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To assess the extent to which evidence-based practices are regularly used in acute care hospitals in different countries. Cross-sectional survey study. Participants and setting Infection preventionists in acute care hospitals in the United States (US), the Netherlands, Switzerland, and Japan. Data collected from hospital surveys distributed between 2015 and 2017 were evaluated to determine the use of practices to prevent catheter-associated urinary tract infection (CAUTI), central-line-associated bloodstream infection (CLABSI), ventilator-associat