Illinois Statewide Report Of Methicillin-resistant Staphylococcus .

Transcription

Illinois Statewide Report of Methicillin-resistant Staphylococcus aureus (MRSA) Bloodstream Infections in Acute CareHospitals, NHSN Surveillance Reporting January 1, 2012 – December 31, 2012As of January 1, 2012, all Illinois hospitals began mandated reporting of blood cultures positive for MRSA using the Center for Disease Control andPrevention’s National Healthcare Safety Network (NHSN) Multidrug-Resistant Organizm (MDRO) Laboratory-identified (LabID) Event module.NHSN reporting enables a facility to rely almost exclusively on data obtained from the laboratory and allows the calculation of proxy measures of MRSAbloodstream events, exposures and healthcare acquisition. This is the first annual Illinois Department of Public Health report for hospital-onset MRSApositive blood cultures, using data submitted by hospitals to NHSN expressed as Standardized Infection Ratio (SIR).Standardized Infection RatioThe standardized infection ratio (SIR) and corresponding 95% confidence intervals for each LabID event type is calculated for facilities reportingHealthcare Facility Onset (HO) Incidence Rate of MRSA data to NHSN. The SIRs use risk models to determine the predicted number of MRSA infectionsbased on the baseline data (referent population, 2010-2011 Inpatient facility-wide NHSN surveillance data), adjusting for significant risk factors. Acomparison of the actual number of HO incident cases with the predicted number of infections is the SIR for that hospital. Three factors were found to besignificant in predicting HO MRSA bacteremia LabID incidence: medical school affiliation, facility bedsize, and CO MRSA bacteremia prevalence rate. Thisdata represents the first twelve months of reporting of MRSA to NHSN, and establishes an annual baseline of MRSA incidence at the facility level.Additional information regarding these output options and the risk models can be found at: ntMRSA-CDI.pdfIllinois Statewide Methicillin-resistant Staphylococcus aureus (MRSA), Illinois Department of Public HealthJune, 20131

Methicillin-Resistant Staphylococcus aureus (MRSA) Infections Standardized Infection Ratio (SIRa)Reportable Period: January 1, 2012 – December 31, 2012STATEWIDEHospitalCityObserved[O]Number ofMRSAInfectionsNumberof PatientDaysStatistically"Predicted"[P] Numberof MRSAInfectionsbSIRc O/P95% ConfidenceInterval [CI]dLowereUpperStatisticalInterpretationfADVOCATE LUTHERAN GENERAL HOSPITALPARK RIDGE316662410.200.290.060.86LowerMEMORIAL MEDICAL ENTIST GLENOAKS HOSPITALGLENDALE HTS1299262.110.470.012.64SimilarADVENTIST HINSDALE HOSPITALHINSDALE1612522.680.370.012.08SimilarLA GRANGE0387281.660.002.23SimilarADVOCATE BROMENN MEDICAL CENTERNORMAL2431101.591.260.154.54SimilarADVOCATE CHRIST HOSPITAL & MEDICALCENTEROAK 50733.520.570.072.05SimilarADVENTIST LA GRANGE MEMORIALHOSPITALADVOCATE CONDELL MEDICAL CENTERADVOCATE GOOD SAMARITAN HOSPITALDOWNERS GROVE0791423.230.001.14SimilarADVOCATE GOOD SHEPHERD OCATE ILLINOIS MASONIC DVOCATE SOUTH SUBURBAN HOSPITALHAZEL 90.500.012.80SimilarELK GROVE ilarCHICAGO1699483.920.250.011.42SimilarBLESSING HOSPITALQUINCY6629942.582.330.865.07SimilarCARLE FOUNDATION GRA EGRA L DUPAGE CATE TRINITY HOSPITALALEXIAN BROTHERS MEDICAL CENTERALTON MEMORIAL HOSPITALANDERSON HOSPITALANN & ROBERT H LURIE CHILDREN'SHOSPITAL OF CHICAGOMethicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public HealthJune, 20132

