Vancomycin-Resistant Enterococci (VRE) Bloodstream Infections in California Hospitals

Description

California Health and Safety Code section 1288.55(a)(1) requires general acute care hospitals to report all cases of vancomycin-resistant enterococci (VRE) bloodstream infections (BSI) to the California Department of Public Health (CDPH). Hospitals report VRE data to CDPH via the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) following NHSN protocols and definitions. CDPH downloads California hospital VRE BSI data from NHSN and analyzes the data to describe prevention progress in an annual public report of healthcare-associated infections. CDPH publishes annual VRE BSI data in datasets that include the number of VRE BSI reported by each California hospital in the specified reporting year and the hospital-onset VRE BSI rate. The VRE BSI rate is calculated by dividing the number of cases by the total number of patient days; the rate is then reported per 10,000 patient days. VRE BSI rates are not risk adjusted because there are no such methods available at this time. Aggregate mean rates used for comparisons are stratified by hospital type (and for community hospitals, by bed size). The unadjusted VRE BSI rates herein are affected by the clinical services provided, infection control practices, and surveillance methods. Detailed information about the variables included in each dataset are described in the accompanying data dictionaries for the year of interest. For general information about NHSN, surveillance definitions, and reporting requirements for VRE, please visit: https://www.cdc.gov/nhsn/index.html To link the CDPH facility IDs with those from other Departments, including OSHPD, 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/HAIreport.aspx

