{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:50:14Z","timestamp":1791809414966,"version":"4.3.4"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X26104905_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To determine if hospital characteristics were associated with rates of healthcare-associated (HA) viral respiratory infections (VRIs) in a large Canadian acute care hospital network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104905_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Survey of hospital characteristics and prospective surveillance of HA-VRI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104905_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>The Canadian Nosocomial Infection Surveillance Program is a sentinel surveillance system with 89 hospitals participating in adult and pediatric VRI surveillance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104905_as4\">\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Patients with laboratory confirmed infection from SARS-CoV-2, Influenza A\/B or RSV associated with their hospitalization from participating hospitals between January 1-December 31, 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104905_as5\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A 15-item survey was distributed to hospitals to collect information on hospital infrastructure, infection prevention and control practices, and occupational health measures for healthcare workers. HA-VRI rates\/10,000 patient-days were analyzed alongside survey responses using univariable and multivariable negative binomial regression models in R to determine associations. Hospitals without case data were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104905_as6\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 89 hospitals, 93% (n = 83) responded to the survey, with 79 included in the analysis. The national HA-VRI rate was 8.15\/10,000 patient-days. Pediatric hospitals had a 56% lower HA-VRI rate than adult\/mixed hospitals (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) that increased with the exclusion of SARS-CoV-2. Each 10% increase in the percentage of single-bed rooms corresponded to a 12% reduction in infection rate (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Teaching vs. Non-teaching hospitals were associated with a 32% lower HA-VRI rate. Universal masking was not associated with a statistically significant reduction in HA-VRI rates (RR 0.82, 95% CI: 0.56\u20131.19).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X26104905_as7\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In a large surveillance network, lower HA-VRI rates were seen in pediatric hospitals, teaching hospitals, and in hospitals with higher proportions of single-bed rooms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ice.2026.10490","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:31:47Z","timestamp":1784701907000},"page":"1023-1031","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Hospital characteristics associated with healthcare-associated viral respiratory infection rates in a Canadian acute care network"],"prefix":"10.1017","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2856-3334","authenticated-orcid":false,"given":"Erin","family":"McGill","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/023xf2a37","id-type":"ROR","asserted-by":"publisher"}],"name":"Public Health Agency of Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4660-2109","authenticated-orcid":false,"given":"Diane","family":"Lee","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/023xf2a37","id-type":"ROR","asserted-by":"publisher"}],"name":"Public Health Agency of Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1170-9475","authenticated-orcid":false,"given":"Caroline","family":"Quach","sequence":"additional","affiliation":[{"name":"University of Montreal: Universit\u00e9 de Montr\u00e9al"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2250-4894","authenticated-orcid":false,"given":"Jerome A.","family":"Leis","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0547-8484","authenticated-orcid":false,"given":"Mark","family":"Downing","sequence":"additional","affiliation":[{"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Conly","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6278-9519","authenticated-orcid":false,"given":"Jennifer","family":"Ellison","sequence":"additional","affiliation":[{"name":"Alberta Health Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Embil","sequence":"additional","affiliation":[{"name":"University of Manitoba"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8510-237X","authenticated-orcid":false,"given":"Bonita E.","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Longtin","sequence":"additional","affiliation":[{"name":"McGill University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4337-1613","authenticated-orcid":false,"given":"Dominik","family":"Mertz","sequence":"additional","affiliation":[{"name":"McMaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4910-0083","authenticated-orcid":false,"given":"Stephanie","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4105-5908","authenticated-orcid":false,"given":"Reena","family":"Titoria","sequence":"additional","affiliation":[{"name":"Provincial Health Services Authority"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Varsaneux","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/023xf2a37","id-type":"ROR","asserted-by":"publisher"}],"name":"Public Health Agency of Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Vayalumkal","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0208-6277","authenticated-orcid":false,"given":"Nisha","family":"Thampi","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern 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Overview: The Canadian Nosocomial Infection Surveillance Program (CNISP) \u2014 Canada.ca. https:\/\/health-infobase.canada.ca\/cnisp\/index.html. 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Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}