{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T10:05:38Z","timestamp":1769594738765,"version":"3.49.0"},"reference-count":25,"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":1372,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:sec id=\"S0195941700040236_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To describe the rates of several key outcomes and healthcare-associated infections (HAIs) among hospitals that participated in the Duke Infection Control Outreach Network (DICON).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700040236_abs2\"><jats:title>Design and Setting.<\/jats:title><jats:p>Prospective, observational cohort study of patients admitted to 24 community hospitals from 2003 through 2009.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700040236_abs3\"><jats:title>Methods.<\/jats:title><jats:p>The following data were collected and analyzed: incidence of central line-associated bloodstream infections (CLABSIs), ventilator-associated pneumonia (VAP), catheter-associated urinary tract infections (CAUTIs), and HAIs caused by methicillin-resistant <jats:italic>Staphylococcus aureus<\/jats:italic> (MRSA); employee exposures to bloodborne pathogens (EBBPs); physician EBBPs; patient-days; central line-days; ventilator-days; and urinary catheter-days. Poisson regression was used to determine whether incidence rates of these HAIs and exposures changed during the first 5 and 7 years of participation in DICON; nonrandom clustering of each outcome was controlled for. Cost saved and lives saved were calculated on the basis of published estimates.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700040236_abs4\"><jats:title>Results.<\/jats:title><jats:p>In total, we analyzed 6.5 million patient-days, 4,783 EBPPs, 2,948 HAIs due to MRSA, and 2,076 device-related infections. Rates of employee EBBPs, HAIs due to MRSA, and device-related infections decreased significantly during the first 5 years of participation in DICON (<jats:italic>P<\/jats:italic> &lt; .05 for all models; average decrease was approximately 50%); in contrast, physician EBBPs remained unchanged. In aggregate, 210 CLABSIs, 312 cases of VAP, 332 CAUTIs, 1,042 HAIs due to MRSA, and 1,016 employee EBBPs were prevented. Each hospital saved approximately $100,000 per year of participation, and collectively the hospitals may have prevented 52-105 deaths from CLABSI or VAP. The 7-year analysis demonstrated that these trends continued with further participation.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700040236_abs5\"><jats:title>Conclusions.<\/jats:title><jats:p>Hospitals with long-term participation in an infection control network decreased rates of significant HAIs by approximately 50%, decreased costs, and saved lives.<\/jats:p><\/jats:sec>","DOI":"10.1086\/658940","type":"journal-article","created":{"date-parts":[[2011,3,8]],"date-time":"2011-03-08T13:45:55Z","timestamp":1299591955000},"page":"315-322","source":"Crossref","is-referenced-by-count":66,"title":["The Network Approach for Prevention of Healthcare-Associated Infections: Long-Term Effect of Participation in the Duke Infection Control Outreach Network"],"prefix":"10.1017","volume":"32","author":[{"given":"Deverick J.","family":"Anderson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Becky A.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke F.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda H.","family":"Adcock","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyn","family":"Cook","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. Lynn","family":"Cromer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Louis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"II","given":"Paul A.","family":"Thacker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Sexton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700040236_ref020","volume-title":"First state-specific healthcare-associated infections summary data report","year":"2010"},{"key":"S0195941700040236_ref024","doi-asserted-by":"publisher","DOI":"10.1086\/591066"},{"key":"S0195941700040236_ref025","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.153"},{"key":"S0195941700040236_ref007","doi-asserted-by":"publisher","DOI":"10.1067\/mic.2002.120526"},{"key":"S0195941700040236_ref023","doi-asserted-by":"publisher","DOI":"10.1086\/591065"},{"key":"S0195941700040236_ref013","doi-asserted-by":"publisher","DOI":"10.1086\/591059"},{"key":"S0195941700040236_ref012","doi-asserted-by":"publisher","DOI":"10.1086\/591062"},{"key":"S0195941700040236_ref008","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(88)90053-3"},{"key":"S0195941700040236_ref016","doi-asserted-by":"publisher","DOI":"10.2307\/30141102"},{"key":"S0195941700040236_ref009","doi-asserted-by":"publisher","DOI":"10.1017\/S0195941700015241"},{"key":"S0195941700040236_ref002","doi-asserted-by":"publisher","DOI":"10.1086\/518518"},{"key":"S0195941700040236_ref003","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113990"},{"key":"S0195941700040236_ref005","doi-asserted-by":"publisher","DOI":"10.1086\/591740"},{"key":"S0195941700040236_ref017","doi-asserted-by":"publisher","DOI":"10.1017\/S0195941700061592"},{"key":"S0195941700040236_ref015","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061115"},{"key":"S0195941700040236_ref018","doi-asserted-by":"publisher","DOI":"10.1086\/501572"},{"key":"S0195941700040236_ref021","doi-asserted-by":"publisher","DOI":"10.1086\/591064"},{"key":"S0195941700040236_ref014","doi-asserted-by":"publisher","DOI":"10.1086\/505220"},{"key":"S0195941700040236_ref004","doi-asserted-by":"publisher","DOI":"10.1086\/591060"},{"key":"S0195941700040236_ref022","doi-asserted-by":"publisher","DOI":"10.1086\/591061"},{"key":"S0195941700040236_ref019","doi-asserted-by":"publisher","DOI":"10.1086\/502033"},{"key":"S0195941700040236_ref011","volume-title":"The direct medical costs of healthcare-associated infections in U.S. hospitals and benefits of prevention","author":"Scott","year":"2009"},{"key":"S0195941700040236_ref001","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1177\/003335490712200205","article-title":"Estimating health care-associated infections and deaths in U.S. hospitals, 2002","volume":"122","author":"Hevens","year":"2007","journal-title":"Public Health Rep"},{"key":"S0195941700040236_ref006","doi-asserted-by":"publisher","DOI":"10.1086\/500371"},{"key":"S0195941700040236_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.03.002"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0195941700040236","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T14:57:26Z","timestamp":1556377046000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0195941700040236\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["S0195941700040236"],"URL":"https:\/\/doi.org\/10.1086\/658940","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4]]}}}