HospitalDECATUR MEMORIAL HOSPITALCityObserved[O]Number ofMRSAInfectionsNumberof PatientDaysStatistically"Predicted"[P] Numberof MRSAInfectionsbSIRc O/P95% ConfidenceInterval 7272.531.19DELNOR HOSPITALGENEVA0326631.350.00EDWARD HOSPITALNAPERVILLE3959784.260.70ELMHURST MEMORIAL HOSPITALELMHURST0586572.350.00FRANCISCAN ST. JAMES HEALTHCHICAGO HEIGHTS10892244.802.091.003.83SimilarFRANCISCAN ST. JAMES HEALTHOLYMPIA FIELDS10892244.802.091.003.83SimilarGALESBURG COTTAGE WAY REGIONAL MEDICAL CENTERGRANITE CITY1396011.500.670.023.71SimilarGOOD SAMARITAN REGIONAL HEALTHCENTERMOUNT imilarHARVEY2762755.760.350.041.26SimilarJACKSON PARK HOSPITALCHICAGO2373661.391.440.175.19SimilarJOHN H STROGER JR HOSPITAL OF VERGREEN 0.770.024.29SimilarMELROSE PARK3496742.191.370.284.01SimilarLOYOLA UNIVERSITY MEDICAL IAL .430.900.252.31SimilarHERRIN HOSPITALHOLY CROSS HOSPITALINGALLS MEMORIAL HOSPITALLITTLE COMPANY OF MARY HOSPITAL & HCCENTERSLORETTO HOSPITALLOYOLA GOTTLIEB MEMORIAL HOSPITALMEMORIAL HOSPITAL OF CARBONDALEMERCY HOSPITAL & MEDICAL CENTERMETHODIST MEDICAL CENTER OF ILLINOISMETROSOUTH MEDICAL CENTERMOUNT SINAI HOSPITALNORTHSHORE UNIV HS EVANSTON HOSPITALNORTHSHORE UNIV HS GLENBROOKHOSPITALNORTHSHORE UNIV HS HIGHLAND rBLUE 38SimilarGLENVIEW0450651.820.002.03SimilarHIGHLAND PARK0423691.740.002.13SimilarMethicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public HealthJune, 20133

HospitalNORTHSHORE UNIV HS SKOKIE HOSPITALCityObserved[O]Number ofMRSAInfectionsNumberof PatientDaysStatistically"Predicted"[P] Numberof MRSAInfectionsbSIRc O/P95% ConfidenceInterval 18583.570.001.03SimilarARLINGTON HEIGHTS6980926.360.940.352.06SimilarLAKE FOREST1308381.160.870.024.82SimilarNORTHWESTERN MEMORIAL WEGIAN-AMERICAN 0.820.471.33SimilarOSF ST JOSEPH MEDICAL CENTERBLOOMINGTON0261171.110.003.32SimilarPALOS COMMUNITY HOSPITALNORTHWEST COMMUNITY HOSPITALNORTHWESTERN LAKE FOREST HOSPITALOSF SAINT ANTHONY MEDICAL CENTEROSF SAINT FRANCIS MEDICAL CENTERPALOS HEIGHTS6790533.761.600.593.48SimilarPRESENCE COVENANT MEDICAL CENTERURBANA2337652.050.980.123.52SimilarPRESENCE MERCY MEDICAL CENTERAURORA3512862.161.390.294.07SimilarPRESENCE OUR LADY OF THE RESURRECTIONMEDICAL CENTERCHICAGO1483423.030.330.011.84SimilarPRESENCE RESURRECTION MEDICAL 0.383.53SimilarPRESENCE SAINT JOSEPH ESENCE SAINT JOSEPH MEDICAL 1205075.740.870.282.03SimilarPRESENCE ST MARYS NCE UNITED SAMARITANS PEORIA0296291.180.003.12SimilarRIVERSIDE MEDICAL D MEMORIAL HOSPITALROCKFORD1654572.980.340.011.87SimilarRUSH OAK PARK HOSPITALOAK PARK1268471.710.590.023.26SimilarRUSH UNIVERSITY MEDICAL COPLEY MEDICAL 81111.441.390.175.02SimilarPRESENCE SAINT FRANCIS HOSPITALPRESENCE SAINT JOSEPH HOSPITAL-CHICAGOPRESENCE SAINTS MARY AND ELIZABETHMEDICAL CENTERPROCTOR HOSPITALSARAH BUSH LINCOLN HEALTH CENTERMethicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public HealthJune, 20134

