MRSA Bacteremia in HA Hospitals 2017-Q2 & 2017-Q3

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MRSA Bacteremia in HA Hospitals 2017-Q2 & 2017-Q3 Hospital Authority, HKSAR Data source: CDARS - MRSA statistics from MRSA Surveillance System

2017-Q2 (172) 2017-Q3 (164) 2017-Q2 (9) 2017-Q3 (18) 2017-Q2 (23) 2017-Q3 (24) 2017-Q2 (6) 2017-Q3 (8) 2017-Q2 (8) 2017-Q3 (20) 2017-Q2 (7) 2017-Q3 (5) 2017-Q2 (5) 2017-Q3 (8) 2017-Q2 (7) 2017-Q3 (10) 2017-Q2 (23) 2017-Q3 (17) 2017-Q2 (14) 2017-Q3 (20) 2017-Q2 (10) 2017-Q3 (6) 2017-Q2 (12) 2017-Q3 (8) 2017-Q2 (10) 2017-Q2 (14) 2017-Q3 (9) 2017-Q2 (21) 2017-Q3 (6) Number of MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.028 0.077 0.099 0.099 0.091 0.088 0.081 0.071 0.063 0.080 9 0.110 0.142 0.137 0.140 0.139 0.129 0.128 0.129 0.169 0.161 6 1 0.192 0.179 0.176 0.182 0.189 0.220 0.219 0.248 0.351 MRSA bacteremia in acute beds in HA group 1 hospitals - 2017-Q2 & 2017-Q3 0.40 0.35 0.30 0.25 0.15 0.05 0.00 1 CMC PMH POH QMH RH NDH KWH TMH QEH TKO PYN YCH PWH UCH AHN NLT 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 2017-Q3 (descending), then by rate in 2017-Q2 (descending)

2017-Q2 (12) 2017-Q3 (3) 2017-Q3 (3) 2017-Q3 (2) 0.011 0.014 Number of MRSA bacteremia episodes/1,000 patient days 0.019 0.023 0.022 0.032 0.040 0.044 0.035 0.035 0.040 0.060 0.066 0.062 0.066 0.076 0.153 0.185 0.198 MRSA bacteremia in HA non-group 1 hospitals - 2017-Q2 & 2017-Q3 0.25 0.15 0.05 0.00 2 3 HA 4 5 FYK - OLM - WTS - TWH - SH - TWE - HHH - BH - BBH - CHC - CHS - CPH - Gp4 By Hospital DKC - GH - HKE - KCH - Gp4 KH - ML - SJH - SLH - Gp4 TPH - WCH - Hospitals - Quarter (Number of MRSA bacteremia episodes) Data source: MRSA Surveillance System (CDARS) Remark: Hospitals ordered by rate in 2017-Q3 (descending), then by rate in 2017-Q2 (descending)

2008-Q1 (179) 2008-Q2 (178) 2008-Q3 (164) 2008-Q4 (151) 2009-Q1 (160) 2009-Q2 (156) 2009-Q3 (179) 2009-Q4 (159) 2010-Q1 (147) 2010-Q2 (142) 2010-Q3 (140) 2010-Q4 (152) 2011-Q1 (160) 2011-Q2 (142) 2011-Q3 (147) 2011-Q4 (133) 2012-Q1 (141) 2012-Q2 (138) 2012-Q3 (141) 2012-Q4 (161) 2013-Q1 (155) 2013-Q2 (147) 2013-Q3 (139) 2013-Q4 (172) 2014-Q1 (174) 2014-Q2 (176) 2014-Q3 (146) 2014-Q4 (135) 2015-Q1 (172) 2015-Q2 (150) 2015-Q3 (159) 2015-Q4 (166) 2016-Q1 (210) 2016-Q2 (177) 2016-Q3 (162) 2016-Q4 (195) 2017-Q1 (200) 2017-Q2 (172) 2017-Q3 (164) Number of MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.19 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 0.17 0.16 0.15 0.14 0.13 0.12 Data source: MRSA Surveillance System(CDARS) Year-Quarter (Number of MRSA bacteremia episodes in acute beds)

