2024
Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2023–24 Respiratory Virus Season
Bell J, Meng L, Barbre K, Wong E, Lape-Newman B, Koech W, Soe M, Woods A, Kuhar D, Stuckey M, Dubendris H, Rowe T, Lindley M, Kalayil E, Edwards J, Benin A, Reses H. Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2023–24 Respiratory Virus Season. MMWR Morbidity And Mortality Weekly Report 2024, 73: 966-972. PMID: 39480706, PMCID: PMC11527362, DOI: 10.15585/mmwr.mm7343a2.Peer-Reviewed Original ResearchConceptsAcute care hospitalsHealth care personnelNational Healthcare Safety NetworkVaccination of health care personnelNursing homesCare personnelCare hospitalU.S. health care settingsHealth care settingsRespiratory virus seasonSafety NetworkHealth care facilitiesVaccination coverageCOVID-19 vaccination coverageCDC's National Healthcare Safety NetworkInfluenza vaccination coverageCare settingsVirus seasonCare facilitiesNursesHealthy workforceCOVID-19 vaccineAnnual influenza vaccinationCOVID-19HealthA Six-Year Follow-Up of Bloodstream Infections in Hemodialysis Facilities in the United States, National Healthcare Safety Network, 2020
Keenan J, Barbre K, Dollard P, Hoxworth T, Qureshi I, Dunham L, O'Leary E, Nuwoaty S, Bagchi S, Edwards J, Meng L, Benin A, Bell J. A Six-Year Follow-Up of Bloodstream Infections in Hemodialysis Facilities in the United States, National Healthcare Safety Network, 2020. Clinical Journal Of The American Society Of Nephrology 2024, 19: 978-983. PMID: 38888965, PMCID: PMC11321737, DOI: 10.2215/cjn.0000000000000476.Peer-Reviewed Original ResearchStandardized infection ratioPooled mean rateOutpatient hemodialysis facilitiesConfidence intervalsHemodialysis facilitiesInfection ratioNational Healthcare Safety NetworkSix-year follow-upBloodstream infectionsPatient-monthsAV fistulaAV graftsVascular accessPerson-monthsNational aggregate dataMean rateAccess typeUS territoriesSafety NetworkFistulaCOVID-19 Vaccination Coverage, and Rates of SARS-CoV-2 Infection and COVID-19–Associated Hospitalization Among Residents in Nursing Homes — National Healthcare Safety Network, United States, October 2023–February 2024
Franklin D, Barbre K, Rowe T, Reses H, Massey J, Meng L, Dollard P, Dubendris H, Stillions M, Robinson L, Clerville J, Slifka K, Benin A, Bell J. COVID-19 Vaccination Coverage, and Rates of SARS-CoV-2 Infection and COVID-19–Associated Hospitalization Among Residents in Nursing Homes — National Healthcare Safety Network, United States, October 2023–February 2024. MMWR Morbidity And Mortality Weekly Report 2024, 73: 339-344. PMID: 38635474, PMCID: PMC11037435, DOI: 10.15585/mmwr.mm7315a3.Peer-Reviewed Original ResearchConceptsNursing home residentsNational Healthcare Safety NetworkHome residentsPercentage of facilitiesCOVID-19-associated hospitalizationRates of SARS-CoV-2 infectionSARS-CoV-2 infectionRespiratory virus seasonIncident SARS-CoV-2 infectionProtect nursing home residentsCOVID-19 vaccination coverageWeekly percentageEvidence-based interventionsVaccination coverageEvaluate evidence-based interventionsFacility-level dataSafety NetworkVirus seasonCDC's National Healthcare Safety NetworkWeekly rateSARS-CoV-2Nursing homesNursesCOVID-19Severe COVID-19The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for surveillance of patient safety
