Is Antimicrobial Resistance a Bigger Problem in Tertiary Care Hospitals Than in Small Community Hospitals in the United States?

Sumanth Gandra; Anna Trett; Eili Y Klein; Ramanan Laxminarayan

doi:10.1093/cid/cix413

Is Antimicrobial Resistance a Bigger Problem in Tertiary Care Hospitals Than in Small Community Hospitals in the United States?

Clin Infect Dis. 2017 Sep 1;65(5):860-863. doi: 10.1093/cid/cix413.

Authors

Sumanth Gandra¹, Anna Trett¹, Eili Y Klein^{2

3}, Ramanan Laxminarayan^{2

4}

Affiliations

¹ Center for Disease Dynamics, Economics & Policy, New Delhi, India.
² Center for Disease Dynamics, Economics & Policy, Washington, DC.
³ Johns Hopkins University, Department of Emergency Medicine, Baltimore, Maryland.
⁴ Princeton Environmental Institute, New Jersey.

PMID: 28472253
DOI: 10.1093/cid/cix413

Abstract

Large tertiary care hospitals (TCHs) are thought to have higher antimicrobial resistance (AMR) rates when compared to small community hospitals (SCHs) as they provide care to patients with higher disease severity. However, we found no systematic differences in AMR rates between TCHs and SCHs in the United States.

Keywords: Antimicrobial resistance; small community hospitals; tertiary care hospitals.

MeSH terms

Bacterial Infections / epidemiology*
Bacterial Infections / microbiology*
Drug Resistance, Bacterial*
Hospitals, Community / statistics & numerical data*
Humans
Tertiary Care Centers / statistics & numerical data*
United States / epidemiology