Clostridioides difficile infections (CDI) in California Hospitals

Description

California Health and Safety Code section 1288.55(a)(1) requires general acute care hospitals to report all cases of Clostridioides difficile infections (CDI) identified in their facilities to the California Department of Public Health (CDPH). CDI data are submitted by hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). CDPH downloads California hospital CDI data from NHSN and analyzes the data to describe prevention progress in an annual public report of healthcare-associated infections CDPH publishes annual CDI data reported by each California hospital in the datasets below. The following datasets include the number of CDI reported by each California hospital in the specified reporting year. Beginning in 2016 for each California hospital, the annual CDI dataset includes the number of CDI that were predicted to occur in each hospital based on its specific facility-level characteristics. The observed (reported) number of CDI are then compared to the predicted number of CDI in a ratio called the Standardized Infection Ratio or SIR. The SIR is a metric that summarizes an individual hospital’s CDI prevention progress compared with the national baseline and California state-specific prevention goals. Detailed information about the variables included in each dataset are described in the accompanying data dictionaries for the year of interest. For more information about the SIR and NHSN’s statistical models that are used to calculate the predicted number of CDI for each hospital, please review “NHSN’s Guide to the SIR”: https://www.cdc.gov/nhsn/ps-analysis-resources/index.html For general information about NHSN, surveillance definitions, and reporting requirements for CDI, please visit: https://www.cdc.gov/nhsn/index.html To link the CDPH facility IDs with those from other Departments, including HCAI, please reference the "Licensed Facility Cross-Walk" Open Data table at: https://data.chhs.ca.gov/dataset/licensed-facility-crosswalk. For information about healthcare-associated infection prevention progress in California hospitals and statewide prevention goals, please visit: https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/AnnualHAIReports.aspx

