Arizona

% Carbapenem-Resistant Enterobacteriaceae (CRE) in 2014more info

2.3%7 Resistant / 310 Tested

Prevention Progress for C. Difficile Infectionsmore info

0.66This value in SIR in 2018 is 34% less than the 2015 national baseline.

Hospital Antibiotic Stewardship Implementation Ratemore info

86%1% more than the national implementation rate in 2018

Healthcare-associated infections (HAIs) are infections that patients may experience while receiving medical treatment, very often within a healthcare facility. Working toward the elimination of HAIs is a CDC priority. The standardized infection ratio (SIR) is a summary measure used to track HAIs. This number is calculated by dividing the number of observed infections by the number of predicted infections. The number of predicted infections is based upon facility and location-level characteristics. For example, if one hospital only had five infections within the course of a year, and yet had ten HAIs predicted, its SIR would then be .50. For this reason, healthcare facilities aim for their SIRs to be as far below 1 as possible. For more information, visit the CDC National Healthcare Safety Network SIR Guide. Explore CDC's investments and activities.

  • HAI Progress Increase, SIR is significantly higher (worse) than comparison group.
  • HAI Progress No Change, SIR increase or decrease is not significantly different than comparison group.
  • HAI Progress Decrease, SIR is significantly lower (better) than comparison group.
  • HAI Progress Significant Increase, Significant increase from the previous year.
  • HAI Progress No Change, No significant change from the previous year.
  • HAI Progress Significant Decrease, Significant decrease from the previous year.

: decrease 35%, Lower Compared to Nat'l Baseline

CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS

When a tube is placed in a large vein and not put in correctly or kept clean, it can become a way for germs to enter the body and cause deadly infections in the blood.

Key Data Points

  • no change, Arizona ACHs reported no significant change in CLABSIs between 2017 and 2018
  • 2%
    , Among the 44 ACHs in Arizona with enough data to calculate an SIR, 2% had an SIR significantly higher (worse) than 0.74, the value of the national SIR.

Arizona Data for General Acute Care Hospitals, Year 2018

: decrease 44%, Lower Compared to Nat'l Baseline

CATHETER-ASSOCIATED URINARY TRACT INFECTIONS

When a urinary catheter is not put in correctly, not kept clean, or left in a patient for too long, germs can travel through the catheter and infect the bladder and kidneys.

Key Data Points

  • no change, Arizona ACHs reported no significant change in CAUTIs between 2017 and 2018.
  • 0%
    , Among the 45 ACHs in Arizona with enough data to calculate an SIR, 0% had an SIR significantly higher (worse) than 0.81, the value of the national SIR.

Arizona Data for General Acute Care Hospitals, Year 2018

MRSA Bacteremia

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: decrease 16%, Lower Compared to Nat'l Baseline

LABORATORY IDENTIFIED HOSPITAL-ONSET MRSA BLOODSTREAM INFECTIONS

Methicillin-resistant Staphylococcus aureus (MRSA) is bacteria usually spread by contaminated hands. In a healthcare setting, such as a hospital, MRSA can cause serious bloodstream events.

Key Data Points

  • no change, Arizona ACHs reported no significant change in MRSA between 2017 and 2018.
  • 6%
    , Among the 36 ACHs in Arizona with enough data to calculate an SIR, 6% had an SIR significantly higher (worse) than 0.84, the value of the national SIR.

Arizona Data for General Acute Care Hospitals, Year 2018

C. difficile Infections

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: decrease 34%, Lower Compared to Nat'l Baseline

LABORATORY IDENTIFIED HOSPITAL-ONSET C. DIFFICILE EVENTS

When a person takes antibiotics, good bacteria that protect against infection are destroyed for several months. During this time, patients can get sick from Clostridioides difficile (C. difficile), bacteria that cause potentially deadly diarrhea, which can be spread in healthcare settings.

