Hospitals these days work harder than ever to prevent hospital-acquired infections, but a nationwide survey shows few aggressively combat the most common one: catheter-associated urinary tract infections.
In the report by the University of Michigan Health System and the Veterans Affairs Ann Arbor Healthcare Center, as many as 90% of U.S. hospitals surveyed increased use of methods to prevent central line-associated bloodstream infections and ventilator-associated pneumonia between 2005 and 2009.
But prevention practices for urinary tract infections were regularly used by only a minority of hospitals, according to the survey published online ahead of print in the Journal of General Internal Medicine.
"Despite being the most common healthcare-associated infection in the country, hospitals appear not to be using as many practices for prevention when compared with bloodstream infections and ventilator-associated pneumonia," said senior author Sanjay Saint, MD, MPH, director of the VA/UM Patient Safety Enhancement program and a professor of internal medicine at U-M.
Using reminders to remove the catheter, cleaning the insertion site and avoiding indwelling devices by using appropriate alternatives — such as condom catheters for men in appropriate cases — are all ways hospitals can reduce infection risk, according to the researchers.
Each year, 5% to 10% of hospitalized patients get a hospital-acquired infection, resulting in about $45 billion in healthcare costs. But in 2008, Medicare stopped paying non-federal hospitals for the additional costs of treating infections, which are considered preventable with the right care.
"The actual impact of the no-payment rule appears limited given the fact that hospitals not affected by the rule change, such as VA hospitals, also increased their use of infection practices," said lead study author Sarah L. Krein, RN, PhD, a VA research scientist and U-M associate general medicine professor.
Other factors, such as the introduction of practice guidelines and infection prevention collaboratives, likely contributed as much, if not more, to the increased use of certain infection prevention practices, she said.
Catheter-associated urinary tract infection is one of the no-payment conditions "but until recently there were no large-scale educational or prevention guidelines created for this type of infection," Krein said.
The study was funded by Blue Cross Blue Shield of Michigan Foundation. To read it or download a PDF, visit http://bit.ly/uSMYaZ.
In the report by the University of Michigan Health System and the Veterans Affairs Ann Arbor Healthcare Center, as many as 90% of U.S. hospitals surveyed increased use of methods to prevent central line-associated bloodstream infections and ventilator-associated pneumonia between 2005 and 2009.
But prevention practices for urinary tract infections were regularly used by only a minority of hospitals, according to the survey published online ahead of print in the Journal of General Internal Medicine.
"Despite being the most common healthcare-associated infection in the country, hospitals appear not to be using as many practices for prevention when compared with bloodstream infections and ventilator-associated pneumonia," said senior author Sanjay Saint, MD, MPH, director of the VA/UM Patient Safety Enhancement program and a professor of internal medicine at U-M.
Using reminders to remove the catheter, cleaning the insertion site and avoiding indwelling devices by using appropriate alternatives — such as condom catheters for men in appropriate cases — are all ways hospitals can reduce infection risk, according to the researchers.
Each year, 5% to 10% of hospitalized patients get a hospital-acquired infection, resulting in about $45 billion in healthcare costs. But in 2008, Medicare stopped paying non-federal hospitals for the additional costs of treating infections, which are considered preventable with the right care.
"The actual impact of the no-payment rule appears limited given the fact that hospitals not affected by the rule change, such as VA hospitals, also increased their use of infection practices," said lead study author Sarah L. Krein, RN, PhD, a VA research scientist and U-M associate general medicine professor.
Other factors, such as the introduction of practice guidelines and infection prevention collaboratives, likely contributed as much, if not more, to the increased use of certain infection prevention practices, she said.
Catheter-associated urinary tract infection is one of the no-payment conditions "but until recently there were no large-scale educational or prevention guidelines created for this type of infection," Krein said.
The study was funded by Blue Cross Blue Shield of Michigan Foundation. To read it or download a PDF, visit http://bit.ly/uSMYaZ.
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