Methicillin-Resistant Staphylococcus aureus (MRSA) Bloodstream Infections
Surveillance results: 2014–2015

From April 1, 2014, to March 31, 2015, 88 healthcare facilities participated in the surveillance of methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections, for a combined total of 4,689,050 inpatient days (Table 1). Together, these facilities reported 95 cases of healthcare-associated MRSA. The incidence rate was 0.20 / 10,000 patient-days. This incidence rate has declined over the past five years but has stabilized this year. The proportion of methicillin resistance in healthcare-associated S. aureus bloodstream infections was 17.8%. Data was extracted on May 20th, 2015 and updated on June 1st 2015 for complications

Updated : February 24, 2016

Table 1 – Participation of Healthcare Facilities in the Surveillance of MRSA Bloodstream Infections, Québec, 2010–2011 to 2014–2015

 

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

Facilities (N)

87

88

88

88

88

Admissions (N)

615,164

629,067

639,647

643,076

626,421

Inpatient days (N)

4,951,162

4,980,856

5,005,289

4,893,549

4,689,050

MRSA bloostream infections

 

 

 

 

 

     Healthcare-associated (cat. 1a et 1b) (N)

168

144

147

96

95

     Total (cat. 1a, 1b, 1c, 1d, 2, 3 et 4) (N)

334

300

300

257

238

S. aureus bloodstream infection

 

 

 

 

 

     Healthcare-associated (cat. 1a et 1b) (N)

676

610

660

527

511

     Total (cat. 1a, 1b, 1c, 1d, 2, 3 et 4) (N)

1,743

1,774

1,941

1,800

1,700

NB: It is possible that number of MRSA and S. aureus of categories 1d, 2, 3 and 4 are not complete since date entry for periods 12 and 13 in 2014-2015 have been delayed.

In 2014-2015, the incidence rate for healthcare-associated MRSA was 0.20 / 10,000 patient-days (Figure 1 and Table 2). The incidence rate of healthcare-associated MRSA in pediatric facilities was equal to 0.08 in 2014-2015.

Figure 1 – Incidence Rate of Healthcare-associated MRSA (cat. 1a + 1b), by Type of Healthcare Facility, Québec, 2014–2015 (Incidence Rate per 10,000 Patient-Days [95% CI])

Figure 1 – Incidence Rate of Healthcare-associated MRSA (cat. 1a + 1b), by Type of Healthcare Facility, Québec, 2014–2015 (Incidence Rate per 10,000 Patient-Days [95% CI])

Table 2 – Percentile Distribution and Incidence Rate of Healthcare-Associated MRSA Bloodstream Infections (cat. 1a + 1b) by type of Healthcare Facility, Québec, 2014–2015 (Incidence Rate per 10,000 Patient-Days [95% CI])

Type of Healthcare Facility

Distribution Indicator

Incidence Rate
[95% CI]

Min.

25%

50%

75%

90%

Max.

Non-teaching facilities

 

 

 

 

 

 

 

     < 250 beds (N = 55)

0

0

0

0.23

0.53

2.07

0.2 [0.14-0.27]

     ≥ 250 beds (N = 7)

0.12

0.15

0.19

0.21

0.35

0.35

0.2 [0.11-0.31]

Teaching facilities

 

 

 

 

 

 

 

     < 250 beds (N = 6)

0

0

0.08

0.62

0.81

0.81

0.39 [0.20-0.64]

     ≥ 250 beds (N =18)

0

0

0.15

0.29

0.72

1.26

0.18 [0.12-0.25]

Pediatric facilities (N =2)

0

0

0.06

0.11

0.11

0.11

0.08 [0-0.31]

Total (N = 88)

0

0

0

0.22

0.54

2.07

0.20 [0.16-0.24]

The incidence rate of healthcare-associated MRSA bloodstream infections decreased in the past five years (Figure 2). The incidence rate of healthcare-associated MRSA bloodstream infections was 0.54 per 10,000 patient-days during the first year of mandatory surveillance (2006-2007).

Compared with 2013-2014, the incidence rate of healthcare-associated MRSA bloodstream infections in 2014-2015 was stable (Table 3).

Figure 2 – Incidence Rate of Healthcare-associated MRSA Bloodstream Infections (cat. 1a + 1b) for Participating Healthcare Facilities, Québec, 2006–2007 to 2014–2015 (Incidence Rate per 10,000 Patient-Days [95% CI]) (N = 82)

Figure 2 – Incidence Rate of Healthcare-associated MRSA Bloodstream Infections (cat. 1a + 1b) for Participating Healthcare Facilities, Québec, 2006–2007 to 2014–2015 (Incidence Rate per 10,000 Patient-Days [95% CI]) (N = 82)

Note: data analyzed are those from healthcare facilities that participated in the surveillance from 2006-2007 to 2014-2015 and at least 11 periods between 2006-2007 and 2013-2014.

Table 3 – Incidence Rate of Healthcare-associated MRSA Bloodstream Infections (cat. 1a + 1b) by type of Healthcare Facility for Participating Healthcare Facilities, Québec, 2010-2011 to 2014–2015 (Incidence Rate per 10,000 Patient-Days [95% CI]) (N = 86)

 

2010–2011

2011–2012

2012–2013

2013–2014

2014–2015

Non-teaching facilities

 

 

 

 

 

     < 250 beds (N = 53)

0.24 [0.17-0.32]

0.23 [0.16-0.31]

0.22 [0.16-0.30]

0.15 [0.10-0.21]

0.20 [0.14-0.27]

     ³ 250 beds (N = 7)

0.26 [0.15-0.39]

0.27 [0.16-0.40]

0.35 [0.23-0.50]

0.23 [0.13-0.35]

0.20 [0.11-0.31]

Teaching facilities

 

 

 

 

 

     < 250 beds (N = 6)

0.41 [0.21-0.68]

0.31 [0.14-0.54]

0.67 [0.41-1.00]

0.24 [0.10-0.45]

0.41 [0.21-0.68]

     ³ 250 beds (N =18)

0.46 [0.37-0.56]

0.36 [0.28-0.45]

0.28 [0.21-0.36]

0.23 [0.17-0.30]

0.18 [0.12-0.25]

Pediatric facilitites (N =2)

0

0

0.31 [0.08-0.68]

0

0.08 [0-0.31]

Total (N = 86)

0.34 [0.29-0.39]

0.29 [0.24-0.34]

0.29 [0.24-0.34]

0.20 [0.16-0.24]

0.20 [0.16-0.24]

Note: data analyzed are those from healthcare facilities that participated in the surveillance at least 11 periods between 2010-2011 and 2014-2015.

