Shrnutí

Popis

Rehabilitation hospitals are with inpatient wards for evaluation and restoration of function to patients who have lost function due to acute or chronic pain, musculoskeletal problems, stroke, or catastrophic events resulting in complete or partial paralysis. These hospitals were self-identified through National Healthcare Safety Network (NHSN). This table shows the incidence rates of hospital onset Clostridium difficile infections (CDI) and use of polymerase chain reaction (PCR) reported by California rehabilitation acute care hospitals. The hospital onset (HO) CDI rate is calculated by dividing the number of HO CDI cases by the total inpatient days. The rates are not risk adjusted and may reflect factors in the hospital that can affect the occurrence of CDI, such as transmission of the C. difficile bacteria and use of antimicrobials. CDI cases are classified as HO when the positive stool sample is obtained on day four or later during the hospital stay. Differences in rates for rehabilitation acute care hospitals can result from differences in laboratory testing methodology, patient populations, infection and transmission prevention practices, antibiotic utilization, and/or community onset rates of CDI. HO CDI rate in rehabilitation acute care hospitals is provided separately from the rates in long-term acute care (LTAC) hospitals. Patients in LTAC hospitals have longer lengths of stay, an established risk factor for CDI. Also, specifically for LTAC and rehabilitation acute care hospitals, we include whether a hospital uses the polymerase chain reaction test (PCR) to detect CDI. In this table, hospital rates of CDI for rehabilitation acute care hospitals have not been adjusted to account for the differences in sensitivity between PCR and other laboratory testing methods; therefore, rates from hospitals using different types of laboratory tests are not comparable. To link the CDPH facility IDs with those from other Departments, like OSHPD, please reference the "Licensed Facility Cross-Walk" Open Data table at https://chhs.data.ca.gov/Facilities-and-Services/Licensed-Facility-Cross...