ArticleBMJ quality & safety2019
What US hospitals are currently doing to prevent common device-associated infections: results from a national survey.
Article in BMJ quality & safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 45 citations in OpenAlex.
- Catheter-Associated Urinary Tract Infection Prevention Practices in US Hospitals.JAMA network open · 2026Article
- Effects of Expanding Infection Control Team Functions on Device-Associated HAIs: A Leadership-Oriented Intervention Study (2017-2024).Journal of clinical medicine · 2026Article
- Machine learning for predicting device-associated infection and 30-day survival outcomes after invasive device procedure in intensive care unit patients.Scientific reports · 2024Article
- An Exploratory Analysis of the Association between Healthcare Associated Infections & Hospital Financial Performance.Healthcare (Basel, Switzerland) · 2024Article
- The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic.Infection control and hospital epidemiology · 2024Article
- Changes in Hospital Adverse Events and Patient Outcomes Associated With Private Equity Acquisition.JAMA · 2023Article
- What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: Results from a national survey in the United States.Infection control and hospital epidemiology · 2023Article
- Reducing the rate of central line-associated bloodstream infections; a quality improvement project.BMC infectious diseases · 2023Article
- Selecting a Quality Improvement Project: 5 Questions for Trainees and Mentors.Journal of graduate medical education · 2023Article
- Healthcare-associated infection prevention and control practices in Israel: results of a national survey.BMC infectious diseases · 2022Article
- Coronavirus disease 2019 (COVID-19) research agenda for healthcare epidemiology.Infection control and hospital epidemiology · 2022Article
- Increased Involvement ofHealthcare (Basel, Switzerland) · 2021Article
- Multimodal Intervention Approach Reduces Catheter-associated Urinary Tract Infections in a Rural Tertiary Care Center.Clinical medicine & research · 2020Article
- Preventing healthcare-associated infection in Switzerland: Results of a national survey.Infection control and hospital epidemiology · 2020Article
- Ventilator-associated pneumonia in adults: a narrative review.Intensive care medicine · 2020Review
- Psychological safety and infection prevention practices: Results from a national survey.American journal of infection control · 2020Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDespite focused initiatives to reduce device-associated infection among hospitalised patients, the practices US hospitals are currently using are unknown. We thus used a national survey to ascertain the use of several established and novel practices to prevent device-associated infections.
methodsWe mailed surveys to infection preventionists in a random sample of nearly 900 US acute care hospitals in 2017. Our survey asked about the use of practices to prevent three common device-associated infections: catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI) and ventilator-associated pneumonia (VAP). Using sample weights, we estimated the percentage of hospitals reporting regular use of each practice. We also conducted multivariable regression to determine associations between selected hospital characteristics (eg, perceived support from leadership) and use of CAUTI, CLABSI and VAP prevention practices.
resultsThe response rate was 59%. Several practices are reportedly used in over 90% of US hospitals: aseptic technique during indwelling urethral catheter insertion and maintenance (to prevent CAUTI); maximum sterile barrier precautions during central catheter insertion and alcohol-containing chlorhexidine gluconate for insertion site antisepsis (to prevent CLABSI); and semirecumbent positioning of the patient (to prevent VAP). Antimicrobial devices are used in the minority of hospitals for these three device-associated infections.
conclusionsWe provide an updated snapshot of the practices US hospitals are currently using to prevent device-associated infections. Compared with previous studies using a similar design and questions, we found that the use of recommended practices increased in US hospitals, especially for CAUTI prevention.
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