The nationwide nosocomial infection rate

A new need for vital statistics

Robert W. Haley, David H. Culver, John W. White, W. Meade Morgan, T. Grace Emori

Research output: Contribution to journalArticle

583 Citations (Scopus)

Abstract

From a random sample of patients and hospitals and extrapolation ratios derived from the best available sources of data, the authors estimate that the nationwide nosocomial infection rate among the 6,449 acute-care US hospitals in 1975ndash;1976 was 5.7 nosocomial infections per 100 admissions and that over 2 million nosocomial infections occurred in a 12-month period in these hospitals. Nosocomial urinary tract infections constituted 42% of the infections, surgical wound infections 24%, nosocomial pneumonia 10%, nosocomial bacteremia 5%, and nosocomial infections at all other sites 19%. If adjustments are made for the accuracy of the diagnostic method, the increasing nationwide secular trend, and the number of nosocomial infections in nursing homes, however, as many as 4 million nosocomial infections per year may now be occurring. This greatly exceeds previous estimates and calls for timely and accurate vital statistics on the problem.

Original languageEnglish (US)
Pages (from-to)159-167
Number of pages9
JournalAmerican Journal of Epidemiology
Volume121
Issue number2
StatePublished - Feb 1985

Fingerprint

Vital Statistics
Cross Infection
Surgical Wound Infection
Information Storage and Retrieval
Bacteremia
Nursing Homes
Urinary Tract Infections
Pneumonia
Infection

Keywords

  • Cross infection
  • Health policy
  • Health services research
  • Health surveys
  • Hospitals
  • Sampling studies
  • Vital statistics

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Epidemiology

Cite this

Haley, R. W., Culver, D. H., White, J. W., Morgan, W. M., & Emori, T. G. (1985). The nationwide nosocomial infection rate: A new need for vital statistics. American Journal of Epidemiology, 121(2), 159-167.

The nationwide nosocomial infection rate : A new need for vital statistics. / Haley, Robert W.; Culver, David H.; White, John W.; Morgan, W. Meade; Emori, T. Grace.

In: American Journal of Epidemiology, Vol. 121, No. 2, 02.1985, p. 159-167.

Research output: Contribution to journalArticle

Haley, RW, Culver, DH, White, JW, Morgan, WM & Emori, TG 1985, 'The nationwide nosocomial infection rate: A new need for vital statistics', American Journal of Epidemiology, vol. 121, no. 2, pp. 159-167.
Haley, Robert W. ; Culver, David H. ; White, John W. ; Morgan, W. Meade ; Emori, T. Grace. / The nationwide nosocomial infection rate : A new need for vital statistics. In: American Journal of Epidemiology. 1985 ; Vol. 121, No. 2. pp. 159-167.
@article{9aafcced96544d77a6377587dc339498,
title = "The nationwide nosocomial infection rate: A new need for vital statistics",
abstract = "From a random sample of patients and hospitals and extrapolation ratios derived from the best available sources of data, the authors estimate that the nationwide nosocomial infection rate among the 6,449 acute-care US hospitals in 1975ndash;1976 was 5.7 nosocomial infections per 100 admissions and that over 2 million nosocomial infections occurred in a 12-month period in these hospitals. Nosocomial urinary tract infections constituted 42{\%} of the infections, surgical wound infections 24{\%}, nosocomial pneumonia 10{\%}, nosocomial bacteremia 5{\%}, and nosocomial infections at all other sites 19{\%}. If adjustments are made for the accuracy of the diagnostic method, the increasing nationwide secular trend, and the number of nosocomial infections in nursing homes, however, as many as 4 million nosocomial infections per year may now be occurring. This greatly exceeds previous estimates and calls for timely and accurate vital statistics on the problem.",
keywords = "Cross infection, Health policy, Health services research, Health surveys, Hospitals, Sampling studies, Vital statistics",
author = "Haley, {Robert W.} and Culver, {David H.} and White, {John W.} and Morgan, {W. Meade} and Emori, {T. Grace}",
year = "1985",
month = "2",
language = "English (US)",
volume = "121",
pages = "159--167",
journal = "American Journal of Epidemiology",
issn = "0002-9262",
publisher = "Oxford University Press",
number = "2",

}

TY - JOUR

T1 - The nationwide nosocomial infection rate

T2 - A new need for vital statistics

AU - Haley, Robert W.

AU - Culver, David H.

AU - White, John W.

AU - Morgan, W. Meade

AU - Emori, T. Grace

PY - 1985/2

Y1 - 1985/2

N2 - From a random sample of patients and hospitals and extrapolation ratios derived from the best available sources of data, the authors estimate that the nationwide nosocomial infection rate among the 6,449 acute-care US hospitals in 1975ndash;1976 was 5.7 nosocomial infections per 100 admissions and that over 2 million nosocomial infections occurred in a 12-month period in these hospitals. Nosocomial urinary tract infections constituted 42% of the infections, surgical wound infections 24%, nosocomial pneumonia 10%, nosocomial bacteremia 5%, and nosocomial infections at all other sites 19%. If adjustments are made for the accuracy of the diagnostic method, the increasing nationwide secular trend, and the number of nosocomial infections in nursing homes, however, as many as 4 million nosocomial infections per year may now be occurring. This greatly exceeds previous estimates and calls for timely and accurate vital statistics on the problem.

AB - From a random sample of patients and hospitals and extrapolation ratios derived from the best available sources of data, the authors estimate that the nationwide nosocomial infection rate among the 6,449 acute-care US hospitals in 1975ndash;1976 was 5.7 nosocomial infections per 100 admissions and that over 2 million nosocomial infections occurred in a 12-month period in these hospitals. Nosocomial urinary tract infections constituted 42% of the infections, surgical wound infections 24%, nosocomial pneumonia 10%, nosocomial bacteremia 5%, and nosocomial infections at all other sites 19%. If adjustments are made for the accuracy of the diagnostic method, the increasing nationwide secular trend, and the number of nosocomial infections in nursing homes, however, as many as 4 million nosocomial infections per year may now be occurring. This greatly exceeds previous estimates and calls for timely and accurate vital statistics on the problem.

KW - Cross infection

KW - Health policy

KW - Health services research

KW - Health surveys

KW - Hospitals

KW - Sampling studies

KW - Vital statistics

UR - http://www.scopus.com/inward/record.url?scp=0021992377&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021992377&partnerID=8YFLogxK

M3 - Article

VL - 121

SP - 159

EP - 167

JO - American Journal of Epidemiology

JF - American Journal of Epidemiology

SN - 0002-9262

IS - 2

ER -