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Maximizing Infection Prevention in the Next Decade: Defining the Unacceptable

Published online by Cambridge University Press:  02 January 2015

Thomas R. Frieden*
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia
*
Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333 (tfrieden@cdc.gov)

Abstract

An important role of public health agencies is to define the unacceptable. This concept has particular relevance for healthcare-associated infections. Evidence indicates that, with focused efforts, these once-formidable infections can be greatly reduced in number, leading to a new normal for healthcare-associated infections as rare, unacceptable events.

Type
Supplement Article
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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References

1.Klevens, RM, Edwards, J, Richards, C, et al.Estimating health care–associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 2007;122(2):160166.CrossRefGoogle ScholarPubMed
2.Scott, RD. The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention. Atlanta, GA: Centers for Disease Control and Prevention; 2009. http://www.cdc.gov/ncidod/dhqp/pdf/Scott_CostPaper.pdf. Accessed September 16, 2010.Google Scholar
3.The Leapfrog Group. Eighty-seven percent of US hospitals do not take recommended steps to prevent avoidable infections. Leapfrog Hospital Quality and Safety Survey. Washington, DC: The Leapfrog Group; 2007. http://www.leapfroggroup.org/media/file/Leapfrog_hospital_acquired_infections_release.pdf. Accessed September 16, 2010.Google Scholar
4.Centers for Disease Control and Prevention. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR Recotnm Rep 2002;51(RR-16):144.Google Scholar
5.Centers for Disease Control and Prevention. Reduction in central line–associated bloodstream infections among patients in intensive care units—Pennsylvania, April 2001–March 2005. MMWR Morb Mortal Wkly Rep 2005;54(40):10131016.Google Scholar
6.Pronovost, P, Needham, D, Berenholtz, S, et al.An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355(26):2725–32.CrossRefGoogle ScholarPubMed
7.Burton, DC, Edwards, JR, Horan, TC, et al.Methicillin-resistant Staphylococcus aureus central line-associated bloodstream infections in US intensive care units, 1997–2007. JAMA 2009;301(7):727736.Google Scholar
8.Pittet, D, Tarara, D, Wenzel, R. Nosocomial bloodstream infection in critically ill patients: excess length of stay, extra costs, and attributable mortality. JAMA 1994;271(20):15981601.CrossRefGoogle ScholarPubMed
9.Renaud, B, Brun-Buisson, C, for the ICU-Bacteremia Study Group. Outcomes of primary and catheter-related bacteremia: a cohort and case-control study in critically ill patients. Am J Respir Crit Care Med 2001;163(7):15841590.Google Scholar
10.Department of Health and Human Services. HHS action plan to prevent healthcare-associated infections. Washington, DC: Department of Health and Human Services; 2009. http://www.hhs.gov/ophs/initiatives/hai/infection.html. Accessed September 16, 2010.Google Scholar