Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-14T04:27:58.476Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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