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Letter to the Editor|Articles in Press

Hospital-onset, healthcare-associated Gram-negative bloodstream infections in patients admitted to a busy district general hospital in England: a retrospective cohort study

Published:March 29, 2023DOI:https://doi.org/10.1016/j.jhin.2023.01.026
      Gram-negative bacteria are leading causes of healthcare-associated bloodstream infections, with up to 33.9% associated mortality 30 days after an episode of Gram-negative bloodstream infection (GNBSI) [
      UK Health Security Agency
      Thirty-day all-cause mortality following MRSA, MSSA and Gram-negative bacteraemia and C. difficile infections, 2020 to 2021.
      ]. Higher mortality rates from hospital-onset GNBSIs compared with community-onset GNBSIs have also been widely reported [
      UK Health Security Agency
      Thirty-day all-cause mortality following MRSA, MSSA and Gram-negative bacteraemia and C. difficile infections, 2020 to 2021.
      ]. Antimicrobial resistance, especially amongst Gram-negative bacteria, poses a huge global health crisis [
      Public Health England
      Annual epidemiological commentary: Gram-negative bacteraemia, MRSA bacteraemia, MSSA bacteraemia and C. difficile infections, up to and including financial year April 2020 to March 2021.
      ]. As such, the UK Government has set a target to halve the incidence of healthcare-associated GNBSIs by 2024/2025 [
      Public Health England
      Annual epidemiological commentary: Gram-negative bacteraemia, MRSA bacteraemia, MSSA bacteraemia and C. difficile infections, up to and including financial year April 2020 to March 2021.
      ]. Identifying avoidable causes of healthcare-associated GNBSIs would inform effective preventive strategies.
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