In prevalence surveys of 18 small hospitals in the intermountain region, 20.4% of the patients had community-acquired infections and 7.2% had infections acquired in the hospital. The types of nosocomial infections and patterns of antibiotic usage were similar to those encountered in large hospitals. In the small hospitals, 49% of the suspected bacterial infections were cultured, whereas at a nearby large hospital 77% were cultured. Seventeen of these small hospitals had an infection-control committee but these committees were unable to assess adequately the extent of their nosocomial infection problems. Monitoring of the environment with bacterial cultures was a frequent practice; overall, a ratio of one environmental culture was performed to each three diagnostic cultures. These results indicate the need to develop and evaluate nosocomial infection control programs in small hospitals.
(JAMA 236:1700-1703, 1976)
Britt MR, Burke JP, Nordquist AG, Wilfert JN, Smith CB. Infection Control in Small HospitalsPrevalence Surveys in 18 Institutions. JAMA. 1976;236(15):1700–1703. doi:10.1001/jama.1976.03270160022022