{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T05:10:38Z","timestamp":1762405838368,"version":"build-2065373602"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T00:00:00Z","timestamp":1466467200000},"content-version":"unspecified","delay-in-days":8999,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[1991,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X00086542_abs1\">\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To review procedures currently practiced in a Brazilian general hospital and to eliminate ineffective and inefficient practices. To measure the resulting cost improvements based on rigid hospital financing control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00086542_abs2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Implementation of surveillance and control programs and prevalence surveys to detect ineffective and inefficient practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00086542_abs3\">\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>The study institution is a 130-bed general care facility affiliated with the Brazilian federal government. There were approximately 4,600 admissions per year during the study period (1986- 1989).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00086542_abs4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Instituting infection control measures and eliminating ineffective practices resulted in the following: an overall decrease in wound infection rates from 24.4% in 1987 to 3.45% in 1989; a 71% reduction in the global incidence of infection in the intensive care unit; a 74% reduction in the surgical prophylactic use of antibiotics; and a total savings of approximately $2 million (US dollars).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X00086542_abs5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>During the period from 1986 to 1989, the infection control committee was able to decrease the overall wound infection rate from 24.4% in 1987 to 3.45% in 1989. This eliminated special health problems and improved patient care and cost-effectiveness for our hospital.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1086\/646260","type":"journal-article","created":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T12:27:43Z","timestamp":1251808063000},"page":"649-653","source":"Crossref","is-referenced-by-count":6,"title":["Cost Improvements Through the Establishment of prudent Infection Control Practices in a Brazilian General Hospital, 1986\u20131989"],"prefix":"10.1017","volume":"12","author":[{"given":"M.D.A.","family":"Cavalcante","sequence":"first","affiliation":[{"name":"The Hospital das Forcas Armadas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.B.","family":"Braga","sequence":"additional","affiliation":[{"name":"The Hospital das Forcas Armadas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.H.","family":"Teofilo","sequence":"additional","affiliation":[{"name":"The Hospital das Forcas Armadas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.N.","family":"Oliveira","sequence":"additional","affiliation":[{"name":"The Hospital das Forcas Armadas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Alves","sequence":"additional","affiliation":[{"name":"The Hospital das Forcas Armadas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,6,21]]},"reference":[{"volume-title":"MMWR","year":"1985","key":"S0195941700017513_ref016"},{"volume-title":"Editora: Scientia et Lubeur","year":"1987","author":"Leao","key":"S0195941700017513_ref011"},{"volume-title":"Proven and Unproven Methods in Hospital Infection Control: Proceedings of an International Workshop at Baierbronn","year":"1978","author":"Haley","key":"S0195941700017513_ref002"},{"key":"S0195941700017513_ref006","first-page":"3","volume-title":"Rev Infect Dis","author":"McGowan","year":"1981"},{"key":"S0195941700017513_ref012","unstructured":"Stefan IS . Criacao de servicios de farmacia hospitalar em hospitais universitarios brasileiros. Trabalho apresentado number 21 Congresso de Farmacia Hospitalar e III Congresso de OFIL, September 20, 1984, Espanha."},{"volume-title":"Infecciones Hospitalares-Prevention, Diagn\u00f3stico e Tratamento","year":"1987","author":"Zanon","key":"S0195941700017513_ref004"},{"key":"S0195941700017513_ref018","first-page":"27","volume-title":"Surg Clin N Am","author":"Cruse","year":"1980"},{"key":"S0195941700017513_ref009","first-page":"16","volume-title":"Reuista do Col\u00e9gio Brasileiro de Cirurgiles","author":"Ferraz","year":"1989"},{"key":"S0195941700017513_ref008","first-page":"13","volume-title":"Revista do Col\u00e9gio Brasileiro de Cirurgiles","author":"Cavalcante","year":"1986"},{"key":"S0195941700017513_ref014","first-page":"245","article-title":"Guidelines for isolation precautions in hospitals","volume":"4","author":"Garner","year":"1983","journal-title":"Infect Control"},{"key":"S0195941700017513_ref010","first-page":"118","article-title":"Controle no consume de antimicrobianos no Hospital de Base do Distrito Federal","volume":"32","author":"Aguiar","year":"1986","journal-title":"Revista de Associc\u00e1o M\u00e9dica Brasileira"},{"volume-title":"Prevention and Control of Nosocomial Infections","year":"1986","author":"Schaffner","key":"S0195941700017513_ref005"},{"key":"S0195941700017513_ref017","doi-asserted-by":"publisher","DOI":"10.2307\/30146458"},{"key":"S0195941700017513_ref003","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/141.2.248"},{"key":"S0195941700017513_ref007","first-page":"69","volume-title":"Iandvista Brasileira de Cirurgia","author":"Zanon","year":"1979"},{"key":"S0195941700017513_ref015","first-page":"1","volume-title":"Revista do Sistema de Savoe do Distrito Federal","author":"Cavalcante","year":"1990"},{"key":"S0195941700017513_ref001","doi-asserted-by":"publisher","DOI":"10.1016\/0195-6701(84)90027-6"},{"key":"S0195941700017513_ref019","doi-asserted-by":"publisher","DOI":"10.1016\/0195-6701(89)90052-2"},{"volume-title":"Proceedings of the 1st International Conference of the Hospital Infection Society","year":"1987","author":"Cruse","key":"S0195941700017513_ref020"},{"volume-title":"A strategy for Reducing Infections Complications","year":"1986","author":"Haley","key":"S0195941700017513_ref013"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X00086542","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T05:06:57Z","timestamp":1762405617000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X00086542\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,11]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[1991,11]]}},"alternative-id":["S0899823X00086542"],"URL":"https:\/\/doi.org\/10.1086\/646260","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"type":"print","value":"0899-823X"},{"type":"electronic","value":"1559-6834"}],"subject":[],"published":{"date-parts":[[1991,11]]}}}