PMID- 24837109 OWN - NLM STAT- MEDLINE DCOM- 20150127 LR - 20181202 IS - 1527-3296 (Electronic) IS - 0196-6553 (Linking) VI - 42 IP - 6 DP - 2014 Jun TI - Infection prevention needs assessment in Colorado hospitals: rural and urban settings. PG - 597-601 LID - S0196-6553(14)00177-1 [pii] LID - 10.1016/j.ajic.2014.03.004 [doi] AB - BACKGROUND: The purpose of our study was to conduct a needs assessment for infection prevention programs in both rural and urban hospitals in Colorado. METHODS: Infection control professionals (ICPs) from Colorado hospitals participated in an online survey on training, personnel, and experience; ICP time allocation; and types of surveillance. Responses were evaluated and compared based on hospital status (rural or urban). Additionally, rural ICPs participated in an interview about resources and training. RESULTS: Surveys were received from 62 hospitals (77.5% response); 33 rural (75.0% response) and 29 urban (80.6% response). Fifty-two percent of rural ICPs reported multiple job responsibilities compared with 17.2% of urban ICPs. Median length of experience for rural ICPs was 4.0 years compared with 11.5 years for urban ICPs (P = .008). Fifty-one percent of rural ICPs reported no access to infectious disease physicians (0.0% urban) and 81.8% of rural hospitals reported no antimicrobial stewardship programs (31.0% urban). Through the interviews it was revealed that priorities for rural ICPs were training and communication. CONCLUSIONS: Our study revealed numerous differences between infection prevention programs in rural versus urban hospitals. An infection prevention outreach program established in Colorado could potentially address the challenges faced by rural hospital infection prevention departments. CI - Copyright (c) 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved. FAU - Reese, Sara M AU - Reese SM AD - Department of Patient Safety and Quality, Denver Health Medical Center, Denver, CO. Electronic address: sara.reese@dhha.org. FAU - Gilmartin, Heather AU - Gilmartin H AD - College of Nursing, University of Colorado-Anschutz Campus, Aurora, CO. FAU - Rich, Karen L AU - Rich KL AD - Health and Safety Data Services Program, Colorado Department of Public Health and Environment, Denver, CO. FAU - Price, Connie S AU - Price CS AD - Division of Infectious Diseases, Denver Health Medical Center, Denver, CO. LA - eng PT - Journal Article PL - United States TA - Am J Infect Control JT - American journal of infection control JID - 8004854 RN - 0 (Anti-Bacterial Agents) SB - IM MH - Anti-Bacterial Agents/therapeutic use MH - Colorado MH - Communication MH - Cross Infection/prevention & control MH - Hospitals, Rural/*organization & administration/standards MH - Hospitals, Urban/*organization & administration/standards MH - Humans MH - Infection Control/*organization & administration/*standards MH - Infection Control Practitioners/education/organization & administration MH - Infectious Disease Medicine MH - Information Dissemination MH - Interviews as Topic MH - Needs Assessment MH - *Population Surveillance MH - Professional Competence MH - Surveys and Questionnaires MH - Workforce OTO - NOTNLM OT - Health care associated infections OT - Surveillance OT - Survey EDAT- 2014/05/20 06:00 MHDA- 2015/01/28 06:00 CRDT- 2014/05/20 06:00 PHST- 2014/01/24 00:00 [received] PHST- 2014/03/03 00:00 [revised] PHST- 2014/03/03 00:00 [accepted] PHST- 2014/05/20 06:00 [entrez] PHST- 2014/05/20 06:00 [pubmed] PHST- 2015/01/28 06:00 [medline] AID - S0196-6553(14)00177-1 [pii] AID - 10.1016/j.ajic.2014.03.004 [doi] PST - ppublish SO - Am J Infect Control. 2014 Jun;42(6):597-601. doi: 10.1016/j.ajic.2014.03.004.