Special Edition on Infection Prevention & Control | Page 20

The statistic
is often
repeated —
approximately
1 in 31
U.S. patients
has at least
one infection
in association
with his or her
hospital care
every day —
underscoring
the need for
improvements
in patient care
practices in
U.S. healthcare
facilities.
•
national SIR, the state’s SIR from 2017, and the
2015 national baseline (i.e., compared to a value
of 1). The 2018 national SIR was re-calculated
for each state-to-national comparison with that
state’s data removed from the 2018 national SIR
to ensure independence. This comparison was
used to determine how the state’s SIR compared
to that from the rest of the nation. A comparison
between the state’s 2018 and 2017 SIRs provided
information about HAIs in the state during 2018,
and how this compared to the same state’s SIR
from the prior year. The final comparison assesses
the state’s 2018 SIR against the national 2015
baseline of 1.
Regarding 2018 state performance compared
to the 2015 baseline SIR of 1, for ACHs, the 2018
report found:
● 49 states performed better on at least two
infection types; of these, 44 states performed better
on at least three infection types and 33 states
performed better on at least four infection types.
● No state performed worse on at least two
infection types
Regarding state performance compared to 2018
national SIR, for ACHs, the 2018 report found:
● 22 states performed better on at least two
infection types; of these, 13 states performed better
on at least three infection types and five states
performed better on at least four infection types
● 23 states performed worse on two or more
infection types; of these, 13 states performed
worse on at least three infection types and 3 states
performed worse on at least four infection types
Regarding state performance in 2018 compared
to 2017, for ACHs, the 2018 report found:
● 20 states performed better on at least two
infection types
● 10 states performed better on at least three
infection types
● 3 states performed better on at least four
infection types
● 2 states performed worse on two infection
types (Michigan and Nevada)
● No state performed worse on three or more
infection types
Regarding the number of states and territories
performing better than the 2015 national baseline,
by infection type for ACHs, the 2018 data show:
● CLABSI: 47 states
● CAUTI: 34 states
● VAE – 16 states
● SSI, colon surgery: 15 states
● SSI, abdominal hysterectomy: 6 states
● MRSA bacteremia: 32 states
● C. difficile infections: 46 states
Regarding the number of states and territories
performing worse than the 2015 national baseline,
by infection type for ACHs, the 2018 data show:
● CLABSI: 1 state
● CAUTI: 1 state
● VAE:15 states
● SSI, colon surgery: 4 states
● SSI, abdominal hysterectomy: 2 states
● MRSA bacteremia: 2 states
● C. difficile infections: No state
The statistic is often repeated — approximately
1 in 31 U.S. patients has at least one infection
in association with his or her hospital care every
day — underscoring the need for improvements in
patient-care practices in U.S. healthcare facilities. As
the 2018 report observes, “While much progress
has been made, more needs to be done to prevent
healthcare-associated infections in a variety of
settings. Full engagement between local, state and
federal public health agencies and their partners in
the healthcare sector through initiatives such as the
prevention collaboratives is vital to sustaining and
extending HAI surveillance and prevention progress.
CDC will continue its prevention, tracking, lab, and
applied research activities to push the country further
toward the goal of eliminating HAIs.”
References:
Centers for Medicare and Medicaid Services. Hospital Inpatient
Quality Reporting Program. Available at https://www.cms.gov/
medicare/quality-initiatives-patient-assessment-instruments/
hospitalqualityinits/hospitalrhqdapu.html
Centers for Disease Control and Prevention. Acute care hospital
surveillance for central line-associated bloodstream infections.
Available at: https://www.cdc.gov/nhsn/acute-care-hospital/
clabsi/index.html
Centers for Disease Control and Prevention. Acute care hospital
surveillance for catheter-associated urinary tract infections. Available
at: https://www.cdc.gov/nhsn/acute-care-hospital/cauti/index.html.
Centers for Disease Control and Prevention. Acute care hospital
surveillance for surgical site infections. Available at: http://www.
cdc.gov/nhsn/acute-care-hospital/ssi/index.html
Centers for Disease Control and Prevention. Acute care hospital
surveillance for difficile, MRSA, and other drug-resistant infections.
Available at: http://www.cdc.gov/nhsn/acute-care-hospital/
cdiff-mrsa/index.html
Centers for Disease Control and Prevention. Acute care hospital
surveillance for Ventilator-associated Events (VAE). Available at:
https://www.cdc.gov/nhsn/acute-care-hospital/vae/index.html
Centers for Disease Control and Prevention. The NHSN Standardized
Infection Ratio (SIR): a guide to the SIR. Available at: https://
www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf
Centers for Disease Control and Prevention. The NHSN
Standardized Utilization Ratio (SUR): a guide to the SUR. Available
at: https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsnsur-guide-508.pdf
U.S. Department of Health and Human Services. National
HAI Targets & Metrics. Available at: https://health.gov/ourwork/health-care-quality/health-care-associated-infections/
targets-metrics
20 IP&C Special Edition June 2020 • www.healthcarehygienemagazine.com