HospitalSHERMAN HOSPITALCityObserved[O]Number ofMRSAInfectionsNumberof PatientDaysStatistically"Predicted"[P] Numberof MRSAInfectionsbSIRc O/P95% ConfidenceInterval 3972.800.001.32SimilarSILVER CROSS HOSPITALNEW LENOX31294565.710.530.111.54SimilarSOUTH SHORE N imilarCHICAGO2414991.851.080.133.91SimilarST ALEXIUS MEDICAL CENTERST ANTHONY HOSPITALST ANTHONY'S MEMORIAL HOSPITALST BERNARD HOSPITAL & HEALTH CARECENTERST ELIZABETH'S HOSPITALBELLEVILLE1468502.360.420.012.36SimilarST JOHN'S T MARY'S HOSPITALCENTRALIA0255311.010.003.64SimilarST MARY'S H AMERICAN SH COVENANT HOSPITALCHICAGO7830405.451.290.522.65SimilarTHOREK HOSPITAL & MEDICAL CENTERCHICAGO0250381.200.003.07SimilarTRINITY MEDICAL CENTER-ROCK ISLANDROCK ISLAND5809583.881.290.423.01SimilarUNIVERSITY OF CHICAGO MEDICAL RSITY OF ILLINOIS MEDICAL CENTERAT UARD WEISS MEMORIAL RD WEST SUBURBAN MEDICALCENTEROAK PARK4272883.131.280.353.27SimilarMELROSE 81.010.123.66SimilarVANGUARD MACNEAL HOSPITALBERWYN10802873.343.001.445.51ABRAHAM LINCOLN MEMORIAL HOSPITALLINCOLN251380.21SIR Not AvailableBOLINGBROOK0213090.98SIR Not AvailableADVOCATE EUREKA HOSPITALEUREKA017710.06SIR Not AvailableCARLINVILLE AREA HOSPITALCARLINVILLE022080.08SIR Not AvailableSTERLING0184480.79SIR Not AvailableVANGUARD WESTLAKE HOSPITALVISTA MEDICAL CENTER EASTADVENTIST BOLINGBROOK HOSPITALCGH MEDICAL CENTERMethicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public HealthJune, 2013Higher5

HospitalCityObserved[O]Number ofMRSAInfectionsNumberof PatientDaysStatistically"Predicted"[P] Numberof MRSAInfectionsbSIRc O/P95% ConfidenceInterval Y MEMORIAL HOSPITALSTAUNTON08620.03SIR Not AvailableCRAWFORD MEMORIAL HOSPITALROBINSON041650.18SIR Not AvailableMOUNT VERNON035620.25SIR Not AvailableDR JOHN WARNER HOSPITALCLINTON013480.05SIR Not AvailableFAIRFIELD MEMORIAL HOSPITALFAIRFIELD042200.17SIR Not AvailableFAYETTE COUNTY HOSPITALVANDALIA026450.10SIR Not AvailableFERRELL HOSPITALELDORADO030890.18SIR Not AvailableFREEPORT0169060.63SIR Not AvailableBENTON010920.04SIR Not AvailableSILVIS0145710.55SIR Not AvailableGIBSON CITY027590.13SIR Not AvailableCANTON1189720.81SIR Not AvailableGREENVILLE053360.19SIR Not AvailableMCLEANSBORO026850.10SIR Not AvailableGENESEO030670.11SIR Not AvailableHARRISBURG086980.40SIR Not AvailableCROSSROADS COMMUNITY HOSPITALFHN MEMORIAL HOSPITALFRANKLIN HOSPITALGENESIS MEDICAL CENTER-ILLINI CAMPUSGIBSON AREA HOSPITAL & HEALTH SERVICESGRAHAM HOSPITALGREENVILLE REGIONAL HOSPITALHAMILTON MEMORIAL HOSPITAL DISTRICTHAMMOND-HENRY HOSPITALHARRISBURG MEDICAL CENTERHEARTLAND REGIONAL MEDICAL CENTERMARION2171980.65SIR Not AvailableHILLSBORO AREA HOSPITALHILLSBORO025390.14SIR Not AvailableHOOPESTON COMMUNITY MEMORIALHOSPITALHOOPESTON010310.04SIR Not AvailableHOPEDALE MEDICAL COMPLEXHOPEDALE128320.10SIR Not AvailableILLINI COMMUNITY HOSPITALPITTSFIELD018410.07SIR Not AvailablePERU1100070.36SIR Not AvailableJERSEYVILLE039990.14SIR Not AvailableILLINOIS VALLEY COMMUNITY HOSPITALJERSEY COMMUNITY HOSPITALKATHERINE SHAW BETHEA HOSPITALKEWANEE HOSPITALKISHWAUKEE COMMUNITY HOSPITALLAWRENCE COUNTY MEMORIAL HOSPITALMARSHALL BROWNING HOSPITALMASSAC MEMORIAL HOSPITALDIXON0151400.54SIR Not AvailableKEWANEE018740.10SIR Not AvailableDE KALB0209600.95SIR Not AvailableLAWRENCEVILLE026130.13SIR Not AvailableDUQUOIN022830.08SIR Not AvailableMETROPOLIS039130.17SIR Not AvailableMethicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public HealthJune, 20136