Shehab N, Alschuler L, McILvenna S, Gonzaga Z, Laing A, deRoode D, Dantes R, Betz K, Zheng S, Abner S, Stutler E, Geimer R, Benin A. The National Healthcare Safety Network’s digital quality measures: CDC’s automated measures for surveillance of patient safety. Journal Of The American Medical Informatics Association 2024, 31: 1199-1205. PMID: 38563821, PMCID: PMC11031211, DOI: 10.1093/jamia/ocae064.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkFast Healthcare Interoperability ResourcesPublic health surveillancePatient safetyHealth surveillanceHealthcare facility-onset Clostridioides difficile infectionPrevent patient harmQuality measuresBurden of reportingImprove data collectionPatient harmInteroperability ResourcesPublic healthSafety NetworkHealthData collectionValidity of dataClostridioides difficile infectionVenous thromboembolismCollaborative programSurveillanceNationalHealthcareHarmIncreasing speedComparison of factors associated with seasonal influenza and COVID-19 booster vaccination coverage among healthcare personnel working at acute care hospitals during 2021–2022 influenza season, National Healthcare Safety Network, United States
Meng L, Bell J, Soe M, Edwards J, Lymon H, Barbre K, Reses H, Patel A, Wong E, Dudeck M, Huynh C, Rowe T, Dubendris H, Benin A. Comparison of factors associated with seasonal influenza and COVID-19 booster vaccination coverage among healthcare personnel working at acute care hospitals during 2021–2022 influenza season, National Healthcare Safety Network, United States. Preventive Medicine 2024, 179: 107852. PMID: 38211802, DOI: 10.1016/j.ypmed.2024.107852.Peer-Reviewed Original ResearchNational Healthcare Safety NetworkAcute care hospitalsInfluenza seasonCare hospitalHealthcare personnelInfluenza coverageFuture influenza seasonsSeasonal influenza vaccineSeasonal influenza virusesSARS-CoV-2 variantsUptake of vaccinationFacility-level factorsInfluenza vaccineVaccination coverageSeasonal influenzaVaccination dataHospitalInfluenza virusFacility characteristicsSafety NetworkSimultaneous circulationHealthcare facilitiesComparison of factorsCOVID-19Negative binomial mixed models
2023
Coverage with Influenza, Respiratory Syncytial Virus, and Updated COVID-19 Vaccines Among Nursing Home Residents — National Healthcare Safety Network, United States, December 2023
Reses H, Dubendris H, Haas L, Barbre K, Ananth S, Rowe T, Mothershed E, Hall E, Wiegand R, Lindley M, Meyer S, Patel S, Benin A, Kroop S, Srinivasan A, Bell J. Coverage with Influenza, Respiratory Syncytial Virus, and Updated COVID-19 Vaccines Among Nursing Home Residents — National Healthcare Safety Network, United States, December 2023. MMWR Morbidity And Mortality Weekly Report 2023, 72: 1371-1376. PMID: 38127673, PMCID: PMC10754267, DOI: 10.15585/mmwr.mm7251a3.Peer-Reviewed Original ResearchConceptsRespiratory syncytial virusNursing home residentsNational Healthcare Safety NetworkRespiratory virus seasonHome residentsVaccination coverageRespiratory virusesSyncytial virusCDC's National Healthcare Safety NetworkCOVID-19COVID-19 vaccination coverageHuman Services (HHS) regionsCOVID-19 vaccineSARS-CoV-2RSV vaccineSevere complicationsRespiratory illnessSevere outcomesNursing homesEligible residentsVaccinationInfluenzaSafety NetworkOlder adultsVaccineInfluenza and Up-to-Date COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2022–23 Influenza Season
