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Annual Hospital and Ambulatory Surgery Center Healthcare-Associated Infections Reports Released
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Bureau of Infectious Disease Control
Publish Date:
September 14, 2016

Concord, NH – The New Hampshire Department of Health and Human Services (DHHS), Division of Public Health Services (DPHS) has released the 2015 Healthcare-Associated Infections (HAI) Hospital Report and the 2015 Healthcare-Associated Infections (HAI) Ambulatory Surgery Center (ASC) Report. The reports, as mandated by law, report data on the occurrence of specific HAIs based on data from the 34 hospitals and 30 ASCs licensed in the State. For hospitals, central line-associated bloodstream infections, catheter-associated urinary tract infections, and surgical site infections following certain heart, colon, abdominal hysterectomy, and knee surgical procedures are reported. For ASCs, surgical site infections following certain breast, hernia, and open reduction of fracture surgical procedures are reported.

The reports also provide data on hospital and ASC compliance with measures that help protect patients from healthcare-associated infections. These data include adherence to infection prevention practices during central line insertions in hospitals, the appropriate use of antimicrobials during surgical procedures in ASC, and influenza vaccination coverage among hospital and ASC healthcare personnel.

“The Department’s goal is to continue to decrease the occurrence of infections in a healthcare setting. These reports help the State measure progress toward that goal,” said Marcella Bobinsky, Acting Public Health Director at DHHS. “Now that we have multiple years of data on healthcare-associated diseases, we can assess what is working to help prevent such infections, and where we need to refocus our efforts. They are also useful tools for consumers.”

Hospitals:

Overall, there were fewer observed infections than predicted in New Hampshire hospitals compared with national data. A total of 200 HAI were reported by hospitals in 2015, compared with 219 in 2014, 183 in 2013, 198 in 2012, 110 in 2011, 114 in 2010, and 134 in 2009. Year over year, the numbers have varied but there was an increase beginning in 2012, partially due to expanded reporting requirements that included catheter-associated urinary tract infections (CAUTIs) and abdominal hysterectomies. The overall observed number of HAI in hospitals in New Hampshire in 2015 was 27% lower than predicted based on national data; there were also 48% fewer central line-associated bloodstream infections and 18% fewer surgical site infections than predicted. There were 44% fewer CAUTIs than predicted, which was a significant decrease from 2014.

Statewide hospital adherence to four infection prevention practices during central line insertions was 98.2%, a slight but insignificant decrease from 2014 (98.3%). The overall healthcare personnel influenza vaccination coverage in hospitals was 93.7%, which has been significantly improving since 2008 and exceeds the Healthy People 2020 goal of 90%.

Ambulatory Surgery Centers:

Overall, statewide infection rates in ASC are similar in comparison with national data. A total of three surgical site infections were reported by ASC for 2015, compared with four in 2014, six in 2013 and four in 2012. The overall observed number of surgical site infections in New Hampshire ASC was 53% fewer than predicted based on national data; however, this difference is not significant and is considered similar to national data. Statewide, ASC adherence to intravenous antibiotic prophylaxis timing guidelines to prevent surgical site infection was 98.5% (similar to 2014), and the overall healthcare personnel influenza vaccination rate was 76.3% (significant decrease from last year, during which the rate was 85.7%).

The collection of the data is intended to be a tool for hospitals and ASC to track their progress and identify areas that require special attention, for DHHS to see where improvements can be made, and to help inform consumers. To view this and past reports, visit http://www.dhhs.nh.gov/dphs/cdcs/hai/publications.htm. If you have questions about the report, data presented, or to learn more about the Healthcare-Associated Infections (HAI) Program please call 603-271-4496 or email

 
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