Journal article
Correlation of prevention practices with rates of health care-associated Clostridioides difficile infection
Infection control and hospital epidemiology, Vol.41(1), pp.52-58
01/2020
DOI: 10.1017/ice.2019.290
PMID: 31658933
Abstract
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.
Details
- Title: Subtitle
- Correlation of prevention practices with rates of health care-associated Clostridioides difficile infection
- Creators
- Jackson S Musuuza - Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WisconsinLinda McKinley - William S. Middleton Memorial Veterans' Hospital, Madison, WisconsinJulie A Keating - William S. Middleton Memorial Veterans' Hospital, Madison, WisconsinChidi Obasi - Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WisconsinMary Jo Knobloch - Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WisconsinChristopher Crnich - Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WisconsinCharlesnika T Evans - Department of Preventive Medicine, Center for Healthcare Studies, Northwestern University, Chicago, IllinoisMartin E Evans - National Infectious Diseases Service, Specialty Care Services, Veterans Health Administration, Cincinnati, OhioDaniel Livorsi - Department of Internal Medicine, Carver College of Medicine, University of IowaDaniel J Morgan - VA Maryland Health Care System VA, Baltimore, MarylandEli N Perencevich - Department of Internal Medicine, Carver College of Medicine, University of IowaHeather Schacht Reisinger - Department of Internal Medicine, Carver College of Medicine, University of IowaMarin L Schweizer - Department of Internal Medicine, Carver College of Medicine, University of IowaKatie J Suda - College of Pharmacy, Department of Pharmacy Systems, Outcomes and Policy, University of Illinois at ChicagoLoretta A Simbartl - National Infectious Diseases Service, Specialty Care Services, Veterans Health Administration, Cincinnati, OhioNasia Safdar - Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.41(1), pp.52-58
- Publisher
- United States
- DOI
- 10.1017/ice.2019.290
- PMID
- 31658933
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Language
- English
- Date published
- 01/2020
- Academic Unit
- Infectious Diseases; Epidemiology; Center for Social Science Innovation; Internal Medicine
- Record Identifier
- 9984001237302771
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