Bell J, Meng L, Barbre K, Haanschoten E, Reses H, Soe M, Edwards J, Massey J, Reddy G, Woods A, Stuckey M, Kuhar D, Bolden K, Dubendris H, Wong E, Rowe T, Lindley M, Kalayil E, Benin A. Influenza and Up-to-Date COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2022–23 Influenza Season. MMWR Morbidity And Mortality Weekly Report 2023, 72: 1237-1243. PMID: 37943704, PMCID: PMC10651318, DOI: 10.15585/mmwr.mm7245a5.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkCOVID-19 vaccination coverageHealth care personnelAcute care hospitalsVaccination coverageCOVID-19 vaccinationCare hospitalNursing homesInfluenza seasonCDC's National Healthcare Safety NetworkVaccine-preventable respiratory diseaseInfluenza vaccination coverageAnnual influenza vaccineHealth care facilitiesEvidence-based strategiesVaccine doseImmunization PracticesInfluenza vaccineRecommended vaccinesPrimary seriesRespiratory diseaseCare personnelCare facilitiesSafety NetworkVaccinationDeclines in Influenza Vaccination Coverage Among Health Care Personnel in Acute Care Hospitals During the COVID-19 Pandemic — United States, 2017–2023
Lymon H, Meng L, Reses H, Barbre K, Dubendris H, Shafi S, Wiegand R, Reddy G, Woods A, Kuhar D, Stuckey M, Lindley M, Haas L, Qureshi I, Wong E, Benin A, Bell J. Declines in Influenza Vaccination Coverage Among Health Care Personnel in Acute Care Hospitals During the COVID-19 Pandemic — United States, 2017–2023. MMWR Morbidity And Mortality Weekly Report 2023, 72: 1244-1247. PMID: 37943698, PMCID: PMC10651322, DOI: 10.15585/mmwr.mm7245a6.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkHealth care personnelInfluenza vaccination coverageAcute care hospitalsVaccination coverageCare hospitalInfluenza vaccinationCare personnelCDC's National Healthcare Safety NetworkCOVID-19 pandemicInfluenza-related morbidityEvidence-based strategiesNHSN dataAnnual vaccinationPrepandemic periodVaccinationHospitalInfluenzaPandemicSafety NetworkMorbidityMortality
2022
Effectiveness of a COVID-19 Additional Primary or Booster Vaccine Dose in Preventing SARS-CoV-2 Infection Among Nursing Home Residents During Widespread Circulation of the Omicron Variant — United States, February 14–March 27, 2022
Prasad N, Derado G, Nanduri S, Reses H, Dubendris H, Wong E, Soe M, Li Q, Dollard P, Bagchi S, Edwards J, Shang N, Budnitz D, Bell J, Verani J, Benin A, Link-Gelles R, Jernigan J, Pilishvili T. Effectiveness of a COVID-19 Additional Primary or Booster Vaccine Dose in Preventing SARS-CoV-2 Infection Among Nursing Home Residents During Widespread Circulation of the Omicron Variant — United States, February 14–March 27, 2022. MMWR Morbidity And Mortality Weekly Report 2022, 71: 633-637. PMID: 35511708, PMCID: PMC9098239, DOI: 10.15585/mmwr.mm7118a4.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkNursing home residentsPrimary series vaccinationSkilled nursing facilitiesBooster vaccine doseRelative vaccine effectivenessBooster doseVaccine effectivenessHome residentsSeries vaccinationVaccine doseCDC's National Healthcare Safety NetworkPreventing SARS-CoV-2 InfectionCOVID-19COVID-19-associated morbidityEarly COVID-19 vaccinationCOVID-19 vaccine doseSARS-CoV-2 infectionOmicron variant infectionVaccine-induced immunityNursing home staff membersPrimary doseVaccination coverage dataCOVID-19 prevention strategiesCOVID-19 vaccinationSurveillance of COVID-19 Vaccination in Nursing Homes, United States, December 2020–July 2021
