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Favorable Impact of an Infection Control Network on Nosocomial Infection Rates in Community Hospitals

Published online by Cambridge University Press:  21 June 2016

Keith S. Kaye ,
John J. Engemann ,
Evelyn M. Fulmer ,
Connie C. Clark ,
Edwin M. Noga  and
Daniel J. Sexton
Keith S. Kaye*
Affiliation:
Department of Medicine and Infection Control, Duke University Medical Center, Durham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
John J. Engemann
Affiliation:
Department of Medicine and Infection Control, Duke University Medical Center, Durham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
Evelyn M. Fulmer
Affiliation:
Duke Infection Control Outreach Network, Durham, North Carolina
Connie C. Clark
Affiliation:
Duke Infection Control Outreach Network, Durham, North Carolina
Edwin M. Noga
Affiliation:
Duke Infection Control Outreach Network, Durham, North Carolina
Daniel J. Sexton
Affiliation:
Department of Medicine and Infection Control, Duke University Medical Center, Durham, North Carolina Duke Infection Control Outreach Network, Durham, North Carolina
*
Box 3152, Duke University Medical Center, Durham, NC 27710 (kaye0001@mc.duke.edu)
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Abstract

Objective.

To describe an infection control network (the Duke Infection Control Outreach Network [DICON]) and its impact on nosocomial infection rates in community hospitals.

Design.

Prospective cohort study of rates of nosocomial infections and exposures of employees to bloodborne pathogens in hospitals during the first 3 years of their affiliation with DICON. Attributable cost and mortality estimates were obtained from published studies.

Setting.

Twelve community hospitals in North Carolina and Virginia.

Results.

During the first 3 years of hospital affiliation with DICON, annual rates of nosocomial bloodstream infections at study hospitals decreased by 23% (P = .009). Annual rates of nosocomial infection and colonization due to methicillin-resistant Staphylococcus aureus decreased by 22% (P = .002), and rates of ventilator-associated pneumonia decreased by 40% (P = .001). Rates of exposure of employees to bloodborne pathogens decreased by 18% (P = .003).

Conclusions.

The establishment of an infection control network within a group of community hospitals was associated with substantial decreases in nosocomial infection rates. Standard surveillance methods, frequent data analysis and feedback, and interventions based on guidelines and protocols from the Centers for Disease Control and Prevention were the principal strategies used to achieve these reductions. In addition to lessening the adverse clinical outcomes due to nosocomial infections, these reductions substantially decreased the economic burden of infection: the decline in nosocomial bloodstream infections and ventilator-associated pneumonia alone yielded potential savings of $578,307 to $2,195,954 per year at the study hospitals.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 3 , March 2006 , pp. 228 - 232
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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