HospitalMCDONOUGH DISTRICT HOSPITALCityObserved[O]Number ofMRSAInfectionsNumberof PatientDaysStatistically"Predicted"[P] Numberof MRSAInfectionsbSIRc O/P95% ConfidenceInterval 2790.32SIR Not AvailableMEMORIAL HOSPITALCARTHAGE030080.15SIR Not AvailableMEMORIAL HOSPITALCHESTER048130.17SIR Not AvailableMENDOTA137940.30SIR Not AvailableMERCER COUNTY HOSPITALALEDO05930.02SIR Not AvailableMERCER COUNTY HOSPITALALEDO05930.02SIR Not AvailableMERCY HARVARD HOSPITALHARVARD014080.05SIR Not AvailableMETHODIST HOSPITAL OF CHICAGOCHICAGO0247420.94SIR Not AvailableMIDWEST MEDICAL CENTERMENDOTA COMMUNITY HOSPITALGALENA014160.05SIR Not AvailableMIDWESTERN REGIONAL MEDICAL CENTERZION0160700.74SIR Not AvailableMORRIS HOSPITAL & HEALTHCARE CENTERSMORRIS3172080.84SIR Not AvailableMORRISON027870.10SIR Not AvailableOSF SAINT ELIZABETH MEDICAL CENTEROTTAWA0140520.56SIR Not AvailableOSF SAINT JAMES-JOHN W ALBRECHTMEDICAL CENTERPONTIAC048490.17SIR Not AvailableGALESBURG0153660.83SIR Not AvailablePANA010200.04SIR Not AvailablePARIS COMMUNITY HOSPITALPARIS021690.12SIR Not AvailablePASSAVANT AREA HOSPITALJACKSONVILLE1135130.76SIR Not AvailablePEKIN1180220.70SIR Not AvailablePRINCETON138760.17SIR Not AvailablePINCKNEYVILLE012130.04SIR Not AvailableDES PLAINES010800.06SIR Not AvailablePROVIDENT HOSPITAL OF COOK COUNTYCHICAGO163050.30SIR Not AvailableRED BUD REGIONAL HOSPITALRED BUD059960.22SIR Not AvailableMORRISON COMMUNITY HOSPITALOSF ST MARY MEDICAL CENTERPANA COMMUNITY HOSPITALPEKIN HOSPITALPERRY MEMORIAL HOSPITALPINCKNEYVILLE COMMUNITY HOSPITALPRESENCE HOLY FAMILY MEDICAL CENTERRICHLAND MEMORIAL HOSPITALOLNEY1189250.95SIR Not AvailableROCHELLE COMMUNITY HOSPITALROCHELLE016540.06SIR Not AvailableROSELAND COMMUNITY HOSPITALCHICAGO0211160.76SIR Not AvailableSACRED HEART HOSPITALCHICAGO1156140.67SIR Not AvailableMethicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public HealthJune, 20137

