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BMJ Quality & Safety Online First, published on 10 April 2015 as 10.1136/bmjqs-2014-003870 ORIGINAL RESEARCH

Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013 Sarah L Krein,1,2 Karen E Fowler,1 David Ratz,1 Jennifer Meddings,2 Sanjay Saint1,2

▸ Additional material is published online only. To view please visit the journal online (http://dx.doi.org/10.1136/bmjqs2014-003870). 1

Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA 2 Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA Correspondence to Dr Sarah Krein, Department of Internal Medicine, University of Michigan Medical School, 2800 Plymouth Road, Building 16, 333W, Ann Arbor, MI 48109, USA; [email protected] Received 15 December 2014 Revised 17 March 2015 Accepted 26 March 2015

To cite: Krein SL, Fowler KE, Ratz D, et al. BMJ Qual Saf Published Online First: [ please include Day Month Year] doi:10.1136/bmjqs-2014003870

ABSTRACT Background Numerous initiatives have focused on reducing device-associated infections, contributing to an overall decrease in infections nationwide. To better understand factors associated with this decline, we assessed the use of key practices to prevent device-associated infections by US acute care hospitals from 2005 to 2013. Methods We mailed surveys to infection preventionists at a national random sample of ∼600 US acute care hospitals in 2005, 2009 and 2013. Our survey asked about the use of practices to prevent the 3 most common deviceassociated infections: central line-associated bloodstream infection (CLABSI), ventilatorassociated pneumonia (VAP) and catheterassociated urinary tract infection (CAUTI). Using sample weights, we estimated the per cent of hospitals reporting regular use (a score of 4 or 5 on a scale from 1 (never use) to 5 (always use)) of prevention practices from 2005 to 2013. Results The response rate was about 70% in all 3 periods. Use of most recommended prevention practices increased significantly over time. Among those showing the greatest increase were use of an antimicrobial dressing for preventing CLABSI (25–78%, p

Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.

Numerous initiatives have focused on reducing device-associated infections, contributing to an overall decrease in infections nationwide. To better un...
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