Key Data Points

  • decrease, Arizona ACHs reported a significant decrease in CDIs between 2017 and 2018.
  • 11%
    , Among the 54 ACHs in Arizona with enough data to calculate an SIR, 11% had an SIR significantly higher (worse) than 0.71, the value of the national SIR.

Arizona Data for General Acute Care Hospitals, Year 2018

Abdominal Hysterectomy

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: no change 7%, No Change Compared to Nat'l Baseline

SURGICAL SITE INFECTIONS

When germs get into an area where surgery is or was performed, patients can get a surgical site infection. Sometimes these infections involve only the skin. Other SSIs can involve tissues under the skin, organs, or implanted material.

Key Data Points

  • no change, Arizona ACHs reported no significant change in Abdominal Hysterectomy procedures between 2017 and 2018.
  • 0%
    , Among the 12 ACHs in Arizona with enough data to calculate an SIR, 0% had an SIR significantly higher (worse) than 0.94, the value of the national SIR.

Arizona Data for General Acute Care Hospitals, Year 2018

: no change 1%, No Change Compared to Nat'l Baseline

SURGICAL SITE INFECTIONS

When germs get into an area where surgery is or was performed, patients can get a surgical site infection. Sometimes these infections involve only the skin. Other SSIs can involve tissues under the skin, organs, or implanted material.

Key Data Points

  • no change, Arizona ACHs reported no significant change in Colon Surgeries between 2017 and 2018.
  • 11%
    , Among the 35 ACHs in Arizona with enough data to calculate an SIR, 11% had an SIR significantly higher (worse) than 0.89, the value of the national SIR.

Arizona Data for General Acute Care Hospitals, Year 2018

: no change 3%, No Change Compared to Nat'l Baseline

VENTILATOR-ASSOCIATED EVENTS

When a medical problem makes it hard or impossible for a patient to breathe on their own, they may be placed on a special breathing machine called a ventilator to save their life. This usually involves placing a tube in the patient’s airway, and attaching the tube to the ventilator. Patients on ventilators are usually very sick, and they can develop problems related to their illness or related to being on a ventilator. This includes infections such as pneumonia or other problems such as fluid buildup in the lungs.

Key Data Points

  • decrease, Arizona ACHs reported a significant decrease in VAEs between 2017 and 2018.
  • 28%
    , Among the 18 ACHs in Arizona with enough data to calculate an SIR, 28% had an SIR significantly higher (worse) than 0.95, the value of the national SIR.

Arizona Data for General Acute Care Hospitals, Year 2018

Standardized Infection Ratio (SIR)

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This graph displays CLABSI SIRs in general acute care hospitals for Arizona compared to other geographies in 2018. Bars will appear based on data available for each combination of state, HAI, and hospital type choice.

Standardized Infection Ratio (SIR) Changes over Time

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This graph displays the changes over time in Standardized Infection Ratio (SIR) for Arizona by HAI and hospital type.

Standardized Infection Ratio (SIR), State vs. National

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This graph displays the Standardized Infection Ratio of common HAIs in Arizona compared to the nation.

Antibiotic Resistance

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Antibiotics have been used for the last 70 years to treat patients who have infectious diseases. Since the 1940s, these drugs have greatly reduced illness and death from infectious diseases. However, these drugs have been used so widely that the infectious organisms the antibiotics are designed to kill have adapted to them, making the drugs less effective. Each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics and at least 23,000 people die each year as a direct result of these infections. To find out more, visit the CDC's drug resistance information page. Explore CDC's investments and activities.

% Antibiotic Resistance by State

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This graphs displays Carbapenem-Resistant Enterobacteriaceae spp. for Arizona compared to resistance in other geographies in 2014.

This graphs displays Carbapenem-Resistant Enterobacteriaceae spp. for the Arizona compared to resistance in other geographies in 2014.

% Antibiotic Resistance by HAI Type

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This chart displays % Carbapenem-Resistant Enterobacteriaceae spp. for each occurring HAI type in Arizona compared to the nation in 2014. Blank areas of the chart represent no data was reported for Carbapenem-Resistant Enterobacteriaceae spp. in Arizona in 2014

Changes over Time in Outpatient Antibiotic Prescription Rates

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This graph shows the changes over time of outpatient antibiotic prescriptions dispensed per 1,000 population in Arizona by antibiotic class.

