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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Liu, Hangsheng Herzig, Carolyn T. A. Dick, Andrew W. Furuya, E. Yoko Larson, Elaine Reagan, Julie Pogorzelska-Maziarz, Monika and Stone, Patricia W. 2016. Impact of State Reporting Laws on Central Line-Associated Bloodstream Infection Rates in U.S. Adult Intensive Care Units. Health Services Research,

    Ellingson, Katherine McCormick, Kelly Sinkowitz-Cochran, Ronda Woodard, Tiffanee Jernigan, John Srinivasan, Arjun and Rask, Kimberly 2014. Enhancement of Health Department Capacity for Health Care–Associated Infection Prevention Through Recovery Act–Funded Programs. American Journal of Public Health, Vol. 104, Issue. 4, p. e27.

    Marsteller, Jill A. Hsu, Yea-Jen and Weeks, Kristina 2014. Evaluating the impact of mandatory public reporting on participation and performance in a program to reduce central line–associated bloodstream infections: Evidence from a national patient safety collaborative. American Journal of Infection Control, Vol. 42, Issue. 10, p. S209.

    Zachariah, Philip Reagan, Julie Furuya, E. Yoko Dick, Andrew Liu, Hangsheng Herzig, Carolyn T. A. Pogorzelska-Maziarz, Monika Stone, Patricia W. and Saiman, Lisa 2014. The Association of State Legal Mandates for Data Submission of Central Line–Associated Bloodstream Infections in Neonatal Intensive Care Units with Process and Outcome Measures. Infection Control & Hospital Epidemiology, Vol. 35, Issue. 09, p. 1133.

  • Infection Control & Hospital Epidemiology, Volume 34, Issue 8
  • August 2013, pp. 780-784

Influence of State Laws Mandating Reporting of Healthcare-Associated Infections: The Case of Central Line–Associated Bloodstream Infections

  • Amy L. Pakyz (a1) and Michael B. Edmond (a2)
  • DOI:
  • Published online: 02 January 2015

To evaluate the impact of state laws on reporting of healthcare-associated infections on central line-associated bloodstream infection (CLABSI) rates.


Retrospective, cross-sectional study.


Hospital-level administrative and Hospital Compare data were collected on University HealthSystem Consortium hospitals. An ordered probit regression model assessed the association between state legislation and CLABSI standardized infection ratio (SIR). The main independent variable was a state legislation variable concerning 3 legal requirements (data submission, reporting of data to the public, inclusion of facility identifiers in public reports) and was coded for hospitals accordingly located in a state that did not have CLABSI reporting, located in a state that had CLABSI reporting legislation and met 3 legal requirements, or located in a state that had CLABSI reporting but did not meet the 3 legal requirements. A secondary analysis ascertained whether the mean state SIR values differed among the 3 legislation groups.


There were 159 hospitals included; 92 were located in states that had CLABSI reporting and met 3 requirements, 33 were located in states that had reporting but did not meet the 3 requirements, and 34 were in states that had no legislation. There was no effect of state legislation group on CLABSI SIR. There were no significant differences in the mean state CLABSI SIRs among the legislation groups.


In this sample of academic medical centers, there was no evidence of an effect of state HAI laws on CLABSI occurrence. The impact of state legislation may be lessened by other CLABSI prevention initiatives.

Corresponding author
Virginia Commonwealth University School of Pharmacy, 410 North 12th Street, P.O. Box 980533, Richmond, VA 23298 (
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11.P Pronovost , D Needham , S Berenholtz , et al.An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:27252732.

12.GM Lee , K Kleinman , SB Soumerai , et al.Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med 2012; 367:14281437.

14.LA Backman , R Melchreit , R Rodriguez . Validation of the surveillance and reporting of central line-associated bloodstream infection data to a state health department. Am J Infect Control 2010;38:832838.

15.MY Lin , B Hota , YM Khan , et al.Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA 2010;304:20352041.

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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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