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The “Hospital Epidemiologist” in U.S. Hospitals, 1976-1977: A Description of the Head of the Infection Surveillance and Control Program Report from the SENIC Project

Published online by Cambridge University Press:  02 January 2015

Robert W. Haley*
Affiliation:
Bacterial Diseases Division, Bureau of Epidemiology, Center for Disease Control, USPHS, DHEW, Atlanta, Georgia
*
Center for Disease Control, Attn: SENIC Project, Bacterial Diseases Division, Bureau of Epidemiology, Atlanta, GA 30333

Abstract

As part of the first two phases of the SENIC Project (Study on the Efficacy of Nosocomial Infection Control), information was collected from the heads of the infection surveillance and control programs (ISCPs) in U.S. hospitals. The data were analyzed to describe these respondents and to determine whether differences among them were related to their areas of professional training or to characteristics of the hospitals where they were located. The findings indicate that the ISCP heads constitute a very heterogeneous group, with substantial differences in age, professional training (40% are pathologists), characteristics of their medical practices, memberships in professional organizations related to infection control, time spent in ISCP activities, approach to epidemiologic problems, and opinions on the preventability of nosocomial infections and the seriousness of infection problems in their hospitals. These differences are related strongly to the ISCP heads' professional training, size of hospital, and, to a lesser extent, medical school affiliation, but there is little evidence that the differences are related to regional or urban-rural location or type of ownership of the hospitals. The average ISCP head estimates that about half of all nosocomial infections are preventable, but these estimates vary inversely with tenure in the position and the tendency to approach a clinical problem epidemiologically.

Type
Research Article
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1980

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References

1.Colebrook, L, Lond, MB. Infection acquired in hospital. Lancet 2:885890, 1955.CrossRefGoogle Scholar
2.Communicable Disease Center (now Center for Disease Control). Hospital-acquired siaphylocccal disease. In: Proceedings of the National Conference. Sept 1958. Atlanta, CDC, DHEW, Oct. 1958, p. 142.Google Scholar
3.Brachman, PS. Surveillance of institutionally acquired infections. In: Proceedings of the National Conference on Institutionally Acquired Infections, Minneapolis, University of Minnesota School of Public Health, 6-8 Sept 1963. PHS Pubi. No. 1188. Washington DC, US GPO, 1964, pp 138147.Google Scholar
4.Colebeck, JC. Control of Infections in Hospitals. American Hospital Association Monograph Series No. 12. Chicago, AHA, 1962.Google Scholar
5.American Hospital Association. Infection Control in the Hospital, ed 1. Chicago, AHA, 1968, pp 3738.Google Scholar
6.American Hospital Association. Infection Control in the Hospital, ed 4. Chicago, AHA, 1979, p. 48.Google Scholar
7.Center for Disease Control. Outline for Surveillance and Control of Nosocomial Infections. Atlanta, CDC, DHEW, 1972 (Reprinted Sept. 1973, May 1974, Nov. 1976), p. 5.Google Scholar
8.Center for Disease Control. Isolation Techniques for Use in Hospitals. DHEW Pubi. No. HS M 71-8043. Washington DC, US GPO, 1970, p. 83.Google Scholar
9.Center for Disease Control. Isolation Techniques for Use in Hospitals, ed 2. DHEW Pubi. No. CDC 76-8314. Washington DC, US GPO, 1975, p. 25.Google Scholar
10.Kaslow, RA, Garner, JS. Hospital personnel. In: Bennett, JVet al (eds): Hospital Infections. Boston, Little, Brown, 1979, pp 3233.Google Scholar
11.Joint Commission on Accreditation of Hospitals. Accreditation Manual for Hospitals. Chicago, JCAH, 1976.Google Scholar
12.Joint Commission on Accreditation of Hospitals. Accreditation Manual for Hospitals. Chicago, JCAH, 1970.Google Scholar
13.Gardner, AMN, Stamp, M, Bowgen, JAet al.The infection control sister. Lancet 2:710711, 1962.CrossRefGoogle ScholarPubMed
14.Haley, RW, Quade, D, Freeman, HEet al.Study on the Efficacy of Nosocomial Infection Control (SENIC Project); Summary of study design. Am J Epidemiol, in press.Google Scholar
15.Quade, D, Culver, DH, Haley, RWet al.The SENIC sampling process: Design for choosing hospitals and patients and results of sample selection. Am J Epidemiol, in press.Google Scholar
16.Raven, BH, Haley, RW. Social influence in a medical context. Applied Social Psychology Annual, in press.Google Scholar
17.American Hospital Association. Guide to the Health Care Field. Chicago, AHA, 1976.Google Scholar
18.Center for Disease Control. Nosocomial bacteremias associated with intravenous fluid therapy—U.S.A. Morbid Mortal Weekly Report 20(Suppl. 9), 1971.Google Scholar
19.Center for Disease Control. Septicemias associated with contaminated intravenous fluids. Morbid Mortal Weekly Report 22(11):99, 1973.Google Scholar
20.Maki, DG, Rhame, FS, Mackel, DCet al.Nationwide epidemic of septicemia caused by contaminated intravenous products. I. Epidemiologic and clinical features. Am J Med 60:471, 1976.CrossRefGoogle ScholarPubMed
21.Meers, PD, Calder, MW, Mazhar, MMet al.Intravenous infusion of contaminated dextrose solution: The Davenport incident. Lancet 2:1189, 1973.CrossRefGoogle Scholar
22.Phillips, I, Eykyn, S, Laker, M. Outbreak of hospital infection caused by contaminated autoclaved fluids. Lancet 1:1258, 1972.CrossRefGoogle ScholarPubMed
23.Emori, TG, Haley, RW. The infection control nurse in U.S. hospitals, 1976-1977: Characteristics of the position and its occupant. Am J Epidemiol, in press.Google Scholar
24.Haley, RW, Shachtman, RH. The emergence of infection surveillance and control programs in U.S. hospitals: An assessment, 1976. Am J Epidemiol, in press.Google Scholar
25.Eickhoff, TC. Standards for hospital infection control. Ann Intern Med 89(Suppl. 5, Part 2):829831, 1978.CrossRefGoogle ScholarPubMed