades, resulting in significant reductions in CLABSI rates through the development and implementation of evidence-based guidelines on prevention and management recommended by the Centers for Disease Control and Prevention and the National Healthcare Safety Network and pediatric infectious diseases and health care epidemiology professional societies. This review provides a detailed synopsis of CLABSIs in children, including the definition, pathogenesis, risk factors, prevention, and treatment principles.
View Article and Find Full Text PDFNurs Rep
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The Cheryl Spencer Department of Nursing, University of Haifa, Haifa 3103301, Israel.
Nurse practitioners (NPs) are increasingly integrated into surgical care teams, complementing traditional surgical roles. However, the relationship between their involvement and patient-reported outcome measures (PROMs), such as pain and anxiety, remains understudied. : To examine the types of care from NPs in surgical units during the perioperative period and evaluate their association with length of stay, pain, and anxiety.
View Article and Find Full Text PDFInfect Dis Clin North Am
August 2025
Departments of Microbiology & Immunology, University of Michigan Medical School, Ann Arbor, MI, USA; Division of Infectious Diseases, Department of Medicine, University of Michigan Medical School, Ann Arbor, MI, USA. Electronic address:
Clostridioides difficile is the most common cause of health care-associated infections in the United States. The persistence of C difficile as a significant cause of morbidity and mortality is a testament to significant gaps remaining in our understanding of how and where it spreads, and pathways leading to disease. Over the past decade, the revolution in microbial whole-genome sequencing has enabled studies that have begun to fill in gaps in our understanding of C difficile.
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