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CDC

Geographic Location

Colorado

% Carbapenem-Resistant Enterobacterales (CRE) in 2024

2.3%

8 resistant / 342 tested

Prevention Progress for C. difficile Infections

0.32

This value in SIR in 2024 is 68% less than the 2015 national baseline.

Hospital Antibiotic Stewardship Implementation Rate

99.0%

This value is 2% more than the national implementation rate in 2024.

In 2020, Colorado had a population of 5.68 million people, with a median age of 36.9 and a median household income of $75,231. The five largest ethnic groups in Colorado are White, Black or African American, Other Ethnic Group, Asian, and American Indian or Alaska Native.

CDC's Division of Healthcare Quality Promotion (DHQP) provides funding to Colorado to prevent healthcare-associated infections (HAIs) and fight antimicrobial resistance (AR) in healthcare facilities and communities. State HAI/AR programs and the AR Laboratory Network (AR Lab Network) implement activities to detect, prevent, respond to, and contain HAI and AR threats and improve antibiotic and antifungal use.

Note: The investment amount presented for Colorado includes funds related to DHQP-supported activities and CDC's AR Lab Network, a subset of data included in CDC's AR Investment Map. This funding represents resources from CDC's Antimicrobial Resistance Solutions Initiative as well as other CDC annual and supplemental appropriations.

The CDC provides data on reporting general acute care, long term acute care, inpatient rehabilitation facilities, and critical access hospitals by state through the National Healthcare Safety Network (NHSN). Note: Data on critical access hospitals are currently included within general acute care hospital reporting among NHSN's Antibiotic Resistance and Hospital Antibiotic Stewardship modules represented in the AR & Patient Safety Portal.

Population
5.7M
Median Age
36.9 Years
Median Household Income
$75,231
State Health Insurance
32.5%
Private Healthcare Insurance
70.5%
Ethnicity
White
: 4,634,305 (81.5%)
Black or African American
: 235,692 (4.1%)
Other Ethnic Group
: 233,413 (4.1%)
Asian
: 181,733 (3.2%)
American Indian or Alaska Native
: 53,671 (0.9%)
Native Hawaiian or Other Pacific Islander
: 8,883 (0.2%)
AR Investments in Health Care
$1,892,131 (FY2025)
Number of Facilities Reporting (2024 NHSN Annual Survey)
Critical Access Hospitals
: 30
General Acute Care Hospitals
: 66
Long Term Acute Care Hospitals
: 6
Inpatient Rehabilitation Facilities
: 22
Source: NHSN, 2024

HAI: Colorado

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 0.50. For this reason, healthcare facilities aim for their SIRs to be as far below 1 as possible. For detailed HAI-specific information regarding the current national baseline and risk adjustments, visit the CDC National Healthcare Safety Network SIR Guide (2015 Baseline). Explore CDC's investments and activities.

Filters

CLABSI

37%

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.

Colorado Data for General Acute Care Hospitals, Year 2024

Key Data Points

Colorado ACHs reported no significant change in CLABSIs between 2023 and 2024.

3%

Among the 61 Colorado ACHs with enough data to calculate an SIR, 3% had an SIR significantly higher (worse) than 0.66, the value of the national SIR.

CAUTI

46%

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.

Colorado Data for General Acute Care Hospitals, Year 2024

Key Data Points

Colorado ACHs reported no significant change in CAUTIs between 2023 and 2024.

6%

Among the 59 Colorado ACHs with enough data to calculate an SIR, 6% had an SIR significantly higher (worse) than 0.56, the value of the national SIR.

MRSA Bacteremia

47%

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.

Colorado Data for General Acute Care Hospitals, Year 2024

Key Data Points

Colorado ACHs reported no significant change in MRSAs between 2023 and 2024.

4%

Among the 58 Colorado ACHs with enough data to calculate an SIR, 4% had an SIR significantly higher (worse) than 0.70, the value of the national SIR.

C. difficile Infections

68%

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.

Colorado Data for General Acute Care Hospitals, Year 2024

Key Data Points
HAI Progress Significant Decrease

Colorado ACHs reported a significant decrease in CDIs between 2023 and 2024.

2%

Among the 58 Colorado ACHs with enough data to calculate an SIR, 2% had an SIR significantly higher (worse) than 0.38, the value of the national SIR.

Abdominal Hysterectomy

22%

Not Significantly Different 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.

