The efficacy oe infection surveillance and control programs in preventing nosocomial infections in US hospitals

Robert W. Haley, David H. Culver, John W. White, W. Meade Morgan, T. Grace Emori, Van P. Munn, Thomas Hooton

Research output: Contribution to journalArticle

1448 Citations (Scopus)

Abstract

In a representative sample of US general hospitals, the authors found that the establishment of intensive infection surveillance and control programs was strongly associated with reductions in rates of nosocomial urinary tract infection, surgical wound infection, pneumonia, and bacteremia between 1970 and 1975-1976, after controlling for other characteristics of the hospitals and their patients. Essential components of effective programs included conducting organized surveillance and control activities and having a trained, effectual infection control physician, an infection control nurse per 250 beds, and a system for reporting infection rates to practicing surgeons. Programs with these components reduced their hospitals' infection rates by 32%. Since relatively few hospitals had very effective programs, however, only 6% of the nation's approximately 2 million nosocomial infections were being prevented in the mid-1970s, leaving another 26% to be prevented by universal adoption of these programs. Among hospitals without effective programs, the overall infection rate increased by 18% from 1970 to 1976.

Original languageEnglish
Pages (from-to)182-205
Number of pages24
JournalAmerican Journal of Epidemiology
Volume121
Issue number2
StatePublished - Feb 1 1985
Externally publishedYes

Fingerprint

Infection Control
Cross Infection
Surgical Wound Infection
Bacteremia
Infection
Urinary Tract Infections
General Hospitals
Pneumonia
Nurses
Physicians

Keywords

  • Cost control
  • Costs and cost analysis
  • Cross infection
  • Evaluation studies
  • Health services research
  • Health surveys
  • Hospitals

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Epidemiology

Cite this

Haley, R. W., Culver, D. H., White, J. W., Morgan, W. M., Emori, T. G., Munn, V. P., & Hooton, T. (1985). The efficacy oe infection surveillance and control programs in preventing nosocomial infections in US hospitals. American Journal of Epidemiology, 121(2), 182-205.

The efficacy oe infection surveillance and control programs in preventing nosocomial infections in US hospitals. / Haley, Robert W.; Culver, David H.; White, John W.; Morgan, W. Meade; Emori, T. Grace; Munn, Van P.; Hooton, Thomas.

In: American Journal of Epidemiology, Vol. 121, No. 2, 01.02.1985, p. 182-205.

Research output: Contribution to journalArticle

Haley, RW, Culver, DH, White, JW, Morgan, WM, Emori, TG, Munn, VP & Hooton, T 1985, 'The efficacy oe infection surveillance and control programs in preventing nosocomial infections in US hospitals', American Journal of Epidemiology, vol. 121, no. 2, pp. 182-205.
Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP et al. The efficacy oe infection surveillance and control programs in preventing nosocomial infections in US hospitals. American Journal of Epidemiology. 1985 Feb 1;121(2):182-205.
Haley, Robert W. ; Culver, David H. ; White, John W. ; Morgan, W. Meade ; Emori, T. Grace ; Munn, Van P. ; Hooton, Thomas. / The efficacy oe infection surveillance and control programs in preventing nosocomial infections in US hospitals. In: American Journal of Epidemiology. 1985 ; Vol. 121, No. 2. pp. 182-205.
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