Methods Inf Med 2000; 39(04/05): 303-310
DOI: 10.1055/s-0038-1634449
Original Article
Schattauer GmbH

A Data Mining System for Infection Control Surveillance

S. E. Brossette
1   Department of Pathology and Department of Computer and Information Sciences, The University of Alabama at Birmingham, Birmingham, AL, USA
,
A. P. Sprague
1   Department of Pathology and Department of Computer and Information Sciences, The University of Alabama at Birmingham, Birmingham, AL, USA
,
W. T. Jones
1   Department of Pathology and Department of Computer and Information Sciences, The University of Alabama at Birmingham, Birmingham, AL, USA
,
S. A. Moser
1   Department of Pathology and Department of Computer and Information Sciences, The University of Alabama at Birmingham, Birmingham, AL, USA
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
08. Februar 2018 (online)

Abstract:

Nosocomial infections and antimicrobial resistance are problems of enormous magnitude that impact the morbidity and mortality of hospitalized patients as well as their cost of care. The Data Mining Surveillance System (DMSS) uses novel data mining techniques to discover unsuspected, useful patterns of nosocomial infections and antimicrobial resistance from the analysis of hospital laboratory data. This report details a mature version of DMSS as well as an experiment in which DMSS was used to analyze all inpatient culture data, collected over 15 months at the University of Alabama at Birmingham Hospital.

 
  • REFERENCES

  • 1 Centers for Disease Control and Prevention.. Public health focus surveillance: prevention and control of nosocomial infections. Morbidity and Mortality Weekly Report 1992; 41: 783-7.
  • 2 Goldmann DA, Weinstein RA, Wenzel RP, Tablan OC, Duma RJ, Gaynes RP, Schlosser J, Martone WJ. Strategies to Prevent and Control the Emergence and Spread of Antimicrobial-Resistant Microorganisms in Hospitals. A challenge to hospital leadership. JAMA 1996; 275: 234-40.
  • 3 Jones RN. The current and future impact of antimicrobial resistance among nosocomial bacterial pathogens. Diag Microbiol Infect Dis 1992; 15 Suppl 2: 3-10.
  • 4 Koontz FP. A review of traditional resistance surveillance methodologies and infection control. Diag Microbiol Infect Dis 1992; 15 Suppl 2: 43-7.
  • 5 Neu HC, Duma RJ, Jones RN, McGowan Jr JE, O’Brien TF, Sabath LD, Sanders CC, Schaffner W, Tally FP, Tenover FC, Young LS. Antibiotic resistance: epidemiology and therapeutics. Diag Microbiol Infect Dis 1992; 15 Suppl 2: 53-60.
  • 6 Shlaes DM, Gerding DN, John Jr JF, Craig WA, Bornstein DL, Duncan RA, Eckman MR, Farrer WE, Greene WH, Lorian V, Levy S, McGowan Jr JE, Paul SM, Ruskin J, Tenover FC, Watanakunakorn C. Society for Healthcare Epidemiology of America and Infectious Diseases Society of America Joint Committee on the Prevention of Antimicrobial Resistance: guidelines for the prevention of antimicrobial resistance in hospitals. Clin Infect Dis 1997; 25: 584-99.
  • 7 Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme JF, Lloyd JF, Burke JP. A computer-assisted management program for antibiotics and other anti-infective agents. NEJM 1998; 338: 232-8.
  • 8 Evans RS, Larsen RA, Burke JP, Gardner RM, Meier FA, Jacobson JA, Conti MT, Jacobson JT, Hulse RK. Computer surveil-lance of hospital-acquired infections and antibiotic use. JAMA 1986; 256: 1007-11.
  • 9 Kahn MG, Steib SA, Fraser VJ, Dunagan WC. An expert system for culture-based infection control surveillance. Proceedings of the Annual Symposium on Computer Applications in Medical Care. 1993: 171-5
  • 10 Sellick JA. The use of statistical process control charts in hospital epidemiology. Infection Control and Hospital Epidemiology 1993; 14: 649-56.
  • 11 Brossette SE, Sprague AP, Hardin JM, Waites KB, Jones WT, Moser SA. Association rules and data mining in hospital infection control and public health surveillance JAMIA. 1998; 5: 373-81
  • 12 Brossette SE, Sprague AP, Jones WT, and Moser SA. Application of knowledge discovery and data mining to intensive care microbiologic data (Abstract). International Conference on Emerging Infectious Diseases. March 8-11, 1998. Atlanta, GA.:
  • 13 Agrawal R, Srikant R. Fast algorithms for mining association rules. Proceedings of the 20th International Conference on Very Large Data Bases. 1994: 487-99
  • 14 Bayardo JR. Brute-force mining of high-confidence classification rules. Proceedings of the Third International Conference on Knowledge Discovery and Data Mining. 1997: 123-6.
  • 15 Brin S, Rajeev M, Ullman JD, Tsur S. Dynamic itemset counting and implication rules for market basket data. Proceedings of the ACM SIGMOD Conference on Management of Data. 1997: 255-63.
  • 16 Brownlee KA. Statistical Theory and Methodology. (2nd ed.) Malabar, FL: Rovert E. Kriegler Publishing Co., Inc; 1965
  • 17 Rothman KJ, Greenland S. Modern Epidemiology. (2nd ed.) Philadelphia: Lippincott-Raven; 1997
  • 18 NCCLS. Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically – Fourth Edition; approved Standard. NCCLS document M7-A4. NCCLS, Wayne; Pennsylvania: 1997
  • 19 Marques MB, Waites KB, Mangino JE, Hines BB, Moser SA. Genotypic investigation of multidrug-resistant Acinetobacter baumannii infections in a medical intensive care unit. J Hosp Infect 1997; 37: 125-35.
  • 20 Dean AG, Fagan RF, Panter-Conner BJ. Computerizing public health surveillance systems. In: Teutsch SM, Churchill RE. (ed). Principles and Practice of Public Health Surveillance. New York, NY: Oxford University Press; 1994: 200-17.