In total, 238 cases of MRSA bloodstream infections were reported, of which 142 (59.7%) were healthcare-associated (cat. 1a, 1b, 1c, 1d, 2) and 125 (52.5%) were related to the reporting facility (cat. 1a, 1b, 1c, 1d) (Table 4)

Table 4 – Cases of MRSA and S. aureus Bloodstream Infections by Presumed Origin of Acquisition, Québec, 2014–2015 (N, %)

Category

Origin of Acquisition

MRSA

S. aureus

N

%*

N

%

1a

Healthcare-associated with a current hospitalisation in the reporting facility

87

5.1%

450

26.5%

1b

Healthcare-associated with a previous hospitalisation in the reporting facility

8

0.5%

61

3.6%

1c

Healthcare-associated with ambulatory care in the reporting facility

25

1.5%

163

9.6%

1d

Healthcare-associated with long term care unit in the reporting facility

5

0.3%

14

0.8%

2

Healthcare-associated with another facility

17

1.0%

57

3.4%

3

Community-associated

75

4.4%

821

48.3%

4

Unknown origin of acquisition

21

1.2%

134

7.9%

 

Total

238

14.0%

1700

100.0%

*  Percentage of MRSA compared to total S. aureus.
Note : It is possible that number of MRSA and S. aureus of categories 1d, 2, 3 and 4 are not complete since date entry for periods 12 and 13 in 2014-2015 have been delayed.

Non-catheter-related bloodstream infections represented the most frequently reported type of infection (17.5%) as either primary bloodstream infections related to catheter use and related to hemodialysis venous access (44.1%) among 120 healthcare-associated MRSA bloodstream infections (cat. 1a. 1b and 1c) in 2014-2015 (Table 4). This was followed by pulmonary (14.2%), skin and soft tissue (12.5%) surgical site (12.5%) and urinary tract (9.2%) infections (Figure 3 and Table 5).

Non-catheter-related bloodstream infections represented the most frequently reported type of infection (17.5%) as either primary bloodstream infections related to catheter use and related to hemodialysis venous access (44.1%) among 120 healthcare-associated MRSA bloodstream infections (cat. 1a. 1b and 1c) in 2014-2015 (Table 4). This was followed by pulmonary (14.2%), skin and soft tissue (12.5%) surgical site (12.5%) and urinary tract (9.2%) infections (Figure 3 and Table 5).

A total of 34 deaths were observed among the 120 healthcare-associated MRSA bloodstream infections, yealding a 30 days case fatality of 28.3% (Table 6).

Figure 3 – Breackdown of Healthcare-Associated MRSA Bloodstream Infections (cat. 1a. 1b and 1c) by Type of Infection. Québec, 2014-2015 (N = 120)

Figure 3 – Breackdown of Healthcare-Associated MRSA Bloodstream Infections (cat. 1a. 1b and 1c) by Type of Infection. Québec, 2014-2015 (N = 120)

BSI : bloodstream infection
Non-CRBSI : non- catheter-related primary bloodstream infection
HD: hemodialysis

Table 5 – Number of cases Corresponding to Each type of Infection Associated with Healthcare-Associated MRSA Bloodstream Infections (cat. 1a. 1b and 1c) by Type of Facility. Québec, 2014–2015 (N=120)

 

 

Primary BSI

Secondary BSI

CRBSI

Non-CRBSI

HD

Urinary

Abdominal

Pulmonary

Surgical site

Non-teaching facilities

 

 

 

 

 

 

 

    < 250 beds

4

8

2

6

1

7

2

     ³ 250 beds

1

4

2

3

1

4

1

Teaching facilities

 

 

 

 

 

 

 

     < 250 beds

4

1

1

0

0

1

2

     ³ 250 beds

9

8

8

2

1

5

10

Pediatric facilities

1

0

0

0

0

0

0

Total

19

21

13

11

3

17

15

 

Secondary BSI

Skin and soft tissus

Bones and joints

Central nervous system

others

Total

Non-teaching facilities

 

 

 

 

 

    < 250 beds

7

1

0

2

40

     ³ 250 beds

2

0

0

1

19

Teaching facilities

 

 

 

 

 

     < 250 beds

3

0

0

0

12

     ³ 250 beds

3

1

0

1

48

Pediatric facilities

0

0

0

0

1

Total

15

2

0

4

120

BSI : bloodstream infection
CRBSI : catheter-related bloodstream infection
Non-CRBSI : non- catheter-related primary bloodstream infection
HD: hemodialysis

Number of Deaths and 30-days Case Fatality Related to Healthcare-Associated MRSA Bloodstream Infections (cat. 1a. 1b and 1c), Québec, 2013-2014 to 2014-2015

 

2013-2014

2014-2015

Healthcare-associated MRSA bloodstream infections

121

120

Number of deaths

39

34

Case fatality

32.2%

28.3%

The proportion of methicillin resistance in healthcare-associated bloodstream infections due to S. aureus dropped between 2010-2011 and 2013-2014 to 16.8% before exhibiting an increase to 17.8 in 2014-2015 (Figure 4)

Figure 4 – Proportion of Methicillin Resistance in Healthcare-Associated Bloodstream Infections (cat. 1a, 1b and 1c) and all Bloodstream Infections (cat. 1a. 1b. 1c. 1d. 2. 3 and 4), Québec, 2010-2011 to 2014-2015 (N = 86)

Figure 4 – Proportion of Methicillin Resistance in Healthcare-Associated Bloodstream Infections (cat. 1a, 1b and 1c) and all Bloodstream Infections (cat. 1a. 1b. 1c. 1d. 2. 3 and 4), Québec, 2010-2011 to 2014-2015 (N = 86)

Note: data analyzed are those from healthcare facilities that participated in the surveillance in 2014-2015 and at least 11 periods between 2010-2011 and 2013-2014.

The incidence rate of healthcare-associated MRSA bloodstream infections and percentile ranking by type of facility are shown in Figures 5 through 9.

