Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-28T17:07:38.330Z Has data issue: false hasContentIssue false
  • English
  • Français

Clostridium Difficile Infection in the United States: A National Study Assessing Preventive Practices Used and Perceptions of Practice Evidence

Published online by Cambridge University Press:  21 April 2015

Sanjay Saint ,
Karen E. Fowler ,
Sarah L. Krein ,
David Ratz ,
Scott A. Flanders ,
Erik R. Dubberke  and
M. Todd Greene
Sanjay Saint*
Affiliation:
Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
Karen E. Fowler
Affiliation:
Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
Sarah L. Krein
Affiliation:
Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
David Ratz
Affiliation:
Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
Scott A. Flanders
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
Erik R. Dubberke
Affiliation:
Department of Internal Medicine—Infectious Disease, Washington University School of Medicine, St. Louis, Missouri.
M. Todd Greene
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
*
Address correspondence to Sanjay Saint, MD, MPH, George Dock Professor of Internal Medicine, University of Michigan Department of Internal Medicine, 2800 Plymouth Road, Building 16, Room 430W, Ann Arbor, Michigan 48109-2800 ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

We surveyed 571 US hospitals about practices used to prevent Clostridium difficile infection (CDI). Most hospitals reported regularly using key CDI prevention practices, and perceived their strength of evidence as high. The largest discrepancy between regular use and perceived evidence strength occurred with antimicrobial stewardship programs.

Infect. Control Hosp. Epidemiol. 2015;36(8):969–971

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 36 , Issue 8 , August 2015 , pp. 969 - 971
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Miller, BA, Chen, LF, Sexton, DJ, Anderson, DJ. Comparison of the burdens of hospital-onset, healthcare facility-associated Clostridium difficile infection and of healthcare-associated infection due to methicillin-resistant Staphylococcus aureus in community hospitals. Infect Control Hosp Epidemiol 2011;32:387–390.Google Scholar
2. Dubberke, ER, Carling, P, Carrico, R, et al. Strategies to prevent Clostridium difficile infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:628–645.Google Scholar
3. Dubberke, ER, Gerding, DN, Classen, D, et al. Strategies to prevent Clostridium difficile infections in acute care hospitals. Infect Control Hosp Epidemiol 2008;29(Suppl 1):S81–S92.Google Scholar
4. Saint, S, Kowalski, CP, Kaufman, SR, et al. Preventing hospital-acquired urinary tract infection in the United States: a national study. Clin Infect Dis 2008;46:243–250.Google Scholar
5. Krein, SL, Hofer, TP, Kowalski, CP, et al. Use of central venous catheter-related bloodstream infection prevention practices by US hospitals. Mayo Clin Proc 2007;82:672–678.Google Scholar
6. Krein, SL, Kowalski, CP, Damschroder, L, Forman, J, Kaufman, SR, Saint, S. Preventing ventilator-associated pneumonia in the United States: a multicenter mixed-methods study. Infect Control Hosp Epidemiol 2008;29:933–940.Google Scholar
7. Herzig, CT, Reagan, J, Pogorzelska-Maziarz, M, Srinath, D, Stone, PW. State-mandated reporting of health care-associated infections in the United States: trends over time. Am J Med Qual 2014. doi: 10.1177/1062860614540200.Google Scholar
8. Jarvis, WR, Schlosser, J, Jarvis, AA, Chinn, RY. National point prevalence of Clostridium difficile in US health care facility inpatients, 2008. Am J Infect Control 2009;37:263–270.Google Scholar
9. Dellit, TH, Owens, RC, McGowan, JE Jr., et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007;44:159–177.Google Scholar
10. Pakyz, AL, MacDougall, C, Oinonen, M, Polk, RE. Trends in antibacterial use in US academic health centers: 2002 to 2006. Arch Intern Med 2008;168:2254–2260.CrossRefGoogle ScholarPubMed