by Tammra Morrison, RN, BSN
Introducing the NC Division of Public Health’s SHARPPS Program!
Formerly known as the HAI Program, the Surveillance of Healthcare-Associated Infections and Resistant Pathogens Patient Safety (SHARPPS) Program is the new name chosen to better reflect the broader scope of work conducted on a daily basis. Team members include Zack Moore (medical director), Jennifer MacFarquhar (program director), Tammra Morrison (program coordinator), Heather Dubendris (epidemiologist), and Kristin Pridgen (campaign coordinator). This team conducts surveillance, provides guidance, education, and training, and assists with outbreak investigations relevant in all types of healthcare settings.
CDC Annual State Healthcare Associated Infections Progress Report
Each year CDC produces a progress report which details progress in reducing healthcare associated infections (HAI) within acute care hospitals. Released on March 3, this report compares NC acute care hospitals to those on a national level. Data included in this report are from 2014 and from acute care hospitals only. The Progress Report can be located here: http://www.cdc.gov/hai/surveillance/progress-report/index.html.
Highlights from the NC Progress Report:
- Almost all types of reported healthcare associated infections in NC were lower or demonstrated no significant difference when compared to the national baseline in 2014.
- Catheter-associated urinary tract infections (CAUTIs) was the only type of healthcare associated infection in NC that demonstrated a higher number of infections than the national baseline in 2014.
CDC Antibiotic Resistance Patient Safety Atlas
In response to the growing threat of antimicrobial resistance in healthcare facilities, the CDC has created the Antibiotic Resistance Patient Safety Atlas, a public portal that provides a visual display of summary data on antibiotic resistance. Data reflected in the Atlas have been reported to CDC through the National Healthcare Safety Network (NHSN) during 2011—2014 for three healthcare-associated infections. These infections include: central line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), and surgical site infections (SSI). Thirty-one antibiotic-resistant bacteria are included in the Atlas; for each of these, the percent resistance is provided for the geographic area and time period of interest (I.e. NC, 2014). Also released on March 3, the Atlas can be located here: http://gis.cdc.gov/grasp/PSA/.
There are several limitations when viewing data within the Atlas. These limitations include:
- The reports only include resistant bacteria associated with three specific types of infections and are not representative of total burden of resistance within a state
- Reporting requirements have changed over the 2011—2014 timeframe, so caution should be used when looking at data over time
- Facilities may use different methods to classify resistance, thus the Atlas classification of Susceptible, Resistant, Intermediate may not be consistently applied across facilities
A few key highlights from NC data (across all infections and all age groups):
- For the majority of resistant organisms, there were no significant differences detected between the percent resistant in North Carolina compared to the national percent resistance. (This includes carbapenem-resistant Enterobacteriaceae.)
- The percentage of resistant Acinetobacter in North Carolina is significantly lower compared to the national percent resistance.
- The percentage of Staphylococcus aureus bacteria in North Carolina that were resistant is significantly higher than the national percent resistance.