[Federal Register Volume 68, Number 236 (Tuesday, December 9, 2003)]
[Notices]
[Page 68630]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-30426]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-04-13]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call the CDC Reports 
Clearance Officer at (404) 498-1210.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology. Send comments to Seleda Perryman, CDC 
Assistant Reports Clearance Officer, 1600 Clifton Road, MS-D24, 
Atlanta, GA 30333. Written comments should be received within 60 days 
of this notice.
    Proposed Project: Surveillance for Bloodstream and Vascular Access 
Infections in Outpatient Hemodialysis Centers, (0920-0442)--Extension--
National Center for Infectious Diseases (NCID), Centers for Disease 
Control and Prevention (CDC).
    CDC is proposing an extension of a surveillance survey of 
bloodstream infections, vascular access infections, infections caused 
by hospitalization, and antimicrobial infections, all of which starts 
at U.S. outpatient hemodialysis centers. Although bloodstream and 
vascular access infections are common in hemodialysis patients, prior 
to this system there was no previous system to record and track these 
complications.
    Participation in the proposed project is voluntary. Currently about 
80-90 centers report data each month. We estimate that about 100 of the 
approximately 4,500 U.S. outpatient hemodialysis centers will 
participate in the coming years.
    Participating centers may collect data continuously, or may 
discontinue participation at any time. CDC estimates that the average 
center will participate for nine months. Each month, participating 
centers will record the number of hemodialysis patients they treat and 
maintain a log of all hospitalizations and intravenous (IV) 
antimicrobial starts. For each hospitalization or IV antimicrobial 
start, further information (e.g., type of vascular access, clinical 
symptoms, presence of a vascular access infection, and blood culture 
results) will be collected. These data may be reported to CDC on paper 
forms or via a secure Internet site. CDC aggregates this data and 
generates reports which are sent to participating dialysis centers.
    Centers that participate in the Internet-based reporting system may 
also analyze their own data and print out reports as desired. Rates of 
bloodstream infection, vascular access infection, and antimicrobial use 
per 1000 patient-days will be calculated. Also, the percentage of 
antimicrobial starts for which a blood culture is performed will be 
calculated. Through use of these data, dialysis centers will be able to 
track rates of key infectious complications of hemodialysis. This will 
facilitate quality control improvements to reduce the incidence of 
infections, and clinical practice guidelines