MRSA Bacteremia in HA Hospitals - 2011 & 2012 Hospital Authority, HKSAR Data source: CDARS - MRSA statistics from MRSA Surveillance System
(133) 2012- (141) (5) 2012- (8) (8) 2012- (18) (22) 2012- (24) (7) 2012- (9) (8) 2012- (13) (7) 2012- (7) (11) 2012- (15) (13) 2012- (11) (2) 2012- (3) 2012- (2) (9) 2012- (8) (19) 2012- (11) (2) 2012- (3) (7) 2012- (3) (10) 2012- (6) Number of MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.054 0.071 4 0.112 0.111 0.098 0.091 0.086 0.080 0.074 0.070 0.063 4 8 0.138 0.138 0.171 0.171 0.173 0.159 0.147 0.143 0.150 0.144 0.188 0.184 0.176 0.203 0.221 0.212 0.262 0.414 MRSA bacteremia in acute beds in HA group 1 hospitals - 2011 & 2012 0.45 0.40 0.35 0.30 0.25 0.20 0.15 0.05 0.00 1 POH UCH TMH CMC KWH YCH PWH PYN AHN RH PMH QEH TKO NDH QMH HA By Hospital Hospitals - Quarter (Number of MRSA bacteremia episodes in acute beds) Data source: MRSA Surveillance System (CDARS) Remark: Hospitals ordered by rate in 2012- (descending), then by rate in (descending)
(12) 2012- (8) (2) 2012- (2) (7) (2) 2012- (2) 2012- (3) (1) 2012- (2) (4) (4) (1) 0.022 0.035 0.028 0.027 0.021 0.029 0.025 0.025 0.030 0.019 Number of MRSA bacteremia episodes/1,000 patient days 0.046 0.041 0.053 0.071 0.070 0.112 0.135 0.136 0.135 0.155 0.272 MRSA bacteremia in HA non-group 1 hospitals - 2011 & 2012 0.30 0.25 0.20 0.15 0.05 0.00 2 3 4 5 FYK - SH - BH - GH - HHH - WTS - KH - OLM - TWH - TWE - BBH - CHC - CHS - CPH - Gp4 DKC - HKE - KCH - Gp4 ML - SJH - SLH - Gp4 TPH - WCH - HA Data source: MRSA Surveillance System (CDARS) By Hospital Hospitals - Hospital group - Quarter (Number of MRSA bacteremia episodes) Remark: Hospitals ordered by rate in 2012- (descending), then by rate in (descending)
MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.20 MRSA bacteremia in acute beds in HA group 1 hospitals since 2008 MRSA bacteremia episodes in acute beds/1,000 acute patient days Regression line - MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.18 0.16 0.14 0.12 (179) (178) (164) (151) Data source: MRSA Surveillance System(CDARS) (160) (156) (179) (159) (147) (142) (140) (152) (160) Year - Quarter (Number of MRSA bacteremia episodes in acute beds) (142) (147) (133) 2012- (141)
(63) 2012- (57) 2012- (3) (12) 2012- (13) 2012- (6) 2012- (2) (4) 2012- (3) (9) 2012- (6) (6) 2012- (4) (2) 2012- (4) (1) 2012- (2) 2012- (2) (6) 2012- (4) (4) 2012- (3) (7) 2012- (4) Number of MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.026 0.027 0.023 0.031 0.029 0.042 0.052 0.049 0.049 0.045 0.043 0.043 0.056 0.053 0.065 0.063 0.059 0.065 0.079 0.074 0.069 0.075 0.091 0.085 0.098 0.111 0.115 0.157 0.155 0.18 MRSA bacteremia detected after 48 hours of admission in acute beds in HA group 1 hospitals - 2011 & 2012 0.16 0.14 0.12 0.08 0.06 0.04 0.02 0.00 1 POH TMH KWH AHN CMC PWH PYN UCH TKO YCH PMH QMH QEH NDH RH HA By Hospital Hospitals - Quarter (Number of MRSA bacteremia episodes in acute beds) Data source: MRSA Surveillance System (CDARS) Remark: Hospitals ordered by rate in 2012- (descending), then by rate in (descending)
(10) 2012- (7) (2) 2012- (2) (2) 2012- (2) 2012- (3) (2) (1) (1) (2) (1) 0.009 Number of MRSA bacteremia episodes/1,000 patient days 0.019 0.029 0.021 0.028 0.027 0.029 0.025 0.025 0.030 0.046 0.041 0.053 0.067 0.071 0.070 0.068 0.068 0.091 0.112 0.135 MRSA bacteremia detected after 48 hours of admission in HA non-group 1 hospitals - 2011 & 2012 0.16 0.14 0.12 0.08 0.06 0.04 0.02 0.00 2 3 4 5 FYK - SH - BH - GH - HHH - WTS - KH - OLM - TWH - TWE - BBH - CHC - CHS - CPH - Gp4 DKC - HKE - KCH - Gp4 ML - SJH - SLH - Gp4 TPH - WCH - HA Data source: MRSA Surveillance System (CDARS) By Hospital Hospitals - Hospital group - Quarter (Number of MRSA bacteremia episodes) Remark: Hospitals ordered by rate in 2012- (descending), then by rate in (descending)
