Twenty-one states posted decreases in central line-associated bloodstream infections (CLABSI) in 2010, according to a report from the Centers for Disease Control and Prevention. This translates to a 32% national reduction, which suggests that the national goal of reducing CLABSI by 50% by 2013 is within reach.
California, Massachusetts, Oregon, and Virginia are among the states posting CLABSI decreases. Only Arizona and Delaware reported increases between 2009 and 2010, while 20 states reported no change, including Indiana, New Hampshire, and Vermont. Seven states, including Alaska and Idaho, didn’t file a report.
Data was reported from January through December 2010; the referent period is January 2006 through December 2008. In all, 22 states and the District of Columbia require the use of the National Healthcare Safety Network, CDC’s healthcare infection monitoring system, for HAI reporting mandates.
A Landmark Report
This is the first time the CDC has released a state level standardized infection ratio for CLABSI from all 50 states, as well as Puerto Rico and the District of Columbia. The data were submitted by more than 2,400 healthcare facilities to the NHSN.
According to the National and State Healthcare-Associated Infections Standardized Infection Ratio Report, 13,812 CLABSIs were reported compared to 20,184 predicted in 2010. This translates into a standard infection rate (SIR) of 0.684. When stratified by patient care groupings, SIRs were lowest among non-neonatal critical care locations (0.654), followed by NICUs (0.695) and wards (0.728).