Figure 5 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for non-Teaching Healthcare Facilities with Less than 250 Beds, Québec, 2014–2015

Figure 5 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for non-Teaching Healthcare Facilities with Less than 250 Beds, Québec, 2014–2015

NB: Facilities 23, 32, 46, 49, 51, 52, 53, 56, 59, 61, 63, 64, 67, 70, 71, 72, 74, 77, 80, 81, 82, 83, 84, 85, 86, 88, 89, 96, 97, 103, 107, 109, 111, 112, 113 and 130 did not report any cases in 2014-2015.

Figure 6 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for non-Teaching Healthcare Facilities with 250 or more Beds, Québec, 2014–2015

Figure 6 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for non-Teaching Healthcare Facilities with 250 or more Beds, Québec, 2014–2015

Figure 7 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for Teaching Healthcare Facilities with Less than 250 Beds, Québec, 2014–2015

Figure 7 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for Teaching Healthcare Facilities with Less than 250 Beds, Québec, 2014–2015

NB: Facilities 13, 116 and 118 did not report any cases in 2014-2015.

Figure 8 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for Teaching Healthcare Facilities with 250 or more Beds, Québec, 2014–2015

Figure 8 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for Teaching Healthcare Facilities with 250 or more Beds, Québec, 2014–2015

NB: Facilities 1, 18, 24, 27, 31, and 33 did not report any cases in 2014-2015.

Figure 9 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for Pediatric Healthcare Facilities, Québec, 2014–2015

Figure 9 – Incidence Rate and Percentile Ranking of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility for Pediatric Healthcare Facilities, Québec, 2014–2015

NB: Facilities 6 did not report any cases in 2014-2015.

At the local level. in 2014-2015, the incidence rate of healthcare-associated MRSA bloodstream infections ranged from 0 to 1.26 / 10,000 patient-days. The incidence rate for the past five years of surveillance is shown in Table 7. Significant variations compared to 2013-2014 are also indicated.

Overall. 4 facilities (4.5%) exhibited a significant decrease in the incidence rate of healthcare-associated MRSA bloodstream infections per 10,000 patient-days compared to the 2013-2014 surveillance year, whereas 6 facilities (6.8%) exhibited a significant increase in this incidence rate. Furthermore, in 2014-2015, the incidence rate of healthcare-associated MRSA bloodstream infections per 10,000 patient-days in health region of Chaudière-Appalaches significantly decreased as compared to 2013-2014.

Table 8 presents the number of healthcare-associated MRSA bloodstream infections and the proportion of methicillin resistance in healthcare-associated S. aureus bloodstream infections for the past five years.

Table 7 – Incidence rate of Healthcare-associated MRSA Bloodstream Infections (cat. 1a and 1b) by Facility, Québec, 2010–2011 to 2014–2015 (Incidence Rate per 10.000 Patient-Days [95% CI])

HR

Facility

Incidence rate of healthcare-associated MRSA bloodstream infections
 / 10.000 patient-days [95% CI]

Number

Name

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

01

16

HÔPITAL RÉGIONAL DE RIMOUSKI

0.18 [0-0.70]

0.19 [0-0.74]

0

0

0.19 [0-0.75]

 

32

CENTRE HOSPITALIER RÉGIONAL DU GRAND-PORTAGE

0

0.31 [0-1.22]

0.32 [0-1.25]

0

0

 

61

CENTRE NOTRE-DAME-DE-FATIMA

1.07 [0-4.20]

1.02 [0-4.01]

0

0

0

 

71

HÔPITAL DE MATANE

0

0

0

0

0

 

77

HÔPITAL D’AMQUI

0

0

0

0

0

 

84

HÔPITAL DE NOTRE-DAME-DU-LAC

0

0

0

0

0

 

 

BAS-SAINT-LAURENT

0.15 [0.01-0.43]

0.24 [0.05-0.59]

0.08 [0-0.31]

0

0.08 [0-0.32]

02

20

HÔPITAL DE CHICOUTIMI

0

0

0.22 [0.02-0.63]

0

0.12 [0-0.47]

 

67

HÔPITAL ET CENTRE DE RÉADAPTATION DE JONQUIÈRE

0.25 [0-0.97]

0

0.25 [0-0.98]

0

0

 

74

HÔPITAL DE DOLBEAU-MISTASSINI

0.51 [0-2.01]

0

0

0

0

 

88

HÔPITAL. CLSC ET CENTRE D’HÉBERGEMENT DE ROBERVAL

0

0

0

0

0

 

112

HÔPITAL D’ALMA

0.31 [0-1.21]

0

0

0

0

 

 

SAGUENAY–LAC-SAINT-JEAN

0.14 [0.03-0.34]

0

0.14 [0.03-0.34]

0

0.05 [0-0.20]

03

2

HÔPITAL DE L’ENFANT-JÉSUS

0.07 [0-0.28]

0.36 [0.11-0.75]

0.07 [0-0.28]

0.44 [0.16-0.86]

0.08 [0-0.31]*

 

7

PAVILLON L’HÔTEL-DIEU DE QUÉBEC

0.34 [0.06-0.84]

0.12 [0-0.47]

0.47 [0.12-1.04]

0.23 [0.02-0.66]

0.72 [0.26-1.41]

 

24

HÔPITAL DU SAINT-SACREMENT

0

0

0.17 [0-0.68]

0

0

 

27

PAVILLON CENTRE HOSPITALIER DE L’UNIVERSITÉ LAVAL

0

0.17 [0.02-0.48]

0

0

0

 

28

PAVILLON SAINT-FRANÇOIS D’ASSISE

0.33 [0.06-0.81]

0.11 [0-0.43]

0.67 [0.24-1.31]

0.22 [0.02-0.63]

0.11 [0-0.43]

 

33

INSTITUT UNIVERSITAIRE DE CARDIOLOGIE ET DE PNEUMOLOGIE DE QUÉBEC

0.21 [0.02-0.60]

0.31 [0.06-0.76]

0.20 [0.02-0.58]

0

0

 

59

HÖPITAL DE BAIE-SAINT PAUL

0

0

0

0

0

 

86

HÔPITAL DE LA MALBAIE

0

0

0

0

0

 

 

CAPITALE-NATIONALE

0.15 [0.07-0.26]

0.20 [0.10-0.33]

0.23 [0.12-0.37]

