TY - JOUR
T1 - Correlation of prevention practices with rates of health care-associated Clostridioides difficile infection
AU - Musuuza, Jackson S.
AU - McKinley, Linda
AU - Keating, Julie A.
AU - Obasi, Chidi
AU - Knobloch, Mary Jo
AU - Crnich, Christopher
AU - Evans, Charlesnika T.
AU - Evans, Martin E.
AU - Livorsi, Daniel
AU - Morgan, Daniel J.
AU - Perencevich, Eli N.
AU - Reisinger, Heather Schacht
AU - Schweizer, Marin L.
AU - Suda, Katie J.
AU - Simbartl, Loretta A.
AU - Safdar, Nasia
N1 - Funding Information:
This work was supported by the Department of Veterans’ Affairs, Veterans’ Health Administration, Health Services Research and Development Service Quality Enhancement Research Initiative (project no. PEC 15-248).
Funding Information:
This work was supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service Quality Enhancement Research Initiative (project no. PEC 15-248).
Publisher Copyright:
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved..
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Objective: 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.Design: Cross-sectional study.Methods: 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.Results: 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.Conclusions: 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.
AB - Objective: 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.Design: Cross-sectional study.Methods: 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.Results: 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.Conclusions: 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.
UR - https://www.scopus.com/pages/publications/85076796416
UR - https://www.scopus.com/inward/citedby.url?scp=85076796416&partnerID=8YFLogxK
U2 - 10.1017/ice.2019.290
DO - 10.1017/ice.2019.290
M3 - Article
C2 - 31658933
AN - SCOPUS:85076796416
SN - 0899-823X
VL - 41
SP - 52
EP - 58
JO - Infection Control and Hospital Epidemiology
JF - Infection Control and Hospital Epidemiology
IS - 1
ER -