Implementation of strategies to prevent and control the emergence and spread of antimicrobial-resistant microorganisms in U.S. hospitals

Marcia M Ward; Daniel J Diekema; Jon W Yankey; Thomas E Vaughn; Bonnie J BootsMiller; Jane F Pendergast; Bradley N Doebbeling

doi:10.1086/502483

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Implementation of strategies to prevent and control the emergence and spread of antimicrobial-resistant microorganisms in U.S. hospitals

Journal article

Peer reviewed

Implementation of strategies to prevent and control the emergence and spread of antimicrobial-resistant microorganisms in U.S. hospitals

Marcia M Ward, Daniel J Diekema, Jon W Yankey, Thomas E Vaughn, Bonnie J BootsMiller, Jane F Pendergast and Bradley N Doebbeling

Infection control and hospital epidemiology, Vol.26(1), pp.21-30

01/2005

DOI: 10.1086/502483

PMID: 15693405

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Abstract

To examine the extent to which the strategies recommended by the National Foundation for Infectious Diseases (NFID)-Centers for Disease Control and Prevention (CDC) co-sponsored workshop, Antimicrobial Resistance in Hospitals: Strategies to Improve Antimicrobial Use and Prevent Nosocomial Transmission of Antimicrobial-Resistant Microorganisms, have been implemented and the relationship between the degree of implementation and hospital culture, leadership, and organizational factors. Survey. A representative sample of U.S. hospitals stratified by teaching status, bed size, and geographic region. Infection control professionals. Surveyed hospitals had implemented strategies to optimize the use of antimicrobials and to detect, report, and prevent transmission of antimicrobial-resistant microorganisms. Multivariate analyses found that hospitals with a greater degree of implementation of the NFID-CDC strategic goals were more likely to have management support, education of staff, and interdisciplinary groups specifically to address these issues; they were also more likely to engage in benchmarking on broader quality of care indicators. Most surveyed hospitals had implemented some measures to address the NFID-CDC recommendations; however, hospitals need to do much more to improve antimicrobial use and to increase their efforts to detect, report, and control the spread of antimicrobial resistance. A supportive hospital administration must foster a culture of ongoing support, education, and interdisciplinary work groups focused on this important issue to successfully accomplish these goals.

Guideline Adherence

Hospitals - standards

Infection Control - standards

Analysis of Variance

Cross Infection - prevention & control

United States

Centers for Disease Control and Prevention (U.S.) - standards

Drug Resistance, Multiple, Bacterial

Humans

Health Care Surveys

Safety Management - standards

Details

Title: Subtitle: Implementation of strategies to prevent and control the emergence and spread of antimicrobial-resistant microorganisms in U.S. hospitals
Creators: Marcia M Ward - Department of Health Management and Policy, University of Iowa, Iowa City, Iowa 52242-1008, USA. marcia-m-ward@uiowa.edu
Daniel J Diekema
Jon W Yankey
Thomas E Vaughn
Bonnie J BootsMiller
Jane F Pendergast
Bradley N Doebbeling
Resource Type: Journal article
Publication Details: Infection control and hospital epidemiology, Vol.26(1), pp.21-30
Publisher: United States
DOI: 10.1086/502483
PMID: 15693405
ISSN: 0899-823X
eISSN: 1559-6834
Language: English
Date published: 01/2005
Academic Unit: Public Health Administration; Infectious Diseases; Health Management and Policy; Pathology; Biostatistics; Nursing; Internal Medicine
Record Identifier: 9983986364102771

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