Resources

Name Format Description Link
53 Data Dictionary for VRE BSI in CA Hospitals tables for 2018 https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/b44b8d27-a970-44b7-864f-2ded1166517d/download/vre-bsi-2018-datadictionary-ca-cdph.xlsx
53 Data Dictionary for VRE BSI in CA Hospitals tables for 2016 https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/586a77ad-ec0f-4cf4-9219-87bdc50ba929/download/vrebsi-2016-datadictionary.xlsx
53 Data Dictionary for VRE BSI in CA Hospitals tables for 2019 https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/98bce285-bba6-4961-b1d3-24269f7730d8/download/vre-bsi-2019-datadictionary-ca-cdph.xlsx
53 VRE-Data Dictionary, July to December 2020 https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/6d1dd4b9-0a8f-4bcc-96c0-49a538f4159b/download/cdph_vre_bsi_datadictionary_2020h2.xlsx
53 Data Dictionary for VRE in Hospitals tables https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/08e6d627-f799-4a68-bb9b-d99872b54abc/download/vre-bsi-ca-cdph-dd.xlsx
57 vancomycin-resistant-enterococci-vre-bloodstream-infections-in-california-hospitals-k6vc5l8a.zip https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/8d39852c-5959-40f2-aa2d-704c8776807f/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-california-hospitals-k6vc5l8a.zip
8 VRE BSI in Hospitals, 2022 - Data Dictionary https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/2ed12342-0151-457c-ac7c-b904bf7f58eb/download/cdph_vre_bsi_datadictionary_2022.csv
53 VRE-Data Dictionary, January to June 2020 https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/2a3061d3-30d6-488b-8f09-28de8171cdb9/download/cdph_vre_bsi_datadictionary_2020h1.xlsx
53 Data Dictionary for VRE BSI in CA Hospitals tables for 2017 https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/bb85edd4-32dd-4ebc-a9ba-2ed575ebff68/download/vrebsi-sir-2017-datadictionary-ca-cdph.xlsx
57 vancomycin-resistant-enterococci-vre-bloodstream-infections-in-california-hospitals-xrc_7b.zip https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/8d39852c-5959-40f2-aa2d-704c8776807f/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-california-hospitals-xrc_7b.zip
8 This table shows the incidence rates of hospital onset (HO) vancomycin-resistant Enterococci bloodstream infections (VRE BSI) reported by California general acute care hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). See VRE dataset description for hospital types. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/60f8a886-5147-483f-b733-7611443ffef9/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-hospitals-2014.csv
53 VRE BSI in Hospitals, 2021 - Data Dictionary https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/a2144f95-5db5-4824-ab5f-c2d2001ffd6b/download/cdph_vre_bsi_datadictionary_2021.xlsx
8 This table shows the incidence rates of hospital onset (HO) vancomycin-resistant Enterococci bloodstream infections (VRE BSI) reported by California general acute care hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). See VRE dataset description for hospital types. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/5457db14-2e65-4be3-be00-92f9a734ac63/download/vrebsi-2017-ca-cdph.csv
8 This table shows the incidence rates of hospital onset (HO) vancomycin-resistant Enterococci bloodstream infections (VRE BSI) reported by California general acute care hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). See VRE dataset description for hospital types. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/48035cd7-419e-41bf-9e5c-952d3787449e/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-hospitals-2016.csv
8 This table shows the July through December 2020 hospital-onset vancomycin-resistant enterococci bloodstream infections (VRE BSI) data reported by California hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 01, 2021. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/39a89f59-a34d-4872-b6c4-0605ea6a6538/download/cdph_vre_bsi_odp_2020h2.csv
8 This table shows the 2019 hospital-onset vancomycin-resistant enterococci bloodstream infections (VRE BSI) data reported by California hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on February 24, 2020. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/bcb94b04-8472-4e60-b123-2b8170e778ae/download/cdph_vre_bsi_odp_2019.csv
8 This table shows the incidence rates of hospital onset (HO) vancomycin-resistant Enterococci bloodstream infections (VRE BSI) reported by California general acute care hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). See VRE dataset description for hospital types. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/1410dd2e-13f4-411f-97f9-5659771ae0e6/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-hospitals-2015.csv
8 This table shows the January through December 2023 hospital-onset vancomycin-resistant enterococci bloodstream infections (VRE BSI) data reported by California hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 3, 2024. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/606bffd7-eb26-43e0-a24a-1c15444f1f65/download/cdph_vre_bsi_odp_2023.csv
8 This table shows the January through December 2022 hospital-onset vancomycin-resistant enterococci bloodstream infections (VRE BSI) data reported by California hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 1, 2023. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/53c25af5-736c-49d7-b593-73c1b23d0c80/download/cdph_vre_bsi_odp_2022.csv
8 This table shows the January through December 2021 hospital-onset vancomycin-resistant enterococci bloodstream infections (VRE BSI) data reported by California hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on March 28, 2022. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/3c6ba8e0-3580-4547-bb7b-7508acd48fe7/download/cdph_vre_bsi_odp_2021.csv
8 This table shows the January through December 2024 hospital-onset vancomycin-resistant enterococci bloodstream infections (VRE BSI) data reported by California hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 16, 2025. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/0a17db8a-4dae-4204-8cc3-c1f00e52a8d0/download/cdph_vre_bsi_odp_2024.csv
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/0a17db8a-4dae-4204-8cc3-c1f00e52a8d0/download/cdph_vre_bsi_odp_2024.csv https://data.ca.gov/datastore/dictionary_download/7d4e99e2-1f43-4258-aa76-0f5b8c24f7bc
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/606bffd7-eb26-43e0-a24a-1c15444f1f65/download/cdph_vre_bsi_odp_2023.csv https://data.ca.gov/datastore/dictionary_download/33409881-2a33-4e67-961f-ccb2a1622b1e
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/53c25af5-736c-49d7-b593-73c1b23d0c80/download/cdph_vre_bsi_odp_2022.csv https://data.ca.gov/datastore/dictionary_download/8f18ad33-9eed-43d8-af46-122775994e23
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/3c6ba8e0-3580-4547-bb7b-7508acd48fe7/download/cdph_vre_bsi_odp_2021.csv https://data.ca.gov/datastore/dictionary_download/01c85993-c3ef-4878-ab4c-83cc7b18a8de
8 This table shows the January through June 2020 hospital-onset vancomycin-resistant enterococci bloodstream infections (VRE BSI) data reported by California hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Data were downloaded from NHSN on April 01, 2021. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/0b5145dc-68d6-45b9-a62a-cfce17423082/download/cdph_vre_bsi_odp_2020h1.csv
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/0b5145dc-68d6-45b9-a62a-cfce17423082/download/cdph_vre_bsi_odp_2020h1.csv https://data.ca.gov/datastore/dictionary_download/1389d312-f4cf-4f94-9775-96f347f66da1
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/bcb94b04-8472-4e60-b123-2b8170e778ae/download/cdph_vre_bsi_odp_2019.csv https://data.ca.gov/datastore/dictionary_download/bb3702c9-6607-46ef-81a4-6abc01110d61
8 This table shows the incidence rates of hospital onset Vancomycin-resistant enterococcal bloodstream infections (VRE BSI) reported by California hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). Data were downloaded on February 27, 2019. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/513507da-2f66-4ecc-943e-eb98a7ba9749/download/cdph_vre_bsi_odp_2018.csv
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/48035cd7-419e-41bf-9e5c-952d3787449e/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-hospitals-2016.csv https://data.ca.gov/datastore/dictionary_download/284c09e7-db69-4ff4-abfc-bc3a6ee28e73
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/1410dd2e-13f4-411f-97f9-5659771ae0e6/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-hospitals-2015.csv https://data.ca.gov/datastore/dictionary_download/e9b0a243-e3e8-44e0-adae-638f202051a4
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/60f8a886-5147-483f-b733-7611443ffef9/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-hospitals-2014.csv https://data.ca.gov/datastore/dictionary_download/8fe83365-7801-4018-bae3-77f699e941ce
8 This table shows the incidence rates of hospital onset (HO) vancomycin-resistant Enterococci bloodstream infections (VRE BSI) reported by California general acute care hospitals to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN). See VRE dataset description for hospital types. https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/4fbcf637-63d4-4af4-8c64-0fdaa3214767/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-hospitals-2013.csv
8 Data Dictionary for https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/4fbcf637-63d4-4af4-8c64-0fdaa3214767/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-hospitals-2013.csv https://data.ca.gov/datastore/dictionary_download/72f4df9b-0aab-47f7-b59a-1edaf14fad24
57 vancomycin-resistant-enterococci-vre-bloodstream-infections-in-california-hospitals-0_4m0u45.zip https://data.chhs.ca.gov/dataset/268b4c72-7104-424d-97f0-e3a34c36d245/resource/8d39852c-5959-40f2-aa2d-704c8776807f/download/vancomycin-resistant-enterococci-vre-bloodstream-infections-in-california-hospitals-0_4m0u45.zip

Tags

  • delivery-of-health-care
  • microbial-antibiotic-resistance
  • rehabilitation-facility
  • enterococcus
  • bacterial-infections
  • california-department-of-public-health
  • multi-drug-resistance
  • epidemiology
  • microbial-drug-resistance
  • infection-control
  • antimicrobial-resistance
  • surveillance
  • nosocomial-infections
  • antibiotic-resistance
  • multiple-drug-resistance
  • pediatric-hospital
  • hai
  • vancomycin
  • community-hospitals
  • multidrug-resistance
  • hospital-infections
  • cross-infection
  • healthcare-facilities
  • hospitals
  • rehabilitation-center
  • healthcare
  • hospital-acquired-infection
  • long-term-care

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