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Clostridium Difficile Infection in the United States: A National Study Assessing Preventive Practices Used and Perceptions of Practice Evidence

Published online by Cambridge University Press:  21 April 2015

Sanjay Saint*
Affiliation:
Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
Karen E. Fowler
Affiliation:
Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
Sarah L. Krein
Affiliation:
Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
David Ratz
Affiliation:
Center for Clinical Management Research, Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
Scott A. Flanders
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
Erik R. Dubberke
Affiliation:
Department of Internal Medicine—Infectious Disease, Washington University School of Medicine, St. Louis, Missouri.
M. Todd Greene
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan VA/UM Patient Safety Enhancement Program, Ann Arbor, Michigan
*
Address correspondence to Sanjay Saint, MD, MPH, George Dock Professor of Internal Medicine, University of Michigan Department of Internal Medicine, 2800 Plymouth Road, Building 16, Room 430W, Ann Arbor, Michigan 48109-2800 (saint@med.umich.edu).

Abstract

We surveyed 571 US hospitals about practices used to prevent Clostridium difficile infection (CDI). Most hospitals reported regularly using key CDI prevention practices, and perceived their strength of evidence as high. The largest discrepancy between regular use and perceived evidence strength occurred with antimicrobial stewardship programs.

Infect. Control Hosp. Epidemiol. 2015;36(8):969–971

Type
Concise Communications
Copyright
© 2015 by The Society for Healthcare Epidemiology of America. All rights reserved 

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