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. 2021 Mar 15:1–4. doi: 10.1017/ice.2021.108

Table 1.

Preliminary National Central-Line–Associated Bloodstream Infection (CLABSI) Standardized Infection Ratios (SIRs) in US Acute-Care Hospitals During the Early Months of the COVID-19 Pandemic, April 2020–June 2020

Characteristic Reporting Hospitals in 2020 Q2a Total Reporting Hospitals in 2019 Q2b Observed CLABSI Predicted CLABSI Central- Line Days 2020 Q2 SIR 2019 Q2 SIR SIR % Changec 95% Confidence Interval for the SIR % Change Facility-Level Distribution of the Standardized Infection Ratio (SIR) for 2020 Q2d
10% 25% 50% 75% 90% 100%
All Hospitals 2,986 3,594 2,887 3,334.17 3,302,324 0.87e 0.68e 28.0f (20.0 to 33.6) 0.00 0.00 0.68 1.17 1.96 6.72
Location type
CC 2,513 3,070 1,911 1,836.02 1,707,981 1.04 0.75e 38.7f (29.2 to 48.5) 0.00 0.00 0.78 1.51 2.31 6.49
CC_ONC 19 21 10 10.93 10,706 0.91 1.08 −15.7 (−63.2 to 89.6) … … … … … …
NICU 812 1,035 162 305.93 219,115 0.53e 0.65e −18.5 (−33.4 to 0.5) 0.00 0.00 0.00 0.80 1.26 2.56
Wardg 2,852 3,478 804 1,181.29 1,364,522 0.68e 0.60e 13.3f (2.3 to 23.9) 0.00 0.00 0.51 0.99 1.81 7.89
Bed size
<100 beds 1,117 1,341 114 124.46 180,626 0.92 0.66e 39.4f (4.2 to 82.7) … … … … … …
100–199 beds 774 921 418 429.09 520,542 0.97 0.74e 31.1f (14.2 to 52.7) 0.00 0.00 0.77 1.56 2.42 6.24
200–299 beds 474 553 505 594.21 612,958 0.85 0.66e 28.8f (13.0 to 46.7) 0.00 0.00 0.62 1.08 2.01 6.72
300– 499 beds 426 536 820 1,030.37 956,115 0.80e 0.62e 29.0f (15.6 to 41.5) 0.00 0.00 0.64 1.20 1.99 4.76
500–699 beds 123 156 549 620.14 557,211 0.89 0.68e 30.9f (15.7 to 48.3) 0.14 0.39 0.73 1.11 1.74 4.31
>700 beds 72 88 481 535.91 474,872 0.90 0.80e 12.5 (−0.8 to 27.9) 0.30 0.50 0.85 1.14 1.70 2.17
HHS Region
1 - Upper Northeast 116 147 137 128.45 133,833 1.07 0.74e 44.6f (11.3 to 88.4) 0.00 0.00 0.92 1.19 2.72 4.48
2 - Middle Northeast 131 254 111 159.39 162,136 0.70e 0.67e 4.5 (−20.0 to 36.6) 0.00 0.00 0.42 1.31 1.86 3.46
3 - Lower Northeast 286 336 357 379.91 368,526 0.94 0.70e 34.3f (14.4 to 56.3) 0.00 0.00 0.70 1.14 1.99 3.83
4 - Southeast 694 786 660 802.99 786,484 0.82e 0.72e 13.9f (2.0 to 26.9) 0.00 0.12 0.65 1.07 1.89 6.72
5 - Great Lakes 460 576 498 525.58 514,927 0.95 0.71e 33.8f (16.7 to 51.7) 0.00 0.00 0.67 1.40 1.97 4.82
6 - South Central 494 597 366 442.18 442,148 0.83e 0.76e 9.2 (−6.2 to 25.4) 0.00 0.31 0.71 1.16 1.83 2.90
7 - Middle Plains 163 188 134 160.40 157,863 0.84e 0.68e 23.5 (−4.1 to 56.1) 0.00 0.00 0.75 1.11 1.91 2.62
8 - Northern Plains 135 143 107 107.02 106,249 1.00 0.62e 61.3f (19.9 to 121.2) 0.00 0.45 0.81 1.54 2.18 2.83
9 - West 400 454 434 508.19 505,247 0.85e 0.57e 49.1f (30.2 to 74.7) 0.00 0.00 0.63 1.20 2.28 4.64
10 - Northwest 105 112 82 119.25 123,656 0.69e 0.45e 53.3f (10.3 to 114.6) 0.00 0.00 0.61 1.17 1.90 2.70

Note. CC, critical care; CC_ONC, oncology critical care; NICU, neonatal intensive care units; HHS, Department of Health and Human Services.

a

Includes hospitals reporting three months of complete CLABSI surveillance data for the same location in both 2019 Q2 and 2020 Q2.

b

Includes all hospitals reporting 3 months of complete CLABSI surveillance data for 2019 Q2 (will be greater than consistent and continuous reporters).

c

Calculated as follows: [(SIR for 2020 Q2 – SIR for 2019 Q2)/SIR for 2019 Q2 × 100].

d

If there were <20 SIRs nationally, the distribution is displayed as missing.

e

Significantly different from 1; P < .05.

f

Significant difference between 2020 Q2 and 2019 Q2 SIRs; P < .05.

g

Includes the following location types: medical ward, medical surgical ward, pediatric medical surgical ward, pediatric medical ward, surgical ward, and pediatric surgical ward.