Favorable impact of an infection control network on nosocomial infection rates in community hospitals

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Keith S KayeDaniel J Sexton

Abstract

To describe an infection control network (the Duke Infection Control Outreach Network [DICON]) and its impact on nosocomial infection rates in community hospitals. Prospective cohort study of rates of nosocomial infections and exposures of employees to bloodborne pathogens in hospitals during the first 3 years of their affiliation with DICON. Attributable cost and mortality estimates were obtained from published studies.Setting. Twelve community hospitals in North Carolina and Virginia. During the first 3 years of hospital affiliation with DICON, annual rates of nosocomial bloodstream infections at study hospitals decreased by 23% (P = .009). Annual rates of nosocomial infection and colonization due to methicillin-resistant Staphylococcus aureus decreased by 22% (P = .002), and rates of ventilator-associated pneumonia decreased by 40% (P = .001). Rates of exposure of employees to bloodborne pathogens decreased by 18% (P = .003). The establishment of an infection control network within a group of community hospitals was associated with substantial decreases in nosocomial infection rates. Standard surveillance methods, frequent data analysis and feedback, and interventions based on guidelines and protocols from the Centers for Di...Continue Reading

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Citations

Sep 11, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Daniel P McQuillenLawrence P Martinelli
Jan 25, 2008·Annals of Surgery·Deverick J AndersonKeith S Kaye
May 20, 2014·American Journal of Infection Control·Sara M ReeseConnie S Price
Dec 22, 2007·Journal of the American Medical Informatics Association : JAMIA·Abel N KhoClement J McDonald
Feb 13, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Arthur W BakerDeverick J Anderson
Dec 25, 2010·The Lancet Infectious Diseases·Emil LeshoRobert Bowden
Nov 26, 2010·American Journal of Infection Control·Patricia W StoneRussell Olmsted
Sep 14, 2010·The Journal of Hospital Infection·M NosratiH Goodarzynejad
Mar 23, 2006·Journal of the American Geriatrics Society·Keith S KayeKenneth A Schmader
Dec 5, 2008·Journal of the American Geriatrics Society·Keith S KayeKenneth E Schmader
Jun 13, 2009·American Journal of Infection Control·Luke F ChenDeverick J Anderson
May 27, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michael J DurkinDeverick J Anderson
Feb 9, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·David Y MingDeverick J Anderson
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Deverick J AndersonDaniel J Sexton
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Becky A MillerDeverick J Anderson
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Craig A UmscheidPatrick J Brennan
Apr 11, 2015·Journal of Neurosurgery. Spine·Michael J DurkinDeverick J Anderson
Sep 24, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Deverick J AndersonKeith S Kaye
Oct 14, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Deverick J Anderson, Daniel J Sexton
Jul 31, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Deverick J AndersonKeith S Kaye
Jun 15, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Deverick J AndersonDaniel J Sexton
Oct 13, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Deverick J AndersonKeith S Kaye
Mar 15, 2006·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·August J Valenti
Aug 25, 2017·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Mohamed AbbasStephan Harbarth
Aug 3, 2018·Journal of Perinatology : Official Journal of the California Perinatal Association·Zhiyao ChenXiaohua Ye
Jul 12, 2008·European Journal of Epidemiology·Philippe VanhemsAlain Lepape
Apr 2, 2013·The Cochrane Database of Systematic Reviews·Gerd FlodgrenSasha Shepperd
Apr 3, 2008·The Medical Journal of Australia·Luke F ChenDaniel J Sexton

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