2017-Q2 (64) 2017-Q3 (76) 2017-Q2 (5) 2017-Q3 (6) 2017-Q2 (4) 2017-Q2 (13) 2017-Q3 (10) 2017-Q2 (11) 2017-Q3 (12) 2017-Q2 (4) 2017-Q3 (14) 2017-Q2 (5) 2017-Q3 (7) 2017-Q3 (6) 2017-Q2 (5) Number of MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.010 0.026 0.029 0.028 0.024 0.021 0.027 0.028 0.047 0.044 0.053 0.064 0.060 0.055 0.067 0.073 0.071 0.084 0.081 0.094 0.093 0.092 0.091 0.090 0.091 0.094 1 0.117 0.117 MRSA bacteremia detected after 48 hours of admission in HA group 1 hospitals - 2017-Q2 & 2017-Q3 0.14 0.12 0.08 0.06 0.04 0.02 0.00 1 CMC POH PMH TMH QEH NDH TKO QMH KWH PWH PYN AHN YCH RH UCH NLT 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 2017-Q3 (descending), then by rate in 2017-Q2 (descending)

2017-Q2 (11) 2017-Q3 (3) 2017-Q3 (3) 2017-Q3 (2) Number of MRSA bacteremia episodes/1,000 patient days 0.011 0.014 0.019 0.030 0.023 0.040 0.040 0.044 0.035 0.035 0.044 0.022 0.040 0.066 0.062 0.076 0.132 0.153 0.185 MRSA bacteremia detected after 48 hours of admission in HA non-group 1 hospitals - 2017-Q2 & 2017-Q3 0.18 0.16 0.14 0.12 0.08 0.06 0.04 0.02 0.00 2 3 HA 4 5 FYK - OLM - WTS - TWH - SH - TWE - HHH - BH - BBH - CHC - CHS - CPH - Gp4 By Hospital DKC - GH - HKE - KCH - Gp4 KH - ML - SJH - SLH - Gp4 TPH - WCH - Hospitals - Quarter (Number of MRSA bacteremia episodes) Data source: MRSA Surveillance System (CDARS) Remark: Hospitals ordered by rate in 2017-Q3 (descending), then by rate in 2017-Q2 (descending)

2008-Q1 (97) 2008-Q2 (83) 2008-Q3 (74) 2008-Q4 (75) 2009-Q1 (59) 2009-Q2 (65) 2009-Q3 (82) 2009-Q4 (78) 2010-Q1 (69) 2010-Q2 (62) 2010-Q3 (63) 2010-Q4 (67) 2011-Q1 (64) 2011-Q2 (58) 2011-Q3 (52) 2011-Q4 (63) 2012-Q1 (57) 2012-Q2 (61) 2012-Q3 (60) 2012-Q4 (65) 2013-Q1 (68) 2013-Q2 (67) 2013-Q3 (57) 2013-Q4 (62) 2014-Q1 (68) 2014-Q2 (81) 2014-Q3 (60) 2014-Q4 (47) 2015-Q1 (63) 2015-Q2 (60) 2015-Q3 (60) 2015-Q4 (59) 2016-Q1 (93) 2016-Q2 (79) 2016-Q3 (66) 2016-Q4 (75) 2017-Q1 (89) 2017-Q2 (64) 2017-Q3 (76) Number of MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.11 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 0.04 Data source: MRSA Surveillance System(CDARS) Year-Quarter (Number of MRSA bacteremia episodes in acute beds)

