The reports provide data from California’s hospitals for each of the following types of infections: central-line associated bloodstream infections; clostridium difficile infections, methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus bloodstream infections and surgical site infections.
A fifth report examines hospital use of practices to prevent specific infections, known as central-line insertion practices, and a final report provides rates of influenza vaccination among hospital workers. All of the reports but one — healthcare worker vaccination—relied on hospital data in the federal National Healthcare Safety Network reporting system.
Here are several key findings from the CDPH’s reports:
• Half of all hospitals providing critical care to infants reported no CLABSIs in those patient care locations.
• Long-term acute care hospitals have infection rates that are more than twice those of general acute-care hospitals, most likely because patients stay longer in long-term care facilities.
• Forty-nine percent of the hospitals reported no MRSA, and 59 percent reported no VRE. Rates of MRSA and VRE were significantly higher in major teaching and long-term acute-care hospitals, where more severely ill patients receive care than in pediatric hospitals and community hospitals.
• In 93 percent of the instances in which central-line insertion practices were required, hospital staff complied with those policies.
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