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Table 2. National Standardized Infection Ratios (SIRs) and facility-specific percentiles using HAI data reported from all NHSN facilities reporting during 2010 by HAI and patient population: Central Line-associated Bloodstream Infections (CLABSIs), Catheter-associated Urinary Tract Infections (CAUTIs), and Surgical Site Infections (SSIs) combined procedures

HAI and Patient Population or Surgical Procedure No. of Facilities Reporting   No. of Infections

SIR 95% CI for SIR

Facility-specific SIRs at Key Percentiles1
Observed Predicted Lower Upper 10% 25% Median (50%) 75% 90%
CLABSI, all2 2,389   13,812 20,184.815 0.684 0.673 0.696 0.000 0.232 0.564 0.961 1.525
ICUs 3 2,140   7,206 11,020.512 0.654 0.639 0.669 0.000 0.197 0.538 0.947 1.531
Wards 4 1,069   5,241 7,200.263 0.728 0.708 0.748 0.000 0.187 0.533 0.972 1.560
NICUs 5 507   1,365 1,964.039 0.695 0.659 0.733 0.000 0.237 0.611 1.098 1.752
     
CAUTIs ,all6 1,086   9,995 10,656.872 0.938 0.920 0.956 0.000 0.293 0.734 1.243 1.900
ICUs3 806   5,621 5,811.590 0.967 0.942 0.993 0.000 0.252 0.714 1.345 1.865
Wards4 688   4,374 4,845.282 0.903 0.876 0.930 0.000 0.271 0.725 1.229 1.967
  No. of Procedures  
SSI, combined procedures7 1,385 529,038 4,737 5,170.309 0.916 0.890 0.943 0.000 0.325 0.799 1.292 1.813
Hip arthroplasty 954 128,721 1,091 1,123.897 0.971 0.914 1.030 0.000 0.239 0.799 1.408 2.252
Knee arthroplasty 966 192,804 1,090 1,221.747 0.892 0.840 0.947 0.000 0.000 0.695 1.329 2.143
Coronary artery bypass graft8  425 79,612 868 1,058.919 0.820 0.766 0.876 0.000 0.000 0.569 1.170 1.955
Cardiac surgery  165 19,036 119 142.436 0.835 0.692 1.000 0.000 0.000 0.637 0.916 1.451
Peripheral vascular bypass surgery  50 2,575 63 67.379 0.935 0.718 1.196 0.281 0.493 0.895 1.221 1.550
Abdominal aortic aneurysm repair  31 492 5 7.715 0.648 0.255 1.363 . . . . .
Colon surgery  462 37,383 971 1,067.917 0.909 0.853 0.968 0.000 0.257 0.788 1.367 1.871
Rectal surgery  21 685 28 21.792 1.285 0.854 1.857 0.000 0.000 1.141 1.771 2.289
Abdominal hysterectomy  604 54,113 407 382.109 1.065 0.964 1.174 0.000 0.000 0.765 1.594 2.526
Vaginal hysterectomy  233 13,617 95 76.398 1.243 1.006 1.520 0.000 0.359 0.906 1.177 1.991

Footnotes for Table 2:

  1. To improve estimating SIR distributions, facility-specific key percentiles were only calculated for patient populations or surgical procedures in which ≥20 facilities had a predicted number of HAIs (e.g., CLABSI, CAUTI, or SSI) ≥1 during the reporting period. If a single facility’s predicted number of HAIs was <1.0, a facility-specific SIR was neither calculated nor included in the determinations of the distribution of facility-specific SIRs.
  2. Data from all ICUs, wards (and other non-critical care locations), NICUs and LTAC locations (or facilities).
  3. Data from all ICUs; excludes wards (and other non-critical care locations), NICUs and LTAC locations (or facilities).
  4. Data from all wards (for this table wards also include stepdown, specialty care areas including hematology/oncology, bone marrow transplant, and LTAC locations or facilities)
  5. Data from all NICU locations, including Level II/III and Level III nurseries. For purposes of this report, both umbilical-line and central-line associated bloodstream infections are considered CLABSIs.
  6. Data from all ICUs, wards (and other non-critical care locations), and LTAC locations (or facilities).
  7. SSIs included are those following select surgical procedures approximating procedures covered by SCIP, using only SSIs that were classified as deep incisional or organ/space, and detected upon admission or readmission. (Specific NHSN procedures are listed in Appendix A.)
  8. Coronary artery bypass graft includes procedures with either chest only or chest and donor site incisions.

 

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