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New from CDC: National and State Healthcare-Associated Infections Progress Report

2023 National and State Healthcare-Associated Infections (HAI) Progress Report Shows Improvements in Preventing HAIs   

CDC has released the 2023 National and State Healthcare-Associated Infections (HAI) Progress Report, which shows progress in preventing several important HAIs in acute care hospitals (ACHs) compared to 2022. This HAI Progress Report continues to show decreases in HAIs that align more closely with progress made prior to the start of the COVID-19 pandemic in 2020.


Decreases in national standardized infection ratio (SIR)* from 2022 to 2023 for some HAIs in ACHs included:

  • 16% decrease in hospital-onset methicillin-resistant Staphylococcus aureus (MRSA) bacteremia
  • 15% decrease in central line-associated bloodstream infections (CLABSI)
  • 13% decrease in hospital-onset Clostridioides difficile (C. difficile) infection
  • 11% decrease in catheter-associated urinary tract infections (CAUTI)
  • 5% decrease in ventilator-associated events (VAE)


Table with four columns and eight rows displaying changes in 2023 HAI SIRs compared to 2022 SIRs by facility setting. 

The full report includes data submitted to CDC’s National Healthcare Safety Network (NHSN) across four healthcare settings: ACHs, critical access hospitals (CAHs), inpatient rehabilitation facilities (IRFs) and long-term acute care hospitals (LTACHs).


Additionally, progress was made in reducing HAIs in other healthcare settings.

  • Among IRFs, there was a 14% decrease in hospital-onset C. difficile infection and an 8% increase in CAUTI; otherwise, there were no significant changes in CLABSI and hospital-onset MRSA 2023 SIRs compared with 2022.
  • Among LTACHs, there was a 13% decrease in hospital-onset C. difficile infection, otherwise, there were no significant changes in 2023 SIRs compared with 2022.

The 2023 National and State HAI Progress Report highlights the need for healthcare providers to continue to:

CDC remains committed to protecting patients and promoting safety and quality in health care. CDC will continue partnering with healthcare facilities and other federal and local public health agencies to strengthen healthcare quality and improve patient safety across the United States.


Read the full 2023 HAI Progress report, including the executive summary, data tables, technical appendix, and frequently asked questions.


Data for the HAI Progress Report are also available in CDC’s Antimicrobial Resistance & Patient Safety Portal (AR&PSP), an interactive web-based application that shows data collected through CDC’s NHSN and other sources.


 *The Standardized Infection Ratio (SIR) is a statistic used to track healthcare-associated infections (HAIs) over time, at a national, state, or facility level. The SIR compares the actual number of HAIs at each hospital, to the predicted number of infections. This SIR used in this report was calculated using the 2015 national baseline.


New 2023 National and State HAI Progress Report from @CDCgov shows decreases in healthcare-associated infections between 2022 and 2023 in acute care hospitals. Explore current data in the Antimicrobial Resistance & Patient Safety Portal: https://arpsp.cdc.gov/profile/infections?tab=nhsn #InfectionControl 

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