Resources

Name Format Description Link
53 CDIs in Hospitals, 2021 - Data Dictionary https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/e192eac6-c00d-4527-9a23-636b29266a2b/download/cdph_cdi_datadictionary_2021.xlsx
53 CDIs-Data Dictionary, January to June 2020 https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/d6f41a07-e90d-4cb7-ac8d-9865b66ff670/download/cdph_cdi_datadictionary_2020h1.xlsx
53 Data dictionary for CDIs in California Hospitals, 2019 https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/e6fd5129-0075-45d2-b382-be480e565577/download/cdi-sir-2019-datadictionary-ca-cdph.xlsx
53 Data dictionary for CDIs in California Hospitals, 2018 https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/7acc5b0f-68ad-4abd-88a7-c0955f30738e/download/cdi-sir-2018-datadictionary-ca-cdph.xlsx
53 Data dictionary for CDIs, 2017 https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/5e5dd4e0-474c-42e9-aa6b-bec644b5da50/download/cdi-sir-2017-datadictionary-ca-cdph.xlsx
53 Data Dictionary for CDIs, 2016 https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/33607a93-793b-4a14-a014-09f0adc3b85f/download/cdi-sir-2016-datadictionary.xlsx
8 This table has data regarding Clostridioides difficile infections reported by California hospitals to the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). Data downloaded on February, 27 2019. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/4b85e99f-705b-471b-8e45-5c39b13b6135/download/cdph_cdi_odp_2018.csv
8 CDIs in Hospitals, 2022 - Data Dictionary https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/e14a5460-878e-41ef-8f42-0ec4589ba661/download/cdph_cdi_datadictionary_2022.csv
8 This table shows the January through December 2023 hospital-onset Clostridioides difficile infections (CDI) data reported by California hospitals to the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 3, 2024. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/09c10355-5116-4e73-a748-adf347f9c693/download/cdph_cdi_2023.csv
53 Data Dictionary for CDIs in Hospitals https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/a739f187-e33d-4bc5-a904-7c78b9e0efe6/download/clostridiumdifficileinfectionscdiinhospitals-dd.csv
57 clostridioides-difficile-infections-cdi-in-california-hospitals-fmn3a6.zip https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/ae0e5f21-d086-4097-8fe3-7ac3ab1d60b3/download/clostridioides-difficile-infections-cdi-in-california-hospitals-fmn3a6.zip
53 Data Dictionary for CDIs in REHABs https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/19a6ff9c-1756-4928-b45d-b607046835cf/download/clostridiumdifficileinfectionscdiinrehabilitationfacilities-dd.xlsx
53 CDIs-Data Dictionary, July to December 2020 https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/34b06791-9233-43b7-b0b6-bc66385526f1/download/cdph_cdi_datadictionary_2020h2.xlsx
8 This table shows the 2019 hospital-onset Clostridioides difficile infections (CDI) data reported by California hospitals to the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on February 24, 2020. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/d42b9d08-6548-4276-93fe-2cf320c2a10f/download/cdph_cdi_odp_2019.csv
8 This table shows the Center for Disease Control and Prevention National Healthcare Safety Network (NHSN) standardized infection ratios (SIR) of hospital onset (HO) Clostridium difficile infections (CDI) reported by California hospitals. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/d625b1a8-6acf-48f4-8ef7-4f990538682f/download/clostridium-difficile-infections-cdi-all-2016.csv
8 This table shows the January through June 2020 hospital-onset Clostridioides difficile infections (CDI) data reported by California hospitals to the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 1, 2021. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/a493de7c-2f3d-4cb2-b5e5-51c125394c81/download/cdph_cdi_odp_2020h1.csv
8 This table shows the Center for Disease Control and Prevention National Healthcare Safety Network (NHSN) standardized infection ratios (SIR) of hospital onset (HO) Clostridium difficile infections (CDI) reported by California hospitals. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/acd16536-43b5-476f-8c26-d582d3bb62dc/download/cdi_2017_ca_cdph.csv
8 This table shows the incidence rates of hospital onset Clostridium difficile infections (CDI) and use of polymerase chain reaction (PCR) reported by California free-standing rehabilitation acute care hospitals and rehabilitation units with their own Centers for Medicare and Medicaid Services certification number (CCN). https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/888c1740-e315-4397-97cf-c58e42927a9a/download/clostridium-difficile-infections-cdi-in-rehabilitation-facilities-2015.csv
8 This table shows the incidence rates of hospital onset Clostridium difficile infections (CDI) and use of polymerase chain reaction (PCR) reported by California free-standing rehabilitation acute care hospitals and rehabilitation units with their own Centers for Medicare and Medicaid Services certification number (CCN). https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/40c9af64-c7b8-4d3a-bfad-e0d25bb418bf/download/clostridium-difficile-infections-cdi-in-rehabilitation-facilities-2014.csv
