{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T15:39:28Z","timestamp":1781710768867,"version":"3.54.5"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":2467,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:sec id=\"S0195941700026618_abs1\"><jats:title>Objective.<\/jats:title><jats:p>Although urinary tract infection (UTI) is the most common hospital-acquired infection, there is little information about why hospitals use or do not use a range of available preventive practices. We thus conducted a multicenter study to understand better how US hospitals approach the prevention of hospital-acquired UTI.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026618_abs2\"><jats:title>Methods.<\/jats:title><jats:p>This research is part of a larger study employing both quantitative and qualitative methods. The qualitative phase consisted of 38 semistructured phone interviews with key personnel at 14 purposefully sampled US hospitals and 39 in-person interviews at 5 of those 14 hospitals, to identify recurrent and unifying themes that characterize how hospitals have addressed hospital-acquired UTI.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026618_abs3\"><jats:title>Results.<\/jats:title><jats:p>Four recurrent themes emerged from our study data. First, although preventing hospital-acquired UTI was a low priority for most hospitals, there was substantial recognition of the value of early removal of a urinary catheter for patients. Second, those hospitals that made UTI prevention a high priority also focused on noninfectious complications and had committed advocates, or \u201cchampions,\u201d who facilitated prevention activities. Third, hospital-specific pilot studies were important in deciding whether or not to use devices such as antimicrobial-impregnated catheters. Finally, external forces, such as public reporting, influenced UTI surveillance and infection prevention activities.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026618_abs4\"><jats:title>Conclusions.<\/jats:title><jats:p>Clinicians and policy makers can use our findings to develop initiatives that, for example, use a champion to promote the removal of unnecessary urinary catheters or exploit external forces, such public reporting, to enhance patient safety.<\/jats:p><\/jats:sec>","DOI":"10.1086\/529589","type":"journal-article","created":{"date-parts":[[2008,2,28]],"date-time":"2008-02-28T21:32:54Z","timestamp":1204234374000},"page":"333-341","source":"Crossref","is-referenced-by-count":86,"title":["A Multicenter Qualitative Study on Preventing Hospital-Acquired Urinary Tract Infection in US 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