Geller A, Budnitz D, Dubendris H, Gharpure R, Soe M, Wu H, Kalayil E, Benin A, Patel S, Lindley M, Link-Gelles R. Surveillance of COVID-19 Vaccination in Nursing Homes, United States, December 2020–July 2021. Public Health Reports 2022, 137: 239-243. PMID: 35125027, PMCID: PMC8900233, DOI: 10.1177/00333549211066168.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkNursing home residentsCOVID-19 vaccinationCOVID-19 vaccination coverageVaccination coverageHome residentsLong-term care programsPharmacy PartnershipNursing homesCare programPrevention's National Healthcare Safety NetworkNew nursing home residentsPatient safety policiesVaccine doseAdditional dosesVaccination dataDisease controlVaccinationHigh coverage rateWeeksContinued monitoringPearson correlationStaffCoverage rateSafety NetworkAssociation between prevalence of laboratory-identified Clostridioides difficile infection (CDI) and antibiotic treatment for CDI in US acute-care hospitals, 2019
Xu K, Wu H, Li Q, Edwards J, O’Leary E, Leaptrot D, Benin A. Association between prevalence of laboratory-identified Clostridioides difficile infection (CDI) and antibiotic treatment for CDI in US acute-care hospitals, 2019. Infection Control And Hospital Epidemiology 2022, 43: 1847-1852. PMID: 35068404, PMCID: PMC10877317, DOI: 10.1017/ice.2022.6.Peer-Reviewed Original ResearchConceptsClostridioides difficile infectionFirst-line antibioticsAcute care hospitalsCDI prevalenceAntimicrobial useSignificant dose-response associationNational Healthcare Safety NetworkUS acute care hospitalsPositive dose-response relationshipDose-response associationHospital-level variationExtreme discordanceDose-response relationshipMedical school affiliationCDI eventsDifficile infectionAntibiotic treatmentPrevalence ratesHospitalNegative binomial regressionPrevalenceTreatment practicesBinomial regressionInfectionDiscordance
2021
Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant — National Healthcare Safety Network, March 1–August 1, 2021
Nanduri S, Pilishvili T, Derado G, Soe M, Dollard P, Wu H, Li Q, Bagchi S, Dubendris H, Link-Gelles R, Jernigan J, Budnitz D, Bell J, Benin A, Shang N, Edwards J, Verani J, Schrag S. Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant — National Healthcare Safety Network, March 1–August 1, 2021. MMWR Morbidity And Mortality Weekly Report 2021, 70: 1163-1166. PMID: 34437519, PMCID: PMC8389386, DOI: 10.15585/mmwr.mm7034e3.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkSARS-CoV-2 infectionNursing home residentsLong-term care facility residentsMRNA COVID-19 vaccineCOVID-19 vaccineVaccine effectivenessCare facility residentsHome residentsDelta variantPfizer-BioNTechModerna vaccineMRNA vaccinesFacility residentsNursing homesCDC's National Healthcare Safety NetworkPreventing SARS-CoV-2 InfectionSevere COVID-19-associated outcomesVaccine-induced immunityNursing home staff membersProtective immune responseCOVID-19 prevention strategiesWeekly reportsEmergency use authorizationSkilled nursing facilitiesEcological Analysis of the Decline in Incidence Rates of COVID-19 Among Nursing Home Residents Associated with Vaccination, United States, December 2020-January 2021
Benin A, Soe M, Edwards J, Bagchi S, Link-Gelles R, Schrag S, Herzer K, Verani J, Budnitz D, Nanduri S, Jernigan J, Edens C, Gharpure R, Patel A, Wu H, Golshir B, Jaffe A, Li Q, Srinivasan A, Shulman E, Ling S, Moody-Williams J, Fleisher L, Pollock D, Bell J, Team T. Ecological Analysis of the Decline in Incidence Rates of COVID-19 Among Nursing Home Residents Associated with Vaccination, United States, December 2020-January 2021. Journal Of The American Medical Directors Association 2021, 22: 2009-2015. PMID: 34487687, PMCID: PMC8360974, DOI: 10.1016/j.jamda.2021.08.004.