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The feasibility of implementation and the validity of these surveillance definitions would benefit from further assessment in different types of LTCFs. As with the original article by McGeer and colleagues, 1 these definitions have not been tested in advance of their publication. Data from a French study demonstrated that application of the original surveillance definitions underestimated the number of nursing home–associated infections when compared with provider diagnoses of infection. 9 This finding highlights the need for future studies to determine the sensitivity and specificity of criteria used within the surveillance definitions and to validate their application in this setting.