0.17 [0.08-0.29]

0.13 [0.05-0.24]

04

23

HÔTEL-DIEU D’ARTHABASKA

0

0

0.18 [0-0.71]

0

0

 

31

PAVILLON SAINT-JOSEPH

0.25 [0.05-0.61]

0.08 [0-0.32]

0.16 [0.02-0.45]

0

0

 

41

HÔPITAL DU CENTRE-DE-LA-MAURICIE

0

0

0

0

0.23 [0-0.89]

 

44

HÔPITAL SAINTE-CROIX

0

0.17 [0-0.66]

0.34 [0.03-0.97]

0.34 [0.03-0.98]

0.28 [0-1.10]

 

85

CENTRE DE SANTÉ ET DE SERVICES SOCIAUX DU HAUT-SAINT-MAURICE

0

0

0

0

0

 

 

MAURICIE ET CENTRE-DU-QUÉBEC

0.10 [0.02-0.25]

0.07 [0.01-0.20]

0.17 [0.05-0.35]

0.07 [0.01-0.20]

0.08 [0.01-0.22]

05

15

HÔPITAL FLEURIMONT

0.08 [0-0.32]

0.08 [0-0.32]

0.17 [0.02-0.49]

0.18 [0.02-0.52]

0.19 [0.02-0.54]

 

30

HÔTEL-DIEU DE SHERBROOKE

0

0.14 [0-0.56]

0.14 [0-0.56]

0.15 [0-0.59]

0.15 [0-0.58]

 

49

CENTRE DE SANTÉ ET DE SERVICES SOCIAUX MEMPHRÉMAGOG

0

0

0

0

0

 

75

CENTRE DE SANTÉ ET DE SERVICES SOCIAUX DU GRANIT

0

0

0

0

2.07 [0.20-5.93]*

 

 

ESTRIE

0.05 [0-0.19]

0.10 [0.01-0.28]

0.14 [0.03-0.35]

0.15 [0.03-0.37]

0.25 [0.08-0.52]

06

3

HÔPITAL ROYAL VICTORIA

0.74 [0.34-1.30]

0.24 [0.04-0.59]

0.34 [0.09-0.75]

0.53 [0.19-1.04]

0.18 [0.02-0.52]

 

4

HÔPITAL NOTRE-DAME DU CHUM

0.85 [0.40-1.46]

1.01 [0.52-1.66]

0.43 [0.14-0.89]

0.50 [0.18-0.98]

0.18 [0.02-0.51]

 

5

HÔPITAL GÉNÉRAL JUIF

0.61 [0.30-1.02]

0.39 [0.15-0.73]

0.29 [0.09-0.60]

0.23 [0.06-0.51]

0.38 [0.14-0.75]

 

6

HÔPITAL DE MONTRÉAL POUR ENFANTS

0

0

1.10 [0.29-2.44]

0

0

 

8

PAV. MAISONNEUVE / PAV. MARCEL-LAMOUREUX

0.55 [0.26-0.94]

0.22 [0.06-0.49]

0.11 [0.01-0.31]

0.11 [0.01-0.31]

1.26 [0.33-2.80]*

 

12

CENTRE HOSPITALIER UNIVERSITAIRE SAINTE-JUSTINE

0

0

0

0

0.11 [0-0.43]

 

13

INSTITUT DE CARDIOLOGIE DE MONTRÉAL

0.24 [0-0.94]

0

0.24 [0-0.94]

0.23 [0-0.91]

0

 

21

HÔPITAL SAINT-LUC DU CHUM

0.83 [0.36-1.50]

0.52 [0.17-1.07]

0.50 [0.16-1.03]

0.18 [0.0-0.70]

0.29 [0.05-0.72]

 

22

HÔTEL-DIEU DU CHUM

0.13 [0-0.51]

0.76 [0.27-1.49]

1.12 [0.51-1.97]

0.64 [0.20-1.32]

0.81 [0.29-1.59]

 

25

HÔPITAL DU SACRÉ-COEUR DE MONTRÉAL

1.06 [0.62-1.62]

0.76 [0.39-1.25]

0.52 [0.22-0.94]

0.20 [0.04-0.49]

0.21 [0.04-0.51]

 

26

HÔPITAL DE VERDUN

0.54 [0.14-1.20]

0.79 [0.29-1.55]

0.27 [0.03-0.77]

0.28 [0.03-0.80]

0.14 [0-0.54]

 

29

HÔPITAL GÉNÉRAL DE MONTRÉAL

1.16 [0.61-1.88]

0.73 [0.31-1.32]

0.77 [0.33-1.40]

0.90 [0.39-1.63]

0.35 [0.07-0.86]

 

34

HÔPITAL SANTA CABRINI

0.21 [0.02-0.60]

0.30 [0.06-0.73]

0.66 [0.26-1.24]

0.19 [0.02-0.54]

0.19 [0.02-0.55]

 

36

HÔPITAL GÉNÉRAL DU LAKESHORE

0.30 [0.03-0.86]

0.61 [0.16-1.35]

0.72 [0.23-1.49]

0.29 [0.03-0.84]

0.29 [0.03-0.83]

 

38

HÔPITAL JEAN-TALON

0.53 [0.10-1.30]

0.18 [0-0.70]

0.57 [0.11-1.39]

0.39 [0.04-1.11]

0.19 [0-0.75]

 

48

CENTRE HOSPITALIER DE ST. MARY

1.01 [0.43-1.83]

0.25 [0.02-0.72]

1.12 [0.51-1.97]

0

0.62 [0.19-1.29]*

 

76

HÔPITAL DE LACHINE

2.22 [0.70-4.59]

0

0

0.52 [0-2.03]

0*

 

80

HÔPITAL FLEURY

0.50 [0.05-1.43]

0.46 [0.04-1.32]

0.23 [0-0.90]

0.46 [0.04-1.32]

0*

 

83

HÔPITAL DE LASALLE

0.38 [0-1.49]

0.83 [0.08-2.38]

0.83 [0.08-2.38]

0

0

 

116

INSTITUT THORACIQUE DE MONTRÉAL

0.43 [0-1.69]

0.45 [0-1.76]

0.45 [0-1.76]

0

0

 

118

HÔPITAL NEUROLOGIQUE DE MONTRÉAL

0.83 [0.08-2.37]

