Infection Control for New York Health Care Professional ‒ 2024 Update ________________________________
PROJECTED GOALS AND ACTUAL IMPROVEMENT IN HAI RATES IN NEW YORK, 2015–2019 HAI Prevention Goal Actual Improvement Rate CDI 30% 45% Colon surgery SSI 30% 28% CLABSI 50% 27% CRE 25% 38% Coronary bypass/chest graft SSI 30% 23% Hip replacement or revision surgery SSI 30% 8% Abdominal hysterectomy surgery 30% -8% Source: [6} Table 1
The data show that the goals for decreased infections were met only in the categories of CDI and CRE; however, between 2015 and 2019, a total of 11,954 infections were prevented because of reductions in HAI rates, which were related to a cost savings of $143 million to $274 million [6]. The Hospital-Acquired Infections in New York State, 2019 Part 2: Technical Report shows the state infection prevalence rates for 2019, as well as data specific to each reporting hospitals throughout the state [6].
THE NEW YORK STATE DEPARTMENT OF HEALTH: INFECTION CONTROL TRAINING SYLLABUS SECTION 239 OF THE NEW YORK STATE PUBLIC HEALTH LAW: COURSE WORK OR TRAINING IN INFECTION CONTROL PRACTICES: HEALTH CARE PROVIDER INFECTION CONTROL TRAINING Laws § 239 and § 6505 require healthcare professionals to do the following [1]. Complete course work or training, appropriate to the professional’s practice, approved by the depart- ment regarding infection control, which shall include sepsis, and barrier precautions, including engineering and work practice controls in accor- dance with regulatory standards by the department in consultation with the department of education, to prevent the transmission of HIV, HBV, HCV, and infections that could lead to sepsis in the course of professional practice. Enhanced barrier precautions (EBP) in skilled nursing facilities, to address infection control of colonized multidrug- resistant organisms, are now included in the New York State infection control training course. In 2023, the CDC published the Hospital Sepsis Program Core Elements to guide a multidisciplinary, interprofessional approach among clinicians, hospitals, and healthcare systems to address identification, management, and recovery from sepsis [4]. The elements also address accountability through reporting, tracking, education, and training for all healthcare partners, families, and caregivers. The new CDC initiatives will be included in Element VII. The core Elements, I through VII, of the NYSDOH Infection Control Syllabus are outlined and expanded throughout the course. See NYSDOH on the reference page for the syllabus website [1]. Prior to studying each element, please review the specific glossary for that element included at the end of the course.
THE CDC 2021 NATIONAL AND STATE HEALTHCARE-ASSOCIATED INFECTIONS PROGRESS REPORT
According to the CDC, on any given day, about 1 in 31 hospi- tal patients has at least one healthcare-associated infection as last reviewed by the CDC. The CDC 2021 National and State Healthcare-Associated Infections Progress Report contains national and state data on HAI (this was last reviewed and published on November 4, 2022) for the following categories [7]: • Central line–associated bloodstream infections (CLABSI) • Catheter-associated urinary tract infections (CAUTI) • Ventilator-associated events (VAE) • Surgical site infections (SSI) • Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream events. • Clostridioides difficile ( C. difficile ) infection (CDI), formerly known as Clostridium difficile The CDC report provides specific standardized infection ratios (SIRs) representing the ratio of the observed number of infec- tions (events) to the number of predicted infections (events) for a summarized time period. The SIRs are a measure of progress in reducing HAI compared to previous baseline data. The current HAI progress report data for New York State show significant increases in infections between 2020 and 2021 for CLABSI, CAUTI, MRSA, and VAE with no significant change in CDI, abdominal hysterectomies, and colon surgeries [7].
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