Specific infection rate for each of the safety indicators

Here is the updated data on patient safety indicators.

Clostridioides difficile Associated Disease (CDAD)

Clostridioides difficile is a bacterium found in the environment and in the intestines. This bacterium generally does not present a health risk. However, people can develop a CDAD after taking antibiotics.

The reduction in the number of good bacteria in the intestine caused by taking antibiotics facilitates the multiplication of Clostridioides difficile and may lead to diarrhea.

Period	Rate / 1000 patient days	Number of cases
September, 2024	0.11	<5
August, 2024	0.22	<5
July, 2024	0.00	<5
June, 2024	0.11	<5
May, 2024	0.21	<5
April, 2024	0.20	<5
March, 2024		<5
February, 2024	0.34	<5
January, 2024	0.3	<5
December, 2023		<5
November, 2023		<5
October, 2023		<5

 

MRSA bacteremias

MRSA is a bacterium that has developed resistance to several antibiotics. MRSA can be found in a person’s nose, rectum, urine or on their skin.

People with a weakened immune system, who take antibiotics regularly, who have stayed in a health care institution several times or for a long period are more at risk of being a carrier of MRSA.

There is also another strain of MRSA called “community”. This strain has been identified among contact sports team members, injection drug users, the homeless and individuals in a prison setting.

Bacteremia (blood infection) is one of the infections that this bacterium can cause.

The following table does not list the number of MRSA carriers who have stayed at Hôpital Montfort, but only the number of people who developped a bacteremia (blood infection) caused by MRSA during their stay at the hospital. 

Period	Rate / 1000 patient days	Number of cases
July 1 - September 30, 2024	0	0
April 1 - June 30, 2024	0.03	1
January 1 - March 31, 2024	0	0
October 1 - December 31, 2023	0	0

 

VRE bacteremias

VRE (vancomycin-resistant enterococcus) is a bacterium that has developed resistance to several antibiotics. VRE can be found in feces, urine, wounds or on the genitals.

People with a weakened immune system, who take antibiotics regularly, who have stayed in a health care institution several times or for a long period are more at risk of being a carrier of VRE. 

Bacteremia (blood infection) is one of the infections that this bacterium can cause.

The following table does not list the number of VRE carriers who have stayed at Hôpital Montfort, but only the number of people who developped a bacteremia (blood infection) caused by VRE during their stay at the hospital. 

Period	Rate / 1000 patient days	Number of cases
July 1 - September 30, 2024	0	0
April 1 - June 30, 2024	0	0
January 1 - March 31, 2024	0	0
October 1 - December 31, 2023	0	0

 

Central line bacteremias

Central lines are used in intensive care units to ensure close monitoring of certain vital functions of patients and to facilitate drug administering. These catheters are inserted into large veins or arteries.

Although central lines are often essential for treating intensive care patients, their use is associated with a risk of infection.

To reduce this risk, a set of infection prevention measures are used when installing the catheter and during use. When the patient’s condition allows, they are removed.

Bacteriemia (blood infection) is one of the main infections associated with the use of central lines.

Period	Rate / 1000 central line days	Number of cases
July 1 - September 30, 2024	2.61	0
April 1 - June 30, 2024	0	0
January 1 - March 31, 2024	0	0
October 1 - December 31, 2023	2.15	1
July 1 - September 30, 2023	6.42	3
April 1 - June 30, 2023	2.03	1

 

Ventilator-associated pneumonia

Mechanical ventilation is used in intensive care units to ensure satisfactory oxygenation of the vital organs for patients who can no longer manage to breathe on their own. A device sends air to the patient’s lungs via a tube inserted into the respiratory tract.

Although using the ventilator is sometimes essential for treating intensive care patients, its use is associated with a risk of infection.

To reduce this risk, a set of infection prevention measures are used during installation and use of the ventilator. As soon as the patient’s condition allows, it stops being used.

Pneumonia is the main infection associated with using a ventilator.

Period	Rate / 1000 ventilation days	Number of cases
July 1 - September 30, 2024	3.15	1
April 1 - June 30, 2024	3.91	1
January 1 - March 31, 2024	2.54	1
October 1 - December 31, 2023	11.24	4

 

Surgical site infection prevention

Every year, several hundred people are operated on for a hip or knee replacement.

To reduce the risk of infection, the equipment used during surgery is sterilized and the operating room staff strictly implement aseptic work techniques.

To further reduce the risk of infection, studies have shown the importance of administering antibiotics several minutes before the start of certain types of surgery. This is called “prophylactic antibiotic therapy”. 

Administration of prophylactic antibiotic therapy within recommended timeframes
Period	Knee replacement surgery	Hip replacement surgery
July 1 - September 30, 2024	99%	98.67%
April 1 - June 30, 2024	100%	100%
January 1 - March 31, 2024	98%	99%
October 1 - December 31, 2023	98%	96%

 

Hands Hygiene

Period	Before contact with patient	After contact with patient
July 1 - September 30, 2024	89%	96.3%
April 1st to June 30, 2024	91.7%	97.7%
January 1 - March 31, 2024	93 %	97 %
October 1 - December 31, 2023	94%	98%