MRSA bacteremia episodes in acute beds/1,000 acute patient days MRSA bacteremia detected after 48 hours of admission in acute beds in HA group 1 hospitals since 2008 MRSA bacteremia episodes detected after 48 hours of admission in acute beds/1,000 acute patient days Regression line - MRSA bacteremia episodes detected after 48 hours of admission in acute beds/1,000 acute patient days 0.09 0.08 0.07 0.06 0.05 (97) (83) (74) (75) (59) (65) (82) (78) (69) (62) (63) (67) (64) (58) (52) (63) 2012- (57) Year - Quarter (Number of MRSA bacteremia episodes in acute beds) Data source: MRSA Surveillance System(CDARS)
(98) 2012- (105) (12) 2012- (21) (4) 2012- (6) (8) 2012- (14) (5) 2012- (11) (7) 2012- (7) (6) 2012- (8) (6) 2012- (7) (10) 2012- (6) (16) 2012- (9) (1) 2012- (3) (5) 2012- (5) 2012- (2) (2) 2012- (2) (6) 2012- (3) (7) Number of MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.054 0.042 0.137 0.139 0.124 0.122 0.126 0.116 0.110 0.162 0.187 0.189 0.202 0.200 0.203 0.247 0.238 0.252 0.256 0.237 0.308 0.293 0.284 0.313 0.324 0.315 0.311 0.363 0.385 0.392 0.460 0.494 MRSA bacteremia in acute beds in HA group 1 hospitals - MED department - 2011 & 2012 0.60 0.50 0.40 0.30 0.20 0.00 1 TMH POH UCH KWH YCH CMC PWH PYN QEH TKO PMH RH AHN QMH NDH HA By Hospital Hospitals - Quarter (Number of MRSA bacteremia episodes in acute beds) Data source: MRSA Surveillance System (CDARS) Remark: Hospitals ordered by rate in 2012- (descending), then by rate in (descending)
(4) 2012- (5) (1) 2012- (2) (6) (1) 2012- (2) (2) 2012- (3) (1) (1) 0.031 0.036 0.033 0.041 Number of MRSA bacteremia episodes / 1,000 patient days 0.067 0.055 0.054 0.083 0.099 0.135 0.193 0.220 0.247 0.247 0.273 0.363 0.363 MRSA bacteremia in HA non-group 1 hospitals - MED department - 2011 & 2012 0.40 0.35 0.30 0.25 0.20 0.15 0.05 0.00 2 3 5 FYK - SH - BH - GH - HHH - OLM - TWH - KH - SJH - TPH - TWE - WTS - HA Data source: MRSA Surveillance System (CDARS) By Hospital Hospitals - Hospital group - Quarter (Number of MRSA bacteremia episodes) Remark: Hospitals ordered by rate in 2012- (descending), then by rate in (descending)
MRSA bacteremia episodes/1,000 patient days 0.26 MRSA bacteremia in HA hospitals - MED department since 2008 MRSA bacteremia episodes/1,000 patient days Regression line - MRSA bacteremia episodes/1,000 patient days 0.24 0.22 0.20 0.18 0.16 (130) (139) (131) (111) Data source: MRSA Surveillance System(CDARS) (133) (126) (133) (120) (106) (107) (108) (112) Year - Quarter (Number of MRSA bacteremia episodes) (126) (109) (117) (105) 2012- (106)
Appendix I: Definition MRSA bacteremia is defined as isolation of MRSA from blood cultures; Duplicate positive cultures within a two-week period from the same patient should be regarded as a single episode.
Appendix II: Hospital Code & Hospital Name Hospital Code HA 1 Hospitals Hospital Name Hospital Code HA Non-group 1 Hospitals Hospital Name AHN Alice Ho Miu Ling Nethersole Hospital BBH Bradbury Hospice CMC Caritas Medical Centre BH Hong Kong Buddhist Hospital KWH Kwong Wah Hospital CHC Cheshire Home, Chung Hum Kok NDH North District Hospital CHS Cheshire Home, Shatin PMH Princess Margaret Hospital CPH Castle Peak Hospital POH Pok Oi Hospital DKC Duchess Of Kent Children s Hospital At Sandy Bay PWH Prince Of Wales Hospital FYK Tung Wah Of Hospitals-Fung Yiu King Hospital PYN Pamela Youde Nethersole Eastern Hospital GH Grantham Hospital QEH Queen Elizabeth Hospital HHH Haven Of Hope Hospital QMH Queen Mary Hospital HKE Hong Kong Eye Hospital RH Ruttonjee Hospital KCH Kwai Chung Hospital TKO Tseung Kwan O Hospital KH Kowloon Hospital TMH Tuen Mun Hospital ML Maclehose Medical Rehabilitation Centre UCH United Christian Hospital OLM Our Lady Of Maryknoll Hospital YCH Yan Chai Hospital SH Shatin Hospital SJH SLH TPH TWE TWH WCH WTS St John Hospital Siu Lam Hospital Tai Po Hospital Tung Wah Eastern Hospital Tung Wah Hospital Wong Chuk Hang Hospital Twghs Wong Tai Sin Hospital
Appendix III: Hospital & Description Hospital Code Hospital Description 1 General acute hospitals with 24 hour A&E services 2 Hospitals with a mix of acute and non-acute services 3 Non-acute or infirmary hospitals 4 Psychiatirc hospitals 5 Acute hospitals of special nature