CDC progress report shows HAI reductions C. diff, CAUTIs the notable exceptions
The latest health care associated infection (HAI) progress report shows that significant reductions were reported in 2012 for nearly all infections, the Centers for Disease Control and Prevention reports.1
Central line-associated bloodstream infections and surgical site infections continue to approach the 5-year goals set in the HAI Action Plan. However, the report shows only minimal decreases for both hospital-onset C. difficile infections and hospital-onset MRSA bloodstream infections. Catheter-associated urinary tract infections (CAUTIs) actually increased.
The HAI Progress Report consists of national and state-by-state summaries of healthcare-associated infections. The report helps measure progress toward the five-year HAI prevention goals outlined in the National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination (HAI Action Plan) set in 2009 by the U.S. Department of Health and Human Services (HHS). Progress is measured using the standardized infection ratio (SIR), a summary statistic used to track HAI prevention progress over time. The individual state progress reports include infection-specific SIRs, location-specific SIRs, and efforts states are taking to prevent HAIs. These customized reports can aid in identifying areas in need of improvement, and focusing prevention efforts nationally and within states, the CDC noted.
On the national level, the report found:
• A 44% decrease in central line-associated bloodstream infections between 2008 and 2012.
• A 20% decrease in surgical site infections (SSIs) related to the 10 surgical procedures tracked in the report between 2008 and 2012.
• SSIs after colon surgery decreased 20% since 2008.
• SSIs after abdominal hysterectomy decreased 11% since 2008.
• A 4% decrease in hospital-onset MRSA bloodstream infections between 2011 and 2012.
• Overall, invasive MRSA infections have decreased 31% since 2008.
• A 2% decrease in hospital-onset C. difficile infections between 2011 and 2012.
• A 3% increase in (CAUTIs) between 2009 and 2012.
- Centers for Disease Control and Prevention. Healthcare-associated Infections (HAI) Progress Report. March 26, 2014: http://www.cdc.gov/hai/progress-report