[Federal Register: November 9, 2004 (Volume 69, Number 216)]
[Notices]
[Page 64955-64956]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr09no04-69]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-04-0012]
Proposed Data Collections Submitted for Public Comment and
Recommendations
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 498-1210 or send an e-mail
to omb@cdc.gov. Send written comments to CDC Desk Officer, Human
Resources and Housing Branch, New Executive Office Building, Room
10235, Washington, DC 20503 or by fax to (202) 395-6974. Written
comments should be received within 30 days of this notice.
Proposed Project
National Nosocomial Infections Surveillance (NNIS) System--
Reinstatement with change--National Center for Infectious Disease
(NCID), Centers for Disease Control and Prevention (CDC).
The NNIS system, which was instituted in 1970, is an ongoing
surveillance system currently involving 345 hospitals that voluntarily
report nosocomial infections data to CDC, who aggregate the data into a
national database. The data are collected using surveillance protocols
developed by CDC for high risk patient groups (ICU, high-risk nursery,
and surgical patients). Instructional manuals, training of surveillance
personnel and computer surveillance software are among the support that
CDC provides without cost to participating hospitals to ensure the
reporting of accurate and uniform data.
In the very near future this data collection will be merged with
two other collections to form the National Healthcare Safety Network
(NHSN). This network will be a computer-based system. Since this system
will be phased in over time, CDC will need to continue using the forms
within this clearance request until the transformation has been
completed.
The purpose of the NNIS system is to provide national data on the
incidence of nosocomial infections and their risk factors, and on
emerging antibiotic resistance. The data are used to determine: (1) The
magnitude of various nosocomial infection problems; (2) trends in
infection rates among patients with similar risks; and (3) changes in
the epidemiology of nosocomial infections resulting from new medical
therapies and changing patient risks.
New to the NNIS system is the monitoring of antibiotic resistance
and antimicrobial use in groups of patients. Data from the monitoring
of antibiotic resistance and antimicrobial use in the NNIS system will
be used to describe the epidemiology of antibiotic resistance and
understand the role of antimicrobial therapy to the growing problem of
antibiotic resistance. The NNIS system can also serve as a sentinel
system for the detection of nosocomial infection outbreaks in the event
of national distribution of a contaminated medical product or device.
The respondent burden is not the same in each hospital since the
hospitals can select from a wide variety of surveillance options. A
typical hospital will monitor patients for infections in two ICUs and
surgical site infections following three surgical operations. The
respondent burden includes the time and cost to: (1) Collect data on
nosocomial infections in patients in these groups and the denominator
data to characterize risk factors in the patients who are being
monitored; (2) to enter the data as well as a surveillance plan into
the surveillance software; (3) send the data to CDC by electronic
transmission; and (4) complete a short annual survey and administrative
forms. The total annualized burden is 66,775 hours.
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Average
Number of Number of burden per
Form title respondents responses/ response (in
respondent hrs.)
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Hospital Personnel List........................................ 297 1 15/60
Annual Participating Institution Survey........................ 297 1 45/60
NNIS Infection Worksheet:
Hospitals with High Risk Nursery........................... 100 240 (20x12) 25/60
Hospitals without High Risk Nursery........................ 197 180 (15x12) 25/60
Adult & Pediatric ICU Monthly Report........................... 235 12 6
High Risk Nursery Surveillance Monthly Report.................. 100 12 4
Surgical Patient Surveillance-Operative Procedure Daily Report. 205 12 2
Monthly Surveillance Plan...................................... 277 12 25/60
Supplementary Data Collection, Cesarean Patient Report......... 29 240 27/60
[[Page 64956]]
Supplementary Data Collection, Craniotomy Patient Report....... 9 58 27/60
Supplementary Data Collection, Spinal Fusion Patient Report.... 18 60 27/60
Supplementary Data Collection, Ventricular Shunt Patient....... 10 180 27/60
AUR Surveillance Monthly Report:
ICP........................................................ 30 12 (1x12) 2
Laboratory Technician...................................... 30 60 (5x12) 3
Pharmacy Technician........................................ 30 48 (4x12) 2
AUR Surveillance Contact Information........................... 40 1 10/60
Antimicrobial Prescribing Practices............................ 30 1 15/60
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Dated: November 3, 2004.
B. Kathy Skipper,
Acting Director, Management Analysis and Services Office, Centers for
Disease Control and Prevention.
[FR Doc. 04-24892 Filed 11-8-04; 8:45 am]
BILLING CODE 4163-18-P