Certification in infection control matters: Impact of infection control department characteristics and policies on rates of multidrug-resistant infections - 29/02/12
, Patricia W. Stone, PhD, RN, FAAN a, Elaine L. Larson, RN, PhD, FAAN, CIC b
Address correspondence to Monika Pogorzelska, PhD, MPH, Columbia University School of Nursing, 630 W 168th Street, Mail Code 6, New York, NY.Abstract |
Background |
The study objective is to describe infection control policies aimed at multidrug-resistant organisms (MDRO) in California hospitals and assess the relationship among these policies, structural characteristics, and rates of methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant Enterococcus (VRE) bloodstream infections and Clostridium difficile infections.
Methods |
Data on infection control policies, structural characteristics, and MDRO rates were collected through a 2010 survey of California infection control departments. Bivariate and multivariable Poisson and negative binomial regressions were conducted.
Results |
One hundred eighty hospitals provided data (response rate, 54%). Targeted MRSA screening upon admission was reported by the majority of hospitals (87%). The majority of hospitals implemented contact precautions for confirmed MDRO and C difficile patients; presumptive isolation/contact precautions for patients with pending screens were less frequently implemented. Few infection control policies were associated with lower MDRO rates. Hospitals with a certified infection control director had significantly lower rates of MRSA bloodstream infections (P < .05).
Conclusion |
Although most California hospitals are involved in activities to decrease MDRO, there is variation in specific activities utilized with the most focus placed on MRSA. This study highlights the importance of certification and its significant impact on infection rates. Additional research is needed to confirm these findings.
Le texte complet de cet article est disponible en PDF.Key Words : Antibiotic resistant infection, Hospital-associated infections, Infection control
Plan
| Conflicts of interest: None to report. |
Vol 40 - N° 2
P. 96-101 - mars 2012 Retour au numéro
Article précédent
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- Leslie Forrester, Jun Chen Collet, Robyn Mitchell, Linda Pelude, Elizabeth Henderson, Joseph Vayalumkal, Stephanie Leduc, Saeed Ghahreman, Christine Weir, Denise Gravel, CNISP Data Quality Working Group, and CNISP participating sites
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