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March 3, 2016—The Centers for Disease Control and Prevention (CDC) released three resources related to healthcare-associated infection prevention and antimicrobial resistance. Read APIC’s press statement related to these resources.
CDC’s latest Vital Signs report urges healthcare personnel to use a combination of infection prevention and control recommendations to better protect patients from antibiotic-resistant bacteria.
The report notes that in acute care hospitals, 1 in 7 catheter- and procedure-related HAIs can be caused by any of the six antibiotic-resistant bacteria: carbapenem-resistant Enterobacteriaceae (CRE), methicillin-resistant Staphylococcus aureus (MRSA), ESBL-producing Enterobacteriaceae (extended-spectrum β-lactamases), vancomycin-resistant Enterococcus (VRE), multidrug-resistant Pseudomonas aeruginosa, and multidrug-resistant Acinetobacter. That number increases to 1 in 4 infections in long-term acute care hospitals.
The Antibiotic Resistance HAI Patient Safety Atlas is a new web app with interactive data on HAIs caused by antibiotic-resistant bacteria. The tool provides national, regional, and state map views of superbug/drug combinations showing percent resistance over time. The Atlas uses data reported to CDC’s National Healthcare Safety Network from 2011 to 2014 from more than 4,000 healthcare facilities. This tool is meant to assist clinicians, healthcare leaders, and state and local public health authorities in learning when well-adapted resistant strains are emerging and spreading in a region.
CDC’s annual National and State HAI Progress Report shows that progress has been made in decreasing hospital-onset C. difficile infections by 8 percent between 2011 and 2014. The report also notes that acute care hospitals have achieved:
- A 50 percent decrease in central line-associated bloodstream infections (CLABSIs) between 2008 and 2014.
- 1 in 6 remaining CLABSIs are caused by urgent or serious antibiotic-resistant bacteria.
- A 17 percent decrease in surgical site infections (SSIs) between 2008 and 2014 related to 10 procedures tracked in previous HAI progress reports.
- 1 in 7 remaining SSIs are caused by urgent or serious antibiotic-resistant bacteria.
- No change in the overall catheter-associated urinary tract infections (CAUTIs) between 2009 and 2014. During this time, however, there was progress in non-ICU settings, progress in all settings between 2013 and 2014, and most notably, even more progress in all settings towards the end of 2014.
- 1 in 10 CAUTIs are caused by urgent or serious antibiotic-resistant bacteria.
Access the latest annual HAI progress report.
Other helpful resources:
CDC: Antibiotic resistance threats in the U.S., 2013
The White House: National action plan for combatting antibiotic resistance, 2015
CDC Vital Signs: Stop the spread of antibiotic resistance, 2015
CDC Vital Signs: Antibiotic Rx in hospitals: Proceed with caution, 2014
CDC Vital Signs: Stopping C. difficile infections, 2012
APIC: Antimicrobial stewardship (lists various resources including joint APIC/SHEA paper published in March 2012)