0

0

0

0

 

 

MONTRÉAL

0.64 [0.53-0.76]

0.45 [0.36-0.56]

0.47 [0.37-0.58]

0.29 [0.21-0.38]

0.28 [0.2-0.37]

07

39

HÔPITAL DE GATINEAU

0.17 [0-0.66]

0

0

0

0.33 [0.03-0.95]*

 

40

HÔPITAL DE HULL

0.28 [0.03-0.80]

0

0

0.16 [0-0.62]

0.15 [0-0.60]

 

51

HÔPITAL DE MANIWAKI

0

0.68 [0-2.67]

0

0

0

 

95

CENTRE HOSPITALIER DU PONTIAC

0

0

0.72 [0-2.82]

0

0.81 [0-3.18]

 

111

HÔPITAL DE PAPINEAU

0

0

0

0

0

 

 

OUTAOUAIS

0.17 [0.03-0.41]

0.05 [0-0.20]

0.05 [0-0.21]

0.06 [0-0.23]

0.23 [0.06-0.51]

08

47

HÔPITAL DE ROUYN-NORANDA

0.92 [0.09-2.63]

0

0

1.29 [0.24-3.16]

0.40 [0-1.56]

 

52

CENTRE HOSPITALIER HÔTEL-DIEU D’AMOS

0

0.40 [0-1.57]

0

0

0

 

65

HÔPITAL ET CLSC DE VAL-D’OR

0.33 [0-1.30]

0

0

0.34 [0-1.33]

0.35 [0-1.38]

 

70

CENTRE DE SOINS DE COURTE DURÉE LA SARRE

0

0

0

0

0

 

82

PAVILLON SAINTE-FAMILLE

0

0

2.69 [0.25-7.71]

0

0

 

 

ABITIBI-TÉMISCAMINGUE

0.31 [0.06-0.76]

0.10 [0-0.40]

0.21 [0.02-0.60]

0.43 [0.11-0.96]

0.21 [0.02-0.61]

09

64

HÔPITAL LE ROYER

0

0

0.72 [0.07-2.06]

0

0

 

72

HÔPITAL ET CENTRE D’HÉBERGEMENT DE SEPT-ÎLES

0

0

0

0.41 [0-1.61]

0

 

 

CÔTE-NORD

0

0

0.40 [0.04-1.15]

0.20 [0-0.78]

0

10

96

CENTRE DE SANTÉ DE CHIBOUGAMAU

0

0

0

0

0

 

 

NORD-DU-QUÉBEC

0

0

0

0

0

11

53

HÔPITAL DE CHANDLER

0

0.67 [0-2.63]

0

0

0

 

91

HÔPITAL HÔTEL-DIEU DE GASPÉ

0.81 [0-3.17]

0

0.97 [0-3.80]

0.96 [0-3.77]

1.00 [0-3.93]

 

97

HÔPITAL DE MARIA

0

0

0

0

0

 

107

HÔPITAL DE L’ARCHIPELa

0

0

0

0

0

 

109

HÔPITAL DE SAINTE-ANNE-DES-MONTS

0

0

0

0

0

 

 

GASPÉSIE–ÎLES-DE-LA-MADELEINE

0.17 [0-0.67]

0.16 [0-0.62]

0.17 [0-0.66]

0.17 [0-0.67]

0.17 [0-0.66]

12

18

HÔTEL-DIEU DE LÉVIS

0.39 [0.07-0.95]

0.37 [0.07-0.91]

0.13 [0-0.50]

0.13 [0-0.51]

0

 

63

HÔPITAL DE SAINT-GEORGES

0

0.21 [0-0.83]

0

0

0

 

89

HÔPITAL DE MONTMAGNY

0

0.87 [0.08-2.49]

0.47 [0-1.85]

0.54 [0-2.12]

0

 

113

HÔPITAL DE THETFORD MINES

1.12 [0.21-2.75]

0.75 [0.07-2.15]

1.09 [0.2-2.67]

0.40 [0-1.56]

0

 

 

CHAUDIÈRE-APPALACHES

0.35 [0.13-0.69]

0.45 [0.19-0.82]

0.29 [0.09-0.60]

0.19 [0.04-0.46]

0*

13

19

HÔPITAL CITÉ DE LA SANTÉ

0.32 [0.1-0.66]

0.06 [0-0.24]

0.52 [0.24-0.92]

0.35 [0.13-0.69]

0.17 [0.03-0.42]

 

 

LAVAL

0.32 [0.1-0.66]

0.06 [0-0.24]

0.52 [0.24-0.92]

0.35 [0.13-0.69]

0.17 [0.03-0.42]

14

11

HÔPITAL PIERRE-LE GARDEUR

0.10 [0-0.39]

0.20 [0.02-0.58]

0

0.19 [0.02-0.54]

0.18 [0.02-0.52]

 

14

CENTRE HOSPITALIER RÉGIONAL DE LANAUDIÈRE

0

0.23 [0.02-0.66]

0.34 [0.06-0.84]

0.23 [0.02-0.66]

0.21 [0.02-0.60]

 

 

LANAUDIÈRE

0.05 [0-0.20]

0.21 [0.05-0.47]

0.16 [0.03-0.39]

0.21 [0.06-0.46]

0.19 [0.05-0.43]

15

45

HÔPITAL DE SAINT-EUSTACHE

0.15 [0-0.60]

0

0.12 [0-0.47]

0

0.33 [0.06-0.81]*

 

56

CENTRE DE SANTÉ ET DE SERVICES SOCIAUX D’ARGENTEUIL

0

1.32 [0.13-3.78]

0

0.71 [0-2.79]

0

 

81

HÔPITAL DE MONT-LAURIER

0.59 [0-2.31]

0

0

0

0

 

101

HÔPITAL RÉGIONAL DE SAINT-JÉRÔME

0.59 [0.21-1.16]

1.00 [0.48-1.72]

0.29 [0.06-0.71]

0.19 [0.02-0.54]

0.35 [0.09-0.78]

 

103

HÔPITAL LAURENTIEN

0.34 [0-1.33]

0

0

0

0

 

 

LAURENTIDES

0.40 [0.18-0.70]

0.51 [0.26-0.84]

0.16 [0.04-0.36]

0.12 [0.02-0.29]

0.27 [0.11-0.51]

