Clostridium-difficile-infections-acquired-hospital

INDICATOR NAME

Name

C. difficile infections acquired in hospital

Alternate Name

Rate of hospital-acquired C. difficile Infection

INDICATOR DESCRIPTION

Description

The indicator measures the incidence rate of hospital acquired Clostridium difficile infection (CDI) within Ontario hospitals per 1,000 patient days.

Indicator Status

Active

HQO Reporting tool/product

Public reporting

Dimension

Safe

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Rate per 1,000 patient-days

Calculation Methods

Numerator divided by the denominator times 1,000

Numerator including inclusion/exclusion

Total number of new nosocomial (i.e. hospital acquired) CDI Cases.

Inclusions:

1. Cases in all publicly funded hospitals.

2. Inpatient beds.

3. Laboratory-confirmed CDI cases (i.e. confirmation of a positive toxin assay (A/B) for Clostridium difficile together with diarrhea or visualization of pseudomembranes on sigmoidoscopy or colonoscopy, or histological/pathological diagnosis of pseudomembranous colitis).

4. New nosocomial case associated with the reporting facility defined as - the infection was not present on admission (i.e., onset of symptoms > 72 hours after admission) or the infection was present at the time of admission but was related to a previous admission to the same facility within the last 4 weeks and the case has not had CDI in the past 8 weeks.

Exclusion:

Patients less than 1 year of age

Denominator including inclusion/exclusion

Total number of inpatient days

Inclusions:

1. Patient days in all publicly funded hospitals.

2. Inpatient beds.

Exclusions: Patients less than 1 year of age.

Adjustment (risk, age/sex standardization)- detailed

None

Data Source

Self-Reporting Initiative (SRI)

Data provided to HQO by

Ministry of Health and Long-Term Care (MOHLTC)

Reported Levels of comparability /stratifications (defined)

Region, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

Data are self-reported by hospitals. Results include only hospital-acquired infections.

Comments Detailed

This indicator was reported via QIP from 2013-2017 but as of 2017/18 this indicator has been retired from QIP.