TABLE 3.
Distribution of Pathogens From Device-Associated Infections Reported to the National Healthcare Safety Network (NHSN), by Location, 2011–2014
| Location | No. (%) of units reporting (n = 17,600) | No. (%) of pathogens by HAI type | |||
|---|---|---|---|---|---|
| Overall (n = 259,142) | CLABSI (n = 96,532) | CAUTI (n = 153,805) | VAPa (n = 8,805) | ||
| Acute care hospitals | |||||
| Critical care units | |||||
| Adult medical | 748 (4.3) | 21,758 (8.4) | 6,333 (6.6) | 14,659 (9.5) | 766 (8.7) |
| Adult medical/surgical | 2,807 (15.9) | 54,453 (21.0) | 16,943 (17.6) | 34,773 (22.6) | 2,737 (31.1) |
| All other adult critical care | 1,871 (10.6) | 59,851 (23.1) | 15,046 (15.6) | 40,909 (26.6) | 3,896 (44.2) |
| Pediatric critical care | 376 (2.1) | 5,812 (2.2) | 3,544 (3.7) | 1,960 (1.3) | 308 (3.5) |
| Neonatal intensive care (NICU)b | 791 (4.5) | 8,483 (3.3) | 7,844 (8.1) | … | 639 (7.3) |
| Inpatient wards | |||||
| Adult medical ward | 1,484 (8.4) | 11,872 (4.6) | 5,139 (5.3) | 6,729 (4.4) | 4 (<0.1) |
| Adult medical/surgical ward | 2,977 (16.9) | 20,460 (7.9) | 7,886 (8.2) | 12,526 (8.1) | 48 (0.5) |
| All other adult ward and step-down | 3,648 (20.7) | 27,967 (10.8) | 8,867 (9.2) | 18,990 (12.3) | 110 (1.2) |
| Pediatric ward and step-down | 379 (2.2) | 2,092 (0.8) | 1,756 (1.8) | 333 (0.2) | 3 (<0.1) |
| Other locations | |||||
| Oncologyc | 616 (3.5) | 13,628 (5.3) | 11,399 (11.8) | 2,222 (1.4) | 7 (0.1) |
| Chronic care | 54 (0.3) | 507 (0.2) | 166 (0.2) | 309 (0.2) | 32 (0.4) |
| Long-term acute care (LTAC) hospitalsd | |||||
| LTAC critical caree | 91 (0.5) | 1,642 (0.6) | 748 (0.8) | 885 (0.6) | 9 (0.1) |
| LTAC wardf | 705 (4.0) | 25,185 (9.7) | 10,410 (10.8) | 14,529 (9.4) | 246 (2.8) |
| Inpatient rehabilitation facilities (IRF)d | |||||
| Free-standing | 312 (1.8) | 2,242 (0.9) | 126 (0.1) | 2,116 (1.4) | … |
| Within a healthcare facilityg | 15 (0.1) | 74 (<0.1) | 8 (<0.1) | 66 (<0.1) | … |
| Location within acute care hospitalh | 726 (4.1) | 3,116 (1.2) | 317 (0.3) | 2,799 (1.8) | … |
NOTE. CAUTI, catheter-associated urinary tract infection; CLABSI, central line-associated bloodstream infection; HAI, healthcare-associated infection; VAP, ventilator-associated pneumonia.
This report includes VAP data from 2011–2012 only.
NICU locations included are those classified by NHSN location codes as level II/III and level III neonatal critical care areas.
A level II/III neonatal critical care area is defined by NHSN as a combined nursery housing both level II and III newborns and infants. A level III neonatal critical care area is defined by NHSN as a hospital NICU organized with personnel and equipment to provide continuous life support and comprehensive care for extremely high-risk newborn infants and those with complex and critical illness.
Includes Oncology locations of all acuity levels (critical care, ward, and step-down) located within general acute care hospitals and oncology hospitals.
LTAC and IRF Quality Reporting Programs began in October 2012, and therefore data reported from these facilities may not be inclusive of the entire 4-year period shown in the table.
Includes adult and pediatric LTAC critical care units.
Includes adult and pediatric LTAC wards.
IRFs that function as part of a larger healthcare facility.
Rehabilitation wards located within enrolled acute care hospitals and defined as IRFs per the Centers for Medicare and Medicaid Services IRF Quality Reporting Program.