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkNursing home residentsVaccination clinicsPharmacy PartnershipHome residentsLong-term care programsNursing homesCOVID-19 incidenceIncidence rateCOVID-19Care programCDC's National Healthcare Safety NetworkSARS-CoV-2 testingVaccination of residentsInfection prevention practicesCOVID-19 incidence ratesCOVID-19 ratesAdjusted reductionWidespread vaccinationVaccinationWeek 2County incidenceWeek 3Community casesPrevention practicesHospital capacities and shortages of healthcare resources among US hospitals during the coronavirus disease 2019 (COVID-19) pandemic, National Healthcare Safety Network (NHSN), March 27–July 14, 2020
Wu H, Soe M, Konnor R, Dantes R, Haass K, Dudeck M, Gross C, Leaptrot D, Sapiano M, Allen-Bridson K, Wattenmaker L, Peterson K, Lemoine K, Tejedor S, Edwards J, Pollock D, Benin A, Network F. Hospital capacities and shortages of healthcare resources among US hospitals during the coronavirus disease 2019 (COVID-19) pandemic, National Healthcare Safety Network (NHSN), March 27–July 14, 2020. Infection Control And Hospital Epidemiology 2021, 43: 1473-1476. PMID: 34167599, PMCID: PMC8280389, DOI: 10.1017/ice.2021.280.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkPrevention's National Healthcare Safety NetworkHospital capacityCoronavirus disease 2019 (COVID-19) pandemicDisease 2019 pandemicVentilator usageCase burdenUS hospitalsHealthcare resourcesBed occupancyHealthcare personnelDisease controlSafety NetworkCOVID-19 pandemicHospitalWide variationPandemicChanges in the number of intensive care unit beds in US hospitals during the early months of the coronavirus disease 2019 (COVID-19) pandemic
Weiner-Lastinger L, Dudeck M, Allen-Bridson K, Dantes R, Gross C, Nkwata A, Tejedor S, Pollock D, Benin A. Changes in the number of intensive care unit beds in US hospitals during the early months of the coronavirus disease 2019 (COVID-19) pandemic. Infection Control And Hospital Epidemiology 2021, 43: 1477-1481. PMID: 34078507, PMCID: PMC8314191, DOI: 10.1017/ice.2021.266.Peer-Reviewed Original ResearchImpact of COVID-19 pandemic on central-line–associated bloodstream infections during the early months of 2020, National Healthcare Safety Network
Patel P, Weiner-Lastinger L, Dudeck M, Fike L, Kuhar D, Edwards J, Pollock D, Benin A. Impact of COVID-19 pandemic on central-line–associated bloodstream infections during the early months of 2020, National Healthcare Safety Network. Infection Control And Hospital Epidemiology 2021, 43: 790-793. PMID: 33719981, PMCID: PMC8047389, DOI: 10.1017/ice.2021.108.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkStandardized infection ratioBloodstream infectionsPrevention's National Healthcare Safety NetworkAcute care hospitalsCOVID-19 pandemicInfection ratioDisease controlSafety NetworkInfectionBed sizeEarly monthsDescriptive analysisPandemicGeographic areasHospitalMonthsImpact of coronavirus disease 2019 (COVID-19) on US Hospitals and Patients, April–July 2020