Colorado Data for General Acute Care Hospitals, Year 2024

Key Data Points

Colorado ACHs reported no significant change in Abdominal Hysterectomy procedures between 2023 and 2024.

N/A

Not enough data to report how many ACHs had an SIR significantly higher (worse) than 1.11, the value of the national SIR.

Colon Surgery

3%

Not Significantly Different 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.

Colorado Data for General Acute Care Hospitals, Year 2024

Key Data Points

Colorado ACHs reported no significant change in Colon Surgeries between 2023 and 2024.

12%

Among the 51 Colorado ACHs with enough data to calculate an SIR, 12% had an SIR significantly higher (worse) than 0.85, the value of the national SIR.

VAE

17%

Higher 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.

Colorado Data for General Acute Care Hospitals, Year 2024

Key Data Points

Colorado ACHs reported no significant change in VAEs between 2023 and 2024.

48%

Among the 37 Colorado ACHs with enough data to calculate an SIR, 48% had an SIR significantly higher (worse) than 1.11, the value of the national SIR.

HAI Progress Legend

SIR is significantly higher (worse) than comparison group.

increase

Significant increase from the previous year.

SIR increase or decrease is not significantly different than comparison group.

No significant change from the previous year.

SIR is significantly lower (better) than comparison group.

HAI Progress Significant Decrease

Significant decrease from the previous year.

Standardized Infection Ratio (SIR), Colorado vs. Other Geographies

This graph displays CLABSI SIRs in General Acute Care Hospitals for Colorado compared to other geographies in 2024. Bars will appear based on data available for each combination of state, HAI, and hospital type choice.

CLABSI SIR by State List (2024)

CLABSI SIR by State List (2024)
statevalue
United States0.66
Colorado0.63
Alabama0.73
Alaska0.76
Arizona0.54
Arkansas0.66
California0.62
Connecticut0.54
Delaware0.71
District of Columbia0.93

Standardized Infection Ratio (SIR) Changes over Time

This graph displays the changes over time in CLABSI Standardized Infection Ratio (SIR) in General Acute Care Hospitals for Colorado.

CLABSI SIR Changes over Time — Colorado

CLABSI SIR Changes over Time — Colorado
YearColorado
20150.901
20160.72
20170.615
20180.596
20190.58
20200.792
20210.828
20220.746
20230.565
20240.626

Standardized Infection Ratio (SIR), State vs. National

This graph displays the Standardized Infection Ratio of common HAIs in General Acute Care Hospitals for Colorado compared to the nation.

Standardized Infection Ratio (SIR), State vs. National — Colorado, 2024

Standardized Infection Ratio (SIR), State vs. National — Colorado, 2024
haiNationalColorado
CLABSI0.660.626
CAUTI0.5590.545
MRSA0.7030.53
CDI0.3750.321
HYST1.1121.219
COLON0.8451.025
VAE1.1051.166

Antimicrobial Resistance: Colorado

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.

Filters

% Antimicrobial Resistance by State

This graph displays Carbapenem-resistant Enterobacterales for Colorado compared to resistance in the United States in 0. Click "Show All" to view % antimicrobial resistance for all states.

% Carbapenem-resistant Enterobacterales by State — All Event Types, 0

No Data Available

% Antimicrobial Resistance by HAI Type

This chart displays % Carbapenem-resistant Enterobacterales for each occurring HAI type in Colorado compared to the nation in 0.

Blank areas of the chart represent 0% resistance, indicating that zero resistant pathogens were reported for the selected year, phenotype, and HAI type. "Insufficient data" indicates that less than 20 pathogens were isolated and tested for resistance.

% Carbapenem-resistant Enterobacterales by HAI Type — Colorado vs. National, 0

No Data Available

Antibiotic Use: Colorado

One of the cornerstones of antibiotic stewardship is tracking antibiotic use. CDC monitors national and state antibiotic prescribing data to describe variability in antibiotic use and identify where interventions to improve prescribing are most needed. Antibiotic prescribing data can be used by public health, healthcare organizations and antibiotic stewardship programs to inform, implement and assess stewardship activities.

Filters

Changes over Time in Outpatient Antibiotic Prescription Rates

This graph shows the changes over time of outpatient antibiotic prescriptions for all antibiotic classes dispensed per 1,000 population in Colorado, compared to national data.