Outpatient Antibiotic Prescription Rates by Antibiotic Class

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This graph shows outpatient antibiotic prescriptions dispensed per 1000 population for selected antibiotic classes in Arizona, compared to national data.

Antibiotic Stewardship

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Improving patient safety doesn't stop at tracking healthcare associated infections (HAIs). It also involves promoting programs, protocols, and best practices that improve the way we use antibiotics, or activities referred to as antibiotic stewardship. Stewardship promotes appropriate antibiotic use, meaning, only using antibiotics when needed, and when they are needed, using the right antibiotic, at the right time, at the right dose and for the right duration. Antibiotic stewardship has a number of proven benefits that include: protecting patients from unintended consequences, improving treatment of infections, and helping combat antibiotic resistance.

Changes Over Time in Hospital Antibiotic Stewardship

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This graphic shows the change over time in hospital implementation of antibiotic stewardship programs in Arizona by core element.

Hospital Antibiotic Stewardship Implementation by Core Element

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This graphic shows the percent of Arizona and national hospitals that meet each of the seven core elements in 2018.

Footnotes

Hospital-Associated Infections

  • All HAI data provided on this page is maintained by the CDC's National Healthcare Safety Network (NHSN)
  • HAIs on this page include Central Line-Associated Bloodstream Infection (CLABSI), Catheter-Associated Urinary Tract Infection (CAUTI), Surgical Site Infections (SSI), Clostridioides difficile (C. difficile) infections, MRSA Bacteremia, and Ventilator-Associated Events (VAE).
  • Data are only displayed for U.S. states/territories for which at least 5 facilities reported an HAI in the given survey year.
  • Map legends are classified using the Jenks Natural Breaks method.
  • See the Current HAI Progress Report Technical Appendix for the full methodology and details about the data. Past HAI Progress Reports are described in the Data Archive.
  • HAI information available in the Patient Safety Portal include data from 2015 to 2018.

Antibiotic Resistance

  • HAIs include Catheter-Associated Urinary Tract Infection (CAUTI), Central Line-Associated Bloodstream Infection (CLABSI), Surgical Site Infection (SSI).
  • CI (Confidence Interval) - The national, regional, and state-level data included in Antibiotic Resistance information are displayed with 95% confidence intervals around the percent resistance, which were calculated using a mid-P exact test and are an indication of precision.
  • Map legends are classified using the Jenks Natural Breaks method.

Antibiotic Use

  • These data are from the IQVIA database and reflect all outpatient antibiotic prescriptions dispensed to humans from U.S. community pharmacies. These data do not include antibiotic prescriptions dispensed from federal facilities.
  • Data reflect annual rates of antibiotic prescriptions dispensed per 1,000 population, i.e. the number of antibiotic prescriptions dispensed per year for every 1,000 persons. Annual rates allow for comparisons of the number of antibiotic prescriptions dispensed in different geographic areas or over time while controlling for differences in the size of the underlying population.
  • Map legends are classified using the Jenks Natural Breaks method.
  • Due to missing data, totals by age group and/or sex may not add up to all prescriptions. Antibiotic class defines a set of related antibiotics. State-level rates of penicillins, macrolides, cephalosporins, and fluoroquinolones are displayed. Also displayed are all antibiotic classes, which include these four classes plus additional classes not available for release at the state level.
  • Data are not available for geographic regions smaller than states.

Hospital Antibiotic Stewardship

  • Although the vast majority of hospitals in the United States participate in NHSN, the antibiotic stewardship data summarized in this Portal may not be representative of all acute care hospitals in the United States. Also, because participation in NHSN varies by state and by year, caution should be used when making direct comparisons of uptake of core elements between states and across years.
  • Map legends are classified using the Jenks Natural Breaks method.