16

1

HÔPITAL CHARLES-LEMOYNE

0.15 [0.01-0.44]

0.56 [0.22-1.05]

0

0.24 [0.05-0.59]

0*

 

9

HÔPITAL DU HAUT-RICHELIEU

0.12 [0-0.48]

0.12 [0-0.47]

0.43 [0.11-0.96]

0.22 [0.02-0.63]

0.12 [0-0.46]

 

10

HÔPITAL PIERRE-BOUCHER

0.19 [0.02-0.54]

0.20 [0.02-0.57]

0

0.19 [0.02-0.55]

0.19 [0.02-0.54]

 

35

HÔPITAL HONORÉ-MERCIER

0

0.15 [0-0.59]

0.44 [0.08-1.08]

0

0.58 [0.15-1.29]*

 

37

HÔTEL-DIEU DE SOREL

0.20 [0-0.78]

0.39 [0.04-1.12]

0.20 [0-0.78]

0

0.21 [0-0.82]

 

42

HÔPITAL ANNA-LABERGE

0.42 [0.08-1.03]

0.28 [0.03-0.80]

0.13 [0-0.51]

0.39 [0.07-0.95]

0.54 [0.14-1.20]

 

46

HÔPITAL DE GRANBY

0

0.46 [0.04-1.32]

0.94 [0.24-2.09]

0

0

 

58

HÔPITAL DU SUROÎT

0.34 [0.03-0.98]

0.34 [0.03-0.98]

0

0.16 [0-0.62]

0.53 [0.10-1.30]

 

99

HÔPITAL BROME-MISSISQUOI-PERKINS

0

0

0

0

0.36 [0-1.41]

 

130

HÔPITAL BARRIE MEMORIAL

0.92 [0-3.60]

0

0

0

0

 

 

MONTÉRÉGIE

0.19 [0.10-0.31]

0.30 [0.18-0.45]

0.19 [0.10-0.31]

0.17 [0.09-0.28]

0.24 [0.14-0.37]

 

 

Total

0.34 [0.29-0.39]

0.29 [0.24-0.34]

0.29 [0.24-0.34]

0.20 [0.16-0.24]

0.20 [0.16-0.24]

HR: Heath region.
* Significant statistical difference (p < 0.05) between healthcare-associated MRSA bloodstream infections of 2013-2014 and 2014-2015.
When the incidence rate is 0, the confidence interval [CI] is not calculated.
aFacility participating in the surveillance of bloodstream infections due to S. aureus as of Period 1 of 2011–2012.

Table 8 – Number of Healthcare-associated MRSA Bloodstream Infections and Proportion of Resistance to Methicillin by Healthcare-Associated S. aureus Bloodstream Infection (cat. 1a and 1b) by Facility, Québec, 2010–2011 to 2014–2015 (Number, [%])

HR

Facility

Number of healthcare-associated MRSA infections and proportion of resistance to methicillin by healthcare-associated S. aureus bloodstream infections (N [%])

Number

Name

2010-2011

2011-2012

2012-2013

2013-2014

2014-2015

01

16

HÔPITAL RÉGIONAL DE RIMOUSKI

1 (16.7%)

1 (16.7%)

0

0

1 (25,0%)

 

32

CENTRE HOSPITALIER RÉGIONAL DU GRAND-PORTAGE

0

1 (16.7%)

1 (50.0%)

0

0

 

61

CENTRE NOTRE-DAME-DE-FATIMA

1 (100.0%)

1 (100.0%)

0

0

0

 

71

HÔPITAL DE MATANE

0

0

0

0

0

 

77

HÔPITAL D’AMQUI

0

0

0

0

0

 

84

HÔPITAL DE NOTRE-DAME-DU-LAC

0

0

0

0

0

 

 

BAS-SAINT-LAURENT

2 (25.0%)

3 (23.1%)

1 (12.5%)

0

1 (20.0%)

02

20

HÔPITAL DE CHICOUTIMI

1 (10.0%)

1 (25.0%)

2 (11.1%)

0

1 (8.3%)

 

67

HÔPITAL ET CENTRE DE RÉADAPTATION DE JONQUIÈRE

1 (25.0%)

0

1 (100.0%)

0

0

 

74

HÔPITAL DE DOLBEAU-MISTASSINI

1 (50.0%)

0

0

0

1 (50.0%)

 

88

HÔPITAL. CLSC ET CENTRE D’HÉBERGEMENT DE ROBERVAL

0

0

0

0

1 (33.3%)

 

112

HÔPITAL D’ALMA

1 (25.0%)

0

0

0

0

 

 

SAGUENAY–LAC-SAINT-JEAN

4 (18.2%)

1 (5.9%)

3 (13.6%)

1 (4.3%)

3 (14.3%)

03

2

HÔPITAL DE L’ENFANT-JÉSUS

1 (4.2%)

5 (17.2%)

1 (3.2%)

6 (26.1%)

1 (5.9%)

 

7

PAVILLON L’HÔTEL-DIEU DE QUÉBEC

3 (14.3%)

2 (7.4%)

4 (13.8%)

3 (13.6%)

6 (30.0%)

 

24

HÔPITAL DU SAINT-SACREMENT

0

0

1 (25.0%)

0

0

 

27

PAVILLON CENTRE HOSPITALIER DE L’UNIVERSITÉ LAVAL

0

2 (22.2%)

0

0

0

 

28

PAVILLON SAINT-FRANÇOIS D’ASSISE

4 (40.0%)

1 (20.0%)

6 (66.7%)

2 (14.3%)

2 (20.0%)

 

33

INSTITUT UNIVERSITAIRE DE CARDIOLOGIE ET DE PNEUMOLOGIE DE QUÉBEC

2 (11.1%)

3 (33.3%)

2 (25.0%)

0

0

 

59

HÖPITAL DE BAIE SAINT-PAUL

0

0

0

0

0

 

86

HÔPITAL DE LA MALBAIE

0

0

0

0

0

 

 

CAPITALE-NATIONALE

10 (11.5%)

13 (16.3%)

14 (16.1%)

11 (13.6%)

9 (14.3%)

04

23

HÔTEL-DIEU D’ARTHABASKA

0

0

1 (50.0%)

0

0

 

31

PAVILLON SAINT-JOSEPH

3 (37.5%)

1 (6.3%)

2 (15.4%)