2017-Q2 (128) 2017-Q3 (116) 2017-Q2 (5) 2017-Q3 (14) 2017-Q2 (17) 2017-Q3 (19) 2017-Q2 (6) 2017-Q3 (7) 2017-Q2 (4) 2017-Q3 (9) 2017-Q2 (8) 2017-Q3 (15) 2017-Q2 (6) 2017-Q3 (5) 2017-Q2 (6) 2017-Q3 (7) 2017-Q2 (17) 2017-Q3 (11) 2017-Q3 (5) 2017-Q2 (9) 2017-Q2 (10) 2017-Q2 (9) 2017-Q3 (5) 2017-Q2 (17) 2017-Q3 (5) 2017-Q2 (10) 2017-Q3 (5) Number of MRSA bacteremia episodes in acute beds/1,000 acute patient days 0.046 0.072 0.117 0.133 0.166 0.147 0.131 0.124 0.113 5 0.092 0.236 0.217 1 0.185 0.232 0.240 0.233 0.230 0.224 0.219 0.211 0.270 0.296 0.278 0.307 0.318 0.353 0.346 0.382 0.407 0.483 MRSA bacteremia in acute beds in HA group 1 hospitals - MED department - 2017-Q2 & 2017-Q3 0.55 0.50 0.45 0.40 0.35 0.30 0.25 0.15 0.05 0.00 1 CMC PMH POH QMH QEH RH KWH TMH NDH YCH TKO PYN UCH PWH AHN 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 2017-Q3 (descending), then by rate in 2017-Q2 (descending)

2017-Q2 (8) 2017-Q3 (2) 0.014 Number of MRSA bacteremia episodes/1,000 patient days 0.029 0.040 0.053 0.057 0.051 0.078 0.075 0.092 3 0.116 0.148 0.148 0.166 0.166 0.251 MRSA bacteremia in HA non-group 1 hospitals - MED department - 2017-Q2 & 2017-Q3 0.30 0.25 0.15 0.05 0.00 2 3 5 FYK - OLM - TWH - SH - HHH - BH - WTS - GH - KH - SJH - TPH - TWE - HA By Hospital Hospitals - Quarter (Number of MRSA bacteremia episodes) Data source: MRSA Surveillance System (CDARS) Remark: Hospitals ordered by rate in 2017-Q3 (descending), then by rate in 2017-Q2 (descending)

2008-Q1 (139) 2008-Q2 (152) 2008-Q3 (138) 2008-Q4 (125) 2009-Q1 (145) 2009-Q2 (133) 2009-Q3 (138) 2009-Q4 (127) 2010-Q1 (125) 2010-Q2 (119) 2010-Q3 (121) 2010-Q4 (127) 2011-Q1 (137) 2011-Q2 (116) 2011-Q3 (129) 2011-Q4 (120) 2012-Q1 (118) 2012-Q2 (111) 2012-Q3 (117) 2012-Q4 (126) 2013-Q1 (139) 2013-Q2 (130) 2013-Q3 (121) 2013-Q4 (154) 2014-Q1 (151) 2014-Q2 (140) 2014-Q3 (115) 2014-Q4 (113) 2015-Q1 (145) 2015-Q2 (141) 2015-Q3 (132) 2015-Q4 (135) 2016-Q1 (176) 2016-Q2 (139) 2016-Q3 (132) 2016-Q4 (158) 2017-Q1 (148) 2017-Q2 (151) 2017-Q3 (128) Number of 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 0.18 0.16 0.14 Data source: MRSA Surveillance System(CDARS) Year-Quarter (Number of MRSA bacteremia episodes )

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 NLT North Lantau Hospital CPH Castle Peak Hospital PMH Princess Margaret Hospital DKC Duchess Of Kent Children s Hospital At Sandy Bay POH Pok Oi Hospital FYK Tung Wah Of Hospitals-Fung Yiu King Hospital PWH Prince Of Wales Hospital GH Grantham Hospital PYN Pamela Youde Nethersole Eastern Hospital HHH Haven Of Hope Hospital QEH Queen Elizabeth Hospital HKE Hong Kong Eye Hospital QMH Queen Mary Hospital KCH Kwai Chung Hospital RH Ruttonjee Hospital KH Kowloon Hospital TKO Tseung Kwan O Hospital ML Maclehose Medical Rehabilitation Centre TMH Tuen Mun Hospital OLM Our Lady Of Maryknoll Hospital UCH United Christian Hospital SH Shatin Hospital YCH Yan Chai Hospital SJH St John Hospital SLH TPH TWE TWH WCH WTS 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