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THE NATIONWIDE NOSOCOMIAL INFECTION RATE
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 1975-1976 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.
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Cited by
Multistate point-prevalence survey of health care-associated infections
Magill, S. S., Edwards, J. R., Bamberg, W., Beldavs, Z. G., Dumyati, G., Kainer, M. A., Lynfield, R., Maloney, M., McAllister-Hollod, L., Nadle, J., et al. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1306801 · Cited by 3,931
Hooton, T. M., Bradley, S. F., Cardenas, D. D., Colgan, R., Geerlings, S. E., Rice, J. C., Saint, S., Schaeffer, A. J., Tambayh, P. A., Tenke, P., et al. (2010) · Clinical Infectious Diseases · doi:10.1086/650482 · Cited by 2,099
Secular trends in nosocomial primary bloodstream infections in the United States, 1980–1989.
Banerjee, S. N., Emori, T. G., Culver, D. H., Gaynes, R. P., Jarvis, W. R., Horan, T., Edwards, J. R., Tolson, J., Henderson, T., Martone, W. J., et al. (1991) · The American Journal of Medicine · doi:10.1016/0002-9343(91)90349-3 · Cited by 880
Self-citationHospital-Acquired Candidemia: The Attributable Mortality and Excess Length of Stay
Wey, S. B. (1988) · Archives of Internal Medicine · doi:10.1001/archinte.1988.00380120094019 · Cited by 831
Clinical and economic consequences of nosocomial catheter-related bacteriuria
Saint, S. (2000) · American Journal of Infection Control · doi:10.1016/s0196-6553(00)90015-4 · Cited by 503
Metadata
- Authors
- HALEY, R. W., CULVER, D. H., WHITE, J. W., MORGAN, W. M., & EMORI, T. G.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1985-02
- Volume
- 121
- Issue
- 2
- Pages
- 159-167
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2113950929
- Cited by
- 701
- References
- 0
- FWCI
- 20.40
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: THE NATIONWIDE NOSOCOMIAL INFECTION RATE. https://app.cochat.ai/papers/10.1093/oxfordjournals.aje.a113988
- The paper
- HALEY, R. W., CULVER, D. H., WHITE, J. W., MORGAN, W. M., & EMORI, T. G. (1985). THE NATIONWIDE NOSOCOMIAL INFECTION RATE. American Journal of Epidemiology. https://doi.org/10.1093/oxfordjournals.aje.a113988
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