0

1 (6.7%)

 

41

HÔPITAL DU CENTRE-DE-LA-MAURICIE

0

0

0

0

1 (20.0%)

 

44

HÔPITAL SAINTE-CROIX

0

1 (16.7%)

2 (40.0%)

2 (40.0%)

1 (33.3%)

 

85

CENTRE DE SANTÉ ET DE SERVICES SOCIAUX DU HAUT-SAINT-MAURICE

0

0

0

0

0

 

 

MAURICIE ET CENTRE-DU-QUÉBEC

3 (14.3%)

2 (6.5%)

5 (23.8%)

2 (7.4%)

3 (12.0%)

05

15

HÔPITAL FLEURIMONT

1 (4.2%)

1 (7.7%)

2 (10.0%)

3 (13.0%)

2 (6.9%)

 

30

HÔTEL-DIEU DE SHERBROOKE

0

1 (33.3%)

1 (14.3%)

2 (33.3%)

1 (16.7%)

 

49

CENTRE DE SANTÉ ET DE SERVICES SOCIAUX MEMPHRÉMAGOG

0

0

0

0

0

 

75

CENTRE DE SANTÉ ET DE SERVICES SOCIAUX DU GRANIT

0

0

0

0

2 (100.0%)

 

 

ESTRIE

1 (2.9%)

2 (12.5%)

3 (10.3%)

5 (16.7%)

5 (13.2%)

06

3

HÔPITAL ROYAL VICTORIA

9 (26.5%)

5 (20.0%)

8 (22.2%)

8 (23.5%)

3 (14.3%)

 

4

HÔPITAL NOTRE-DAME DU CHUM

11 (31.4%)

14 (35.9%)

6 (25.0%)

7 (20.6%)

2 (7.1%)

 

5

HÔPITAL GÉNÉRAL JUIF

13 (32.5%)

8 (30.8%)

5 (17.2%)

7 (23.3%)

8 (25.0%)

 

6

HÔPITAL DE MONTRÉAL POUR ENFANTS

0

1 (10.0%)

4 (36.4%)

0

0

 

8

PAV. MAISONNEUVE / PAV. MARCEL-LAMOUREUX

10 (21.7%)

8 (21.6%)

2 (5.6%)

3 (12.5%)

4 (57.1%)

 

12

CENTRE HOSPITALIER UNIVERSITAIRE SAINTE-JUSTINE

0

0

0

0

1 (12.5%)

 

13

INSTITUT DE CARDIOLOGIE DE MONTRÉAL

1 (20.0%)

0

1 (25.0%)

1 (12.5%)

0

 

21

HÔPITAL SAINT-LUC DU CHUM

8 (27.6%)

5 (15.2%)

6 (23.1%)

2 (18.2%)

3 (23.1%)

 

22

HÔTEL-DIEU DU CHUM

1 (7.1%)

6 (40.0%)

9 (33.3%)

5 (19.2%)

6 (25.0%)

 

25

HÔPITAL DU SACRÉ-COEUR DE MONTRÉAL

19 (30.6%)

16 (30.8%)

10 (16.7%)

4 (15.4%)

5 (12.2%)

 

26

HÔPITAL DE VERDUN

6 (26.1%)

6 (42.9%)

4 (33.3%)

2 (20.0%)

1 (10.0%)

 

29

HÔPITAL GÉNÉRAL DE MONTRÉAL

19 (54.3%)

11 (36.7%)

10 (27.8%)

9 (32.1%)

8 (21.1%)

 

34

HÔPITAL SANTA CABRINI

2 (20.0%)

3 (17.6%)

8 (47.1%)

3 (50.0%)

2 (40.0%)

 

36

HÔPITAL GÉNÉRAL DU LAKESHORE

3 (21.4%)

5 (33.3%)

7 (63.6%)

2 (33.3%)

2 (28.6%)

 

38

HÔPITAL JEAN-TALON

3 (50.0%)

1 (9.1%)

3 (50.0%)

2 (28.6%)

1 (16.7%)

 

48

CENTRE HOSPITALIER DE ST. MARY

8 (50.0%)

2 (18.2%)

10 (35.7%)

0

5 (23.8%)

 

76

HÔPITAL DE LACHINE

5 (83.3%)

1 (50.0%)

0

1 (100.0%)

0

 

80

HÔPITAL FLEURY

2 (28.6%)

2 (18.2%)

1 (25.0%)

2 (33.3%)

0

 

83

HÔPITAL DE LASALLE

1 (33.3%)

3 (60.0%)

2 (40.0%)

0

0

 

116

INSTITUT THORACIQUE DE MONTRÉAL

1 (50.0%)

1 (100.0%)

1 (100.0%)

0

0

 

118

HÔPITAL NEUROLOGIQUE DE MONTRÉAL

2 (66.7%)

0

0

0

0

 

 

MONTRÉAL

124 (30.3%)

98 (26.3%)

97 (24.9%)

58 (20.3%)

51 (18.3%)

07

39

HÔPITAL DE GATINEAU

1 (20.0%)

0

0

0

2 (40.0%)

 

40

HÔPITAL DE HULL

2 (28.6%)

0

0

1 (10.0%)

1 (6.3%)

 

51

HÔPITAL DE MANIWAKI

0

1 (33.3%)

0

0

1 (50.0%)

 

95

CENTRE HOSPITALIER DU PONTIAC

0

0

1 (100.0%)

1 (100.0%)

1 (100.0%)

 

111

HÔPITAL DE PAPINEAU

1 (100.0%)

0

0

0

0

 

 

OUTAOUAIS

4 (30.8%)

1 (5.0%)

1 (10.0%)

2 (12.5%)

5 (20.0%)

08

47

HÔPITAL DE ROUYN-NORANDA

2 (50.0%)

0

0

3 (50.0%)

1 (33.3%)

 

52

CENTRE HOSPITALIER HÔTEL-DIEU D’AMOS

0

1 (100.0%)

0

0

0

 

65

HÔPITAL ET CLSC DE VAL-D’OR

2 (40.0%)

0

1 (11.1%)

1 (50.0%)

2 (50.0%)

 

70

CENTRE DE SOINS DE COURTE DURÉE LA SARRE

0

0

0

0

0

 

82

PAVILLON SAINTE-FAMILLE

0

0

2 (66.7%)