HospitalCityObserved[O]Number ofMRSAInfectionsNumberof PatientDaysStatistically"Predicted"[P] Numberof MRSAInfectionsbSIRc O/P95% ConfidenceInterval [CI]dLowereStatisticalInterpretationfUpperSAINT ANTHONY'S HEALTH CENTERALTON0141670.74SIR Not AvailableSALEM TOWNSHIP HOSPITALSALEM027710.10SIR Not AvailableRUSHVILLE018510.07SIR Not AvailableSHELBYVILLE026620.13SIR Not AvailableCHICAGO022330.11SIR Not AvailableSPARTA034460.15SIR Not AvailableLITCHFIELD056020.33SIR Not AvailableMURPHYSBORO031160.16SIR Not AvailableST JOSEPH'S HOSPITALHIGHLAND043920.39SIR Not AvailableST JOSEPH'S HOSPITALBREESE038460.16SIR Not AvailableSPRING VALLEY083490.36SIR Not AvailableSTREATOR080060.29SIR Not AvailableTAYLORVILLE MEMORIAL HOSPITALTAYLORVILLE053070.26SIR Not AvailableTHOMAS H BOYD MEMORIAL HOSPITALCARROLLTON022000.11SIR Not AvailableTOUCHETTE REGIONAL HOSPITALCENTREVILLE0108670.46SIR Not AvailableANNA025080.17SIR Not AvailableVALLEY WEST COMMUNITY HOSPITALSANDWICH035800.25SIR Not AvailableVISTA MEDICAL CENTER WESTWAUKEGAN0140470.50SIR Not AvailableWABASH GENERAL HOSPITALMOUNT CARMEL027850.10SIR Not AvailableNASHVILLE014820.05SIR Not AvailableSARAH D CULBERTSON MEMORIAL HOSPITALSHELBY MEMORIAL HOSPITALSHRINERS HOSPITAL FOR CHILDRENSPARTA COMMUNITY HOSPITALST FRANCIS HOSPITALST JOSEPH MEMORIAL HOSPITALST MARGARET'S HEALTHST MARY'S HOSPITALUNION COUNTY HOSPITALWASHINGTON COUNTY HOSPITALaThe Standardized Infection Ratio (SIR) is a summary measure used to compare the actual number of MDRO events reported with the standardpopulation. It is the observed number of infections divided by the predicted number of infections.bPlease note that the predicted number of infections does not mean that you expect to get an infection when you are hospitalized.cIf the predicted number of infections is less than 1.00, the SIR is not calculated because it does not meet the minimum requirement for precision.dThe 95% confidence interval for a hospital’s standardized infection ratio (SIR) is the range of possible SIRs within which there is 95% confidence thatthe real SIR for that hospital lies. If the number of observed infections is less than 0 and the number predicted is greater than or equal to 1.00, a 95%confidence interval is reportedMethicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public HealthJune, 20138

eThe lower bound of the confidence interval is calculated only if the infection count is greater than 0.fStatistical Interpretation of SIR:· If the 95% confidence interval includes 1.00, the hospital's infection rate is “Similar” (not significantly different) from predicted.· If the SIR is greater than 1.00 and the 95% confidence interval does not include 1.00, the hospital's infection rate is significantly “Higher” thanpredicted.· If the SIR is less than 1.00 and the 95% confidence interval does not include 1.00, the hospital's infection rate is significantly “Lower” thanpredicted.NOTE: All conclusions are based on the assumption that the hospital’s patient population is similar to the referent population (NHSN 2010-2011pooled patient population)Methicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public HealthJune, 20139

CARLE FOUNDATION HOSPITAL URBANA 10 100550 6.16 1.62 0.78 2.99 Similar CENTEGRA HOSPITAL WOODSTOCK 1 30215 1.26 0.79 0.02 4.42 Similar . SARAH BUSH LINCOLN HEALTH CENTER MATTOON 2 28111 1.44 1.39 0.17 5.02 Similar . Methicillin-resistant Staphylococcus aureus (MRSA) NHSN Reporting, Illinois Department of Public Health