Changes over Time in Outpatient Antibiotic Prescription Rates — Colorado vs. National, All Antibiotics

Changes over Time in Outpatient Antibiotic Prescription Rates — Colorado vs. National, All Antibiotics
YearUnited StatesColorado
2019765513
2020613418
2021636425
2022709484
2023752514
2024752501

Outpatient Antibiotic Prescription Rates by Antibiotic Class

This graph shows outpatient antibiotic prescriptions for selected antibiotic classes dispensed per 1,000 population in Colorado, compared to national data in 2024.

Outpatient Antibiotic Prescription Rates by Antibiotic Class — Colorado vs. National, 2024

Outpatient Antibiotic Prescription Rates by Antibiotic Class — Colorado vs. National, 2024
Antibiotic ClassUnited StatesColorado
Cephalosporins11676
Fluoroquinolones4221
Macrolides11056
Penicillins171122

SAAR Agent Category Comparison To National Median

This graphic shows the Colorado median SAAR value comparison of each SAAR agent category under the specified filter type of "Adult", "Pediatric", and "Neonatal" in comparison to the National median, for 2024.

For specific SAAR agent category names, please see footnotes below.

If insufficient data is provided for a given geographic area or SAAR agent category, the visualization will appear blank for relevant categories.

SAAR Agent Category Comparison To National Median — Colorado, Adult, 2024

SAAR Agent Category Comparison To National Median — Colorado, Adult, 2024
agentUnited StatesColorado
AllInsufficient DataInsufficient Data
AntifungalInsufficient DataInsufficient Data
BSCAInsufficient DataInsufficient Data
BSHOInsufficient DataInsufficient Data
CDIInsufficient DataInsufficient Data
GramPosInsufficient DataInsufficient Data
NSBLInsufficient DataInsufficient Data

Antibiotic Stewardship: Colorado

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 antimicrobial resistance.

Filters

Changes Over Time in Hospital Antibiotic Stewardship (AS)

This graphic shows the change over time in hospital implementation of antibiotic stewardship programs in Colorado by Core Element.

Hospitals Implementing All 7 Core Elements in Colorado Over Time

Hospital Antibiotic Stewardship Implementation by Core Element

This graphic shows the percent of Colorado acute care hospitals that report implementation of Core Elements of Hospital Antibiotic Stewardship Programs in 2024.

Visit the Stewardship Profile to learn more about Antibiotic Stewardship reporting.

Hospital Core Element Reporting in Colorado in 2024

Long-Term Care Antibiotic Stewardship (AS) Implementation By Core Element

This graphic shows the percent of long-term care facilities that report the implementation of each Core Element of Antibiotic Stewardship in 2024. Hover over a bar in the graphic to see the percentage of long-term care facilities reporting the implementation of each Core Element.

Long-Term Care Core Element Reporting in Colorado in 2024

Footnotes

    Healthcare-Associated Infections

    • 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.
    • All HAI data provided on this page is maintained by the CDC's National Healthcare Safety Network (NHSN).
    • General Acute Care Hospitals: general, children's, oncology, military/VA, and other specialty hospitals.
    • 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 2024.

    Antimicrobial 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.

    Outpatient 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.

    Inpatient Antibiotic Use

    • SAAR agent category definitions:

      Broad Spectrum Hospital-Onset
      - Broad spectrum antibacterial agents predominantly used for hospital-onset infections
      Broad Spectrum Community-Acquired
      - Broad spectrum antibacterial agents predominantly used for community-acquired infections
      Gram-Positive
      - Antibacterial agents predominantly used for resistant gram-positive infections (e.g., MRSA)
      Narrow Spectrum Beta-Lactam
      - Narrow spectrum beta-lactam agents
      Clostridioides difficile
      - Antibacterial agents posing the highest risk for CDI
      Antifungal
      - Antifungal agents predominantly used for invasive candidiasis
      Azithromycin
      - Pediatric azithromycin
      Vancomycin
      - Neonatal vancomycin
      Cephalosporins
      - Third generation Cephalosporins
      Ampicillin
      - Neonatal ampicillin
      Aminoglycosides
      - Neonatal aminoglycosides
      Fluconazole
      - Neonatal fluconazole
      Broad Spectrum Gram Negative Coverage
      - Neonatal broad spectrum gram negative coverage
    • Only patient care locations reporting 9 months or more were included in analyses. Analyses were limited to SAAR locations reporting from eligible facility types.

    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.

    Long-term Care Antibiotic Stewardship

    • Participation in NHSN LTCF Component varies by state and year. Data summarized in this Portal may not be representative of all long-term care facilities in the United States. Caution should be used when making direct comparisons of uptake of core elements between states and across years.