0

0

 

 

ABITIBI-TÉMISCAMINGUE

4 (33.3%)

1 (12.5%)

3 (23.1%)

4 (50.0%)

3 (37.5%)

 

 

           

09

64

HÔPITAL LE ROYER

0

0

2 (66.7%)

0

1 (50.0%)

 

72

HÔPITAL ET CENTRE D’HÉBERGEMENT DE SEPT-ÎLES

0

0

0

1 (100.0%)

0

 

 

CÔTE-NORD

0

0

2 (33.3%)

1 (25.0%)

1 (33.3%)

10

96

CENTRE DE SANTÉ DE CHIBOUGAMAU

0

0

0

0

0

 

 

NORD-DU-QUÉBEC

0

0

0

0

0

11

53

HÔPITAL DE CHANDLER

0

1 (50.0%)

0

0

0

 

91

HÔPITAL HÔTEL-DIEU DE GASPÉ

1 (50.0%)

0

1 (50.0%)

1 (50.%)

1 (100.0%)

 

97

HÔPITAL DE MARIA

0

0

0

0

0

 

107

HÔPITAL DE L’ARCHIPELa

0

0

0

0

0

 

109

HÔPITAL DE SAINTE-ANNE-DES-MONTS

0

0

0

0

0

 

 

GASPÉSIE–ÎLES-DE-LA-MADELEINE

1 (20.0%)

1 (33.3%)

1 (33.3%)

1 (11.1%)

1 (50.0%)

12

18

HÔTEL-DIEU DE LÉVIS

4 (30.8%)

3 (16.7%)

3 (14.3%)

2 (12.5%)

0

 

63

HÔPITAL DE SAINT-GEORGES

1 (50.0%)

1 (33.3%)

0

0

0

 

89

HÔPITAL DE MONTMAGNY

0

2 (66.7%)

1 (33.3%)

1 (50.0%)

0

 

113

HÔPITAL DE THETFORD MINES

3 (75%)

2 (40.0%)

3 (27.3%)

1 (20.0%)

0

 

 

CHAUDIÈRE-APPALACHES

8 (40.0%)

8 (27.6%)

7 (18.4%)

4 (13.8%)

0

13

19

HÔPITAL CITÉ DE LA SANTÉ

6 (13.6%)

3 (9.7%)

11 (19.3%)

7 (17.1%)

5 (15.6%)

 

 

LAVAL

6 (13.6%)

3 (9.7%)

11 (19.3%)

7 (17.1%)

5 (15.6%)

14

11

HÔPITAL PIERRE-LE GARDEUR

3 (33.3%)

5 (35.7%)

1 (7.7%)

3 (15.0%)

2 (15.4%)

 

14

CENTRE HOSPITALIER RÉGIONAL DE LANAUDIÈRE

0

2 (18.2%)

5 (26.3%)

3 (17.6%)

2 (10.5%)

 

 

LANAUDIÈRE

3 (21.4%)

7 (28.0%)

6 (18.8%)

6 (16.2%)

4 (12.5%)

15

45

HÔPITAL DE SAINT-EUSTACHE

1 (12.5%)

0

1 (16.7%)

0

3 (25.0%)

 

56

CENTRE DE SANTÉ ET DE SERVICES SOCIAUX D’ARGENTEUIL

0

2 (33.3%)

0

2 (100.0%)

0

 

81

HÔPITAL DE MONT-LAURIER

1 (50.0%)

0

0

0

0

 

101

HÔPITAL RÉGIONAL DE SAINT-JÉRÔME

6 (20.0%)

10 (29.4%)

3 (8.6%)

3 (17.6%)

5 (21.7%)

 

103

HÔPITAL LAURENTIEN

1 (33.3%)

0

0

0

0

 

 

LAURENTIDES

9 (20.9%)

12 (26.7%)

4 (9.1%)

5 (16.7%)

8 (21.6%)

16

1

HÔPITAL CHARLES-LEMOYNE

2 (7.1%)

8 (27.6%)

0

5 (17.2%)

2 (6.7%)

 

9

HÔPITAL DU HAUT-RICHELIEU

1 (5.9%)

1 (5.9%)

4 (18.2%)

2 (18.2%)

2 (18.2%)

 

10

HÔPITAL PIERRE-BOUCHER

3 (27.3%)

3 (25.0%)

0

2 (28.6%)

2 (16.7%)

 

35

HÔPITAL HONORÉ-MERCIER

0

1 (16.7%)

3 (23.1%)

0

4 (57.1%)

 

37

HÔTEL-DIEU DE SOREL

1 (9.1%)

2 (18.2%)

1 (9.1%)

1 (10.0%)

1 (11.1%)

 

42

HÔPITAL ANNA-LABERGE

3 (37.5%)

2 (25.0%)

2 (20.0%)

4 (27.3%)

4 (50.0%)

 

46

HÔPITAL DE GRANBY

0

3 (50.0%)

4 (33.3%)

0

0

 

58

HÔPITAL DU SUROÎT

4 (57.1%)

2 (25.0%)

1 (12.5%)

1 (25.0%)

4 (40.0%)

 

99

HÔPITAL BROME-MISSISQUOI-PERKINS

0

0

0

0

2 (50.0%)

 

130

HÔPITAL BARRIE MEMORIAL

1 (20.0%)

0

0

0

0

 

 

MONTÉRÉGIE

15 (13.4%)

22 (21.8%)

15 (14.2%)

14 (16.3%)

21 (22.3%)

 

 

Total

194 (22.9%)

174 (21.9%)

173 (20.0%)

120 (16.8%)

120 (17.8%)

HR: Heath region
When the number of healthcare-associated MRSA bloodstream infection  is  0, no percentage is calculated.
a Facility participating in the surveillance of bloodstream infections due to S. aureus as of Period 1 of 2011–2012.

Comité de surveillance provinciale des infections nosocomiales (SPIN)

Editorial committee 

Christophe Garenc, Direction des risques biologiques et de la santé au travail, Institut national de santé publique du Québec

Danielle Moisan, Centre hospitalier régional du Grand-Portage

Muleka Ngenda-Muadi, Direction des risques biologiques et de la santé au travail, Institut national de santé publique du Québec

Mélissa Trudeau, Direction des risques biologiques et de la santé au travail, Institut national de santé publique du Québec

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