Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-23T10:20:59.906Z Has data issue: false hasContentIssue false
  • English
  • Français

Effect of a Clostridium difficile Infection Prevention Initiative in Veterans Affairs Acute Care Facilities

Published online by Cambridge University Press:  11 February 2016

Martin E. Evans ,
Stephen M. Kralovic ,
Loretta A. Simbartl ,
Rajiv Jain  and
Gary A. Roselle
Martin E. Evans*
Affiliation:
MRSA/MDRO Prevention Office, National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC Lexington Veterans Affairs Medical Center, Lexington, Kentucky Division of Infectious Diseases, Department of Internal Medicine, University of Kentucky School of Medicine, Lexington, Kentucky
Stephen M. Kralovic
Affiliation:
National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC Cincinnati Veterans Affairs Medical Center, Cincinnati, Ohio Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio
Loretta A. Simbartl
Affiliation:
National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC
Rajiv Jain
Affiliation:
Patient Care Services, Veterans Health Administration, Washington, DC.
Gary A. Roselle
Affiliation:
National Infectious Diseases Service, Patient Care Services, Veterans Health Administration, Washington, DC Cincinnati Veterans Affairs Medical Center, Cincinnati, Ohio Division of Infectious Diseases, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio
*
Address correspondence to Martin E. Evans, MD, Rm B415, 1101 Veterans Dr, Lexington, KY 40502 ([email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Rates of clinically confirmed hospital-onset healthcare facility-associated Clostridium difficile infections from July 1, 2012, through March 31, 2015, in 127 acute care Veterans Affairs facilities were evaluated. Quarterly pooled national standardized infection ratios decreased 15% from baseline by the final quarter of the analysis period (P=.01, linear regression).

Infect Control Hosp Epidemiol 2016;37:720–722

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Supplement 6 , June 2016 , pp. 720 - 722
Copyright
© 2016 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

REFERENCES

1. Lessa, FC, Mu, Y, Bamberg, WM, et al. Burden of Clostridium difficile infection in the United States. N Engl J Med 2015;372:825–834.CrossRefGoogle ScholarPubMed
2. Evans, ME, Kralovic, SM, Simbartl, LA, et al. Veterans Affairs methicillin-resistant Staphylococcus aureus prevention initiative associated with a sustained reduction in transmissions and healthcare-associated infections. Am J Infect Control 2013;41:1093–1095.Google Scholar
3. Evans, ME, Simbartl, LA, Kralovic, SM, Jain, R, Roselle, GA. Clostridium difficile infections in Veterans Health Administration acute care facilities. Infect Control Hosp Epidemiol 2014;35:1037–1042.Google Scholar
4. Cohen, SH, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol 2010;31:431–455.Google Scholar
5. Soe, MM, Gould, CV, Pollock, D, Edwards, J. Targeted assessment for prevention of healthcare-associated infections: a new prioritization metric. Infect Control Hosp Epidemiol 2015;36:1379–1384.CrossRefGoogle ScholarPubMed
6. Dudeck, MA, Weiner, LM, Malpiedi, PJ, Edwards, JR, Peterson, KD, Sievert, DM. Risk adjustment for healthcare facility-onset C. difficile and MRSA bacteremia laboratory-identified event reporting in NHSN. CDC website. http://www.cdc.gov/nhsn/pdfs/mrsa-cdi/RiskAdjustment-MRSA-CDI.pdf. Published 2013. Accessed December 29, 2015.Google Scholar
7. Rugs, D, Toyinbo, P, Patel, N, et al. Processes and outomes of the Veterans Health Administration safe patient handling program: study protocol. JMIR Res Protocols 2013;2:1–12.CrossRefGoogle Scholar
8. Centers for Disease Control and Prevention. 2013 National and State Healthcare-Associated Infections Progress Report. CDC website. www.cdc.gov/hai/progress-report/index.html. Published 2015. Accessed December 29, 2015.Google Scholar
9. Evans, ME, Kralovic, SM, Simbartl, LA, et al. Nationwide reduction of healthcare-associated methicillin-resistant Staphylococcus aureus infections in Veterans Affairs long-term care facilities. Amer J Infect Control 2013;42:60–62.CrossRefGoogle Scholar
10. Lee, BY, Bartsch, SM, Wong, KF, et al. Simulation shows hospitals that cooperate on infection control obtain better results than hospitals acting alone. Health Aff (Millwood) 2012;31:2295–2303.Google Scholar
Supplementary material: PDF

Evans supplementary material S1

VHA CDI Guideline

Download Evans supplementary material S1(PDF)
PDF 144.9 KB