Denominator doesn't matter: standardizing healthcare-associated infection rates by bed days or device days

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Molly J HorstmanBarbara W Trautner

Abstract

To examine the impact on infection rates and hospital rank for catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP) using device days and bed days as the denominator Retrospective survey from October 2010 to July 2013 SETTING: Veterans Health Administration medical centers providing acute medical and surgical care Patients admitted to 120 Veterans Health Administration medical centers reporting healthcare-associated infections We examined the importance of using device days and bed days as the denominator between infection rates and hospital rank for CAUTI, CLABSI, and VAP for each medical center. The relationship between device days and bed days as the denominator was assessed using a Pearson correlation, and changes in infection rates and device utilization were evaluated by an analysis of variance. A total of 7.9 million bed days were included. From 2011 to 2013, CAUTI decreased whether measured by device days (2.32 to 1.64, P=.001) or bed days (4.21 to 3.02, P=.006). CLABSI decreased when measured by bed days (1.67 to 1.19, P=.04). VAP rates and device utilization ratios for CAUTI, CLABSI, and VAP were not statistically differe...Continue Reading

References

Oct 11, 2007·Chest·Peter AlmenoffJonathan Perlin
Nov 13, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Thomas R TalbotTheodore Speroff
Apr 10, 2008·Rheumatology International·James A GrantChad E Cook
Dec 11, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Chesley Richards
Mar 10, 2009·American Journal of Infection Control·Marc-Oliver WrightAri Robicsek
Feb 17, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Carolyn V GouldUNKNOWN Healthcare Infection Control Practices Advisory Committee
Apr 13, 2010·American Journal of Infection Control·Alan F Rothfeld, Avelyne Stickley
Aug 3, 2010·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jennifer MeddingsSanjay Saint
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Rebecca A AslaksonPeter J Pronovost
Jun 15, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Marc-Oliver WrightAri Robicsek
Jun 15, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·William E Trick, Matthew Samore
Jul 20, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Deron C BurtonCarolyn V Gould
Jul 11, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Barbara W TrautnerAanand D Naik
Sep 11, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Mohamad G FakihSanjay Saint
Sep 17, 2013·American Journal of Infection Control·Peggy Ann HazamyRachel L Stricof
Nov 2, 2013·American Journal of Infection Control·Lauren A BackmanLouise M Dembry
Jan 17, 2014·Medical Care·Daniel A Weinberg, Katherine L Kahn
Feb 4, 2014·American Journal of Infection Control·Patricia W StoneElaine Larson
Nov 22, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Danijela Korom-DjakovicJudith A Long

❮ Previous
Next ❯

Citations

Jan 14, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Naïma HammamiMarie-Laurence Lambert
Nov 7, 2016·Infectious Disease Clinics of North America·Carol E Chenoweth, Sanjay Saint
Jul 4, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Sarah S JacksonAnthony D Harris
Mar 25, 2016·Journal of Patient Safety·Kevin T KavanaghDaniel M Saman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Anucha ApisarnthanarakSanjay Saint
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Kristen V DicksLuke F Chen
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Marc-Oliver WrightAri Robicsek
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Louise E VazGrace M Lee
© 2021 Meta ULC. All rights reserved