Correlation of prevention practices with rates of health care-associated Clostridioides difficile infection.
Correlation of prevention practices with rates of health care-associated Clostridioides difficile infection.
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DOI：
10.1017/ice.2019.290
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发表时间：
2020-01
影响因子：
4.5
通讯作者：
Safdar N
中科院分区：
文献类型：
--
作者：
Musuuza JS;McKinley L;Keating JA;Obasi C;Knobloch MJ;Crnich C;Evans CT;Evans ME;Livorsi D;Morgan DJ;Perencevich EN;Reisinger HS;Schweizer ML;Suda KJ;Simbartl LA;Safdar N
We examined Clostridioides difficile infection (CDI) prevention practices and their relationship with hospital-onset healthcare facility-associated CDI rates (CDI rates) in Veterans Affairs (VA) acute-care facilities. Cross-sectional study. From January 2017 to February 2017, we conducted an electronic survey of CDI prevention practices and hospital characteristics in the VA. We linked survey data with CDI rate data for the period January 2015 to December 2016. We stratified facilities according to whether their overall CDI rate per 10,000 bed days of care was above or below the national VA mean CDI rate. We examined whether specific CDI prevention practices were associated with an increased risk of a CDI rate above the national VA mean CDI rate. All 126 facilities responded (100% response rate). Since implementing CDI prevention practices in July 2012, 60 of 123 facilities (49%) reported a decrease in CDI rates; 22 of 123 facilities (18%) reported an increase, and 41 of 123 (33%) reported no change. Facilities reporting an increase in the CDI rate (vs those reporting a decrease) after implementing prevention practices were 2.54 times more likely to have CDI rates that were above the national mean CDI rate. Whether a facility’s CDI rates were above or below the national mean CDI rate was not associated with self-reported cleaning practices, duration of contact precautions, availability of private rooms, or certification of infection preventionists in infection prevention. We found considerable variation in CDI rates. We were unable to identify which particular CDI prevention practices (i.e., bundle components) were associated with lower CDI rates.
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影响因子：
5.4
作者：
Daneman, N.;Guttmann, A.;Stukel, T. A.
通讯作者：
Stukel, T. A.
DOI：
10.1056/nejmoa1306801
发表时间：
2014-03-27
期刊：
The New England journal of medicine
影响因子：
--
作者：
Magill SS;Edwards JR;Bamberg W;Beldavs ZG;Dumyati G;Kainer MA;Lynfield R;Maloney M;McAllister-Hollod L;Nadle J;Ray SM;Thompson DL;Wilson LE;Fridkin SK;Emerging Infections Program Healthcare-Associated Infections and Antimicrobial Use Prevalence Survey Team
通讯作者：
Emerging Infections Program Healthcare-Associated Infections and Antimicrobial Use Prevalence Survey Team
影响因子：
4.5
作者：
Dubberke, Erik R.;Carling, Philip;Gerding, Dale N.
通讯作者：
Gerding, Dale N.
影响因子：
4.5
作者：
Evans, Martin E.;Kralovic, Stephen M.;Roselle, Gary A.
通讯作者：
Roselle, Gary A.
DOI：
10.1197/jamia.m3196
发表时间：
2010-01-01
影响因子：
6.4
作者：
Hota, Bala;Lin, Michael;Trick, William
通讯作者：
Trick, William