Information on all healthcare associated infections (HCAIs) is not collected centrally. The mandatory surveillance system collects data on the following from acute trusts only: methicillin-resistant Staphylococcus aureus (MRSA) bacteraemias; Clostridium difficile infections (CDIs); glycopeptide-resistant enterococci bacteraemias (GREs); and selected orthopaedic surgical site infections (SSIs).
Surveillance data, including monthly MRSA and CDI information, are available on the Health Protection Agency’s (HPA) website at:
www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1244763936373
Information on MRSA, for the time period requested, is shown in the following table. All cases of MRSA bacteraemia are reported, meaning that the reports include infections both acquired in hospital and elsewhere.
Trust 2004-05 2005-06 2006-07 2007-08 2008-09 Five-year total Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust 2 0 2 0 0 4 Shrewsbury and Telford Hospital NHS Trust 47 39 49 35 16 186 Total 49 39 51 35 16 190 Note: Data include infections, which may have been acquired in the community. Source: HPA
Up to 2007, cases of CDI in people aged 65 or over were reported. This information for the time period requested, is shown in the following table.
Trust 2004-05 2005-06 2006-07 2007-08 2008-09 Five-year total Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust 8 11 10 4 (4) 6 (6) 39 Shrewsbury and Telford Hospital NHS Trust 246 203 336 314 (174) 189 (76) 1,288 Total 254 214 346 318 (178) 195 (82) 1,327 Note: Total number of reports given; figures in parentheses are ‘Trust apportioned’ cases (presumed to be hospital acquired). Source: HPA.
From 2007-08, CDI cases in those aged two or over were reported, plus those presumed to be hospital acquired (trust apportioned) were identified. This information for the time period requested, is shown in the following table
Trust 2007-08 2008-09 Two-year total Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust 8 6 14 Shrewsbury and Telford Hospital NHS Trust 208 94 302 Total 216 100 316 Note: The figures presented are ‘Trust apportioned’, referring to infections that are presumed to be hospital acquired. Source: HPA.
Information on GRE bacteraemias, for the time period requested, is shown in the following table.
Trust 2004-05 2005-06 2006-07 Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust 0 0 0 Shrewsbury and Telford Hospital NHS Trust 7 6 3 Total 7 6 3 1 Data from 1 October to 30 September. The trusts did not submit data for 2007-08, and 2008-09 data are not yet published. Source: HPA. Information on SSIs, from 2004-09, is available on the HPA’s website at: www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1259151994683