8 This table shows the incidence rates of hospital onset Clostridium difficile infections (CDI) and use of polymerase chain reaction (PCR) reported by California free-standing rehabilitation acute care hospitals and rehabilitation units with their own Centers for Medicare and Medicaid Services certification number (CCN). https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/a53bff11-c905-4779-a61f-4008413e916c/download/clostridium-difficile-infections-cdi-in-rehabilitation-facilities-2013.csv
8 This table shows the incidence rates of hospital onset Clostridium difficile infections (CDI) and use of polymerase chain reaction (PCR) reported by California long-term acute care (LTAC) hospitals. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/fec81dc5-de44-406e-8a8b-ca74dc0f0dc3/download/clostridium-difficile-infections-cdi-in-long-term-acute-care-2015.csv
8 This table shows the incidence rates of hospital onset Clostridium difficile infections (CDI) and use of polymerase chain reaction (PCR) reported by California long-term acute care (LTAC) hospitals. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/e2b4e292-af57-4621-beaf-6f5632703abe/download/clostridium-difficile-infections-cdi-in-long-term-acute-care-2013.csv
57 clostridioides-difficile-infections-cdi-in-california-hospitals-3_be7lez.zip https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/ae0e5f21-d086-4097-8fe3-7ac3ab1d60b3/download/clostridioides-difficile-infections-cdi-in-california-hospitals-3_be7lez.zip
8 This table shows the January through December 2022 hospital-onset Clostridioides difficile infections (CDI) data reported by California hospitals to the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 1, 2023. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/f27e9bb8-8469-4b0e-80c6-5f576dfad9dd/download/cdph_cdi_2022.csv
8 This table shows the January through December 2021 hospital-onset Clostridioides difficile infections (CDI) data reported by California hospitals to the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on March 28, 2022. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/a5a0c09e-8917-46eb-9f37-3e4f96dec40f/download/cdph_cdi_odp_2021.csv
8 This table shows the July through December 2020 hospital-onset Clostridioides difficile infections (CDI) data reported by California hospitals to the Centers for Disease Control and Prevention National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 1, 2021. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/1efe4937-350b-468d-b2a0-c50d134b36eb/download/cdph_cdi_odp_2020h2.csv
8 This table shows the Center for Disease Control and Prevention National Healthcare Safety Network (NHSN) standardized infection ratios (SIR) of hospital onset (HO) Clostridium difficile infections (CDI) reported by California general acute care hospitals other than long-term and rehabilitation acute care hospitals. These data are in reference to original national baseline data collected by NHSN (i.e. Baseline 1). For information about Baseline 1 and the 2015 rebaseline for data 2016-present, please refer to https://www.cdc.gov/nhsn/2015rebaseline/index.html https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/a93635ce-3493-4632-bbb3-c5a39c6689a6/download/clostridium-difficile-infections-cdi-in-hospitals-2015.csv
8 This table shows the Center for Disease Control and Prevention National Healthcare Safety Network (NHSN) standardized infection ratios (SIR) of hospital onset (HO) Clostridium difficile infections (CDI) reported by California general acute care hospitals other than long-term and rehabilitation acute care hospitals. These data are in reference to original national baseline data collected by NHSN (i.e. Baseline 1). For information about Baseline 1 and the 2015 rebaseline for data 2016-present, please refer to https://www.cdc.gov/nhsn/2015rebaseline/index.html https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/162bb4a6-c6a1-4422-a54f-472477a9a7e7/download/clostridium-difficile-infections-cdi-in-hospitals-2013.csv
8 This table shows the incidence rates of hospital onset Clostridium difficile infections (CDI) and use of polymerase chain reaction (PCR) reported by California long-term acute care (LTAC) hospitals. https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/c1d8ad30-fcf3-4138-8d78-688266786a02/download/clostridium-difficile-infections-cdi-in-long-term-acute-care-2014.csv
53 Data Dictionary for CDIs in LTACs https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/8c49c8f8-f1a9-4f7e-95c3-f716776bc518/download/clostridiumdifficileinfectionscdiinlong-termacutecare-dd.xlsx
8 This table shows the Center for Disease Control and Prevention National Healthcare Safety Network (NHSN) standardized infection ratios (SIR) of hospital onset (HO) Clostridium difficile infections (CDI) reported by California general acute care hospitals other than long-term and rehabilitation acute care hospitals. These data are in reference to original national baseline data collected by NHSN (i.e. Baseline 1). For information about Baseline 1 and the 2015 rebaseline for data 2016-present, please refer to https://www.cdc.gov/nhsn/2015rebaseline/index.html https://data.chhs.ca.gov/dataset/430e3d9b-5129-4b2b-b466-c7819894817e/resource/ca69ffd3-0c4f-493d-8216-0046a59118f2/download/clostridium-difficile-infections-cdi-in-hospitals-2014.csv

Tags

  • california-department-of-public-health
  • epidemiology
  • cdi
  • bacterial
  • surveillance
  • nosocomial-infections
  • healthcare-acquired-infections
  • hai
  • cross-infection
  • hospital
  • clostridium-difficile
  • healthcare

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