Sapiano M, Dudeck M, Soe M, Edwards J, O’Leary E, Wu H, Allen-Bridson K, Amor A, Arcement R, Tejedor S, Dantes R, Gross C, Haass K, Konnor R, Kroop S, Leaptrot D, Lemoine K, Nkwata A, Peterson K, Wattenmaker L, Weiner-Lastinger L, Pollock D, Benin A, Team T. Impact of coronavirus disease 2019 (COVID-19) on US Hospitals and Patients, April–July 2020. Infection Control And Hospital Epidemiology 2021, 43: 32-39. PMID: 33602380, PMCID: PMC7943952, DOI: 10.1017/ice.2021.69.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkPrevention's National Healthcare Safety NetworkSevere acute respiratory coronavirus virus 2COVID-19Hospital surveillance systemProportion of inpatientsCoronavirus disease 2019COVID-19 hospitalizationHospital bed occupancyNumber of inpatientsPublic health responsePatient outcomesNational surveillanceTotal inpatientDisease 2019Inpatient bedsUS hospitalsMechanical ventilatorBed occupancyHealth responsePatient censusDisease controlPandemic magnitudeInpatientsVirus 2Rates of COVID-19 Among Residents and Staff Members in Nursing Homes — United States, May 25–November 22, 2020
Bagchi S, Mak J, Li Q, Sheriff E, Mungai E, Anttila A, Soe M, Edwards J, Benin A, Pollock D, Shulman E, Ling S, Moody-Williams J, Fleisher L, Srinivasan A, Bell J. Rates of COVID-19 Among Residents and Staff Members in Nursing Homes — United States, May 25–November 22, 2020. MMWR Morbidity And Mortality Weekly Report 2021, 70: 52-55. PMID: 33444301, PMCID: PMC7808710, DOI: 10.15585/mmwr.mm7002e2.Peer-Reviewed Original ResearchConceptsNational Healthcare Safety NetworkNursing home residentsCOVID-19 casesHome residentsHigh riskNursing homesCDC's National Healthcare Safety NetworkCOVID-19Certain underlying medical conditionsSARS-CoV-2 transmissionUnderlying medical conditionsNursing home staff membersCoronavirus disease 2019 (COVID-19) pandemicHuman Services (HHS) regionsSARS-CoV-2Disease 2019 pandemicStaff membersHome staff membersCOVID-19 ratesCOVID-19 incidenceHigh-risk exposureSevere outcomesCongregate settingsMedical conditionsGeneral population
2020
Hospital Microbiologic Culture Results to Predict the Use of Anti–methicillin-Resistant Staphylococcus aureus (MRSA)
Wu H, Kratzer T, Zhou L, Soe M, Edwards J, Neuhauser M, Benin A, Hicks L, Srinivasan A, Pollock D. Hospital Microbiologic Culture Results to Predict the Use of Anti–methicillin-Resistant Staphylococcus aureus (MRSA). Infection Control And Hospital Epidemiology 2020, 41: s40-s40. DOI: 10.1017/ice.2020.521.Peer-Reviewed Original ResearchAnti-MRSA agentsNational Healthcare Safety NetworkPositive infectionsMicrobiologic culture resultsInfection burdenAntimicrobial useHospital characteristicsCulture resultsStandardized antimicrobial administration ratioStaphylococcus aureusRisk adjustmentLower respiratory specimensIntensive care unitAcute care hospitalsQuinupristin/dalfopristinResistant Staphylococcus aureusMedical school affiliationAU ratesIntravenous vancomycinMicrobiologic dataCare unitDay patientsRespiratory specimensAntimicrobial daysHigh prevalenceAnalysis of National Healthcare Safety Network Clostridioides difficile Infection Standardized Infection Ratio by Test Type
Li Q, Benin A, Guh A, Dudeck M, Allen-Bridson K, Leaptrot D, McDonald L, Pollock D, Edwards J. Analysis of National Healthcare Safety Network Clostridioides difficile Infection Standardized Infection Ratio by Test Type. Infection Control And Hospital Epidemiology 2020, 41: s87-s89. DOI: 10.1017/ice.2020.583.Peer-Reviewed Original ResearchNucleic acid amplification testsNational Healthcare Safety NetworkStandardized infection ratioEnzyme immunoassaySIR differenceRisk adjustmentInfection ratioCDI incidence ratePositive laboratory testsAcute care hospitalsNHSN dataIncidence rateAmplification testsNAAT useInpatient locationHospital personnelHospitalMost hospitalsCalendar quarterIncident rateT-testTest combinationsLaboratory testsCDISafety Network