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

  • Sanjay Saint (a1) (a2) (a3), Karen E. Fowler (a1) (a3), Sarah L. Krein (a1) (a2) (a3), David Ratz (a1) (a3), Scott A. Flanders (a2) (a3), Erik R. Dubberke (a4) and M. Todd Greene (a2) (a3)...

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

Corresponding author
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 (
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2. ER Dubberke , P Carling , R Carrico , et al. Strategies to prevent Clostridium difficile infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:628645.

4. S Saint , CP Kowalski , SR Kaufman , et al. Preventing hospital-acquired urinary tract infection in the United States: a national study. Clin Infect Dis 2008;46:243250.

5. SL Krein , TP Hofer , CP Kowalski , et al. Use of central venous catheter-related bloodstream infection prevention practices by US hospitals. Mayo Clin Proc 2007;82:672678.

8. WR Jarvis , J Schlosser , AA Jarvis , RY Chinn . National point prevalence of Clostridium difficile in US health care facility inpatients, 2008. Am J Infect Control 2009;37:263270.

10. AL Pakyz , C MacDougall , M Oinonen , RE Polk . Trends in antibacterial use in US academic health centers: 2002 to 2006. Arch Intern Med 2008;168:22542260.

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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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