NH DHHS - Fourth Annual Hospital and First Ambulatory Surgery Center (ASC) Healthcare-Associated Infections Reports Released

Concord, NH – The New Hampshire Department of Health and Human Services

(DHHS), Division of Public Health Services (DPHS) today released the 2012

Healthcare-Associated Infections (HAIs) Hospital Report and the 2012

Healthcare-Associated Infections (HAIs) Ambulatory Surgery Center (ASC)

Report based on data from the 31 hospitals and 27 ASCs in the State. The

reports, mandated by law, look at the rates of specific HAIs. For

hospitals, central line–associated bloodstream infections,

catheter-associated urinary tract infections, and surgical site infections

following heart, colon, abdominal hysterectomy, and knee surgeries are

reported. For ASCs, surgical site infections following breast, hernia, and

open reduction of fracture procedures are reported.

The reports also provide data on hospitals’ and ASCs’ compliance with

measures that are put in place to protect patients from acquiring

infections. These data include infection prevention practices during

central line insertions in hospitals, the appropriate use of antimicrobials

during surgical procedures in hospitals and ASCs, and influenza vaccination

rates among hospital and ASC staff.

“The numbers for hospitals are showing improvement over last year so we

are encouraged by that and hope to see continued improvement in the

future,” said Dr. José Montero. “It is also good to get data from

Ambulatory Surgical Centers for the first time. The intent of this data

tracking is to find out how we are doing as a State and to make

improvements to better protect the health of New Hampshire’s citizens and

we are pleased that that is happening.”


Overall, statewide infection rates in hospitals are showing improvement

compared with national data. A total of 198 HAIs were reported by hospitals

in 2012, compared with 110 in 2011, 114 in 2010, and 134 in 2009. There

were more infections reported in 2012 as hospital reporting requirements

were expanded in 2012. The overall observed number of HAIs in New Hampshire

hospitals was 25% lower than expected based on national data; there were

54% fewer central line-associated bloodstream infections and 29% fewer

surgical site infections. There were 11% more catheter-associated urinary

tract infections but this difference is not statistically significant and

the number of infections observed is considered similar to national data.

Statewide hospital adherence to four infection-prevention practices during

central line insertions was 96.2% (similar to 2011). Antimicrobial

prophylaxis was given accurately more often than the national average (over

97%). The overall staff influenza vaccination rate in hospitals was 91.2%,

which has been significantly improving since 2008 and exceeds the Healthy

People 2020 goal of 90%.

Ambulatory Surgery Centers:

Overall, statewide infection rates in ASCs are similar compared with

national data. A total of four surgical site infections were reported by

ASCs for 2012 and the overall observed number of surgical site infections

in NH ASCs was 43% fewer than expected based on national data. This

difference is not significant and considered similar to national data.

Statewide ASC adherence to intravenous antibiotic prophylactic timing

guidelines to prevent surgical site infection was 98.4%. The overall staff

influenza vaccination rate in ASCs was 83.5%.

The collection of the data is meant to be a tool for hospitals and

ambulatory surgery centers to track their progress and identify areas that

require special attention, for DHHS to see where improvements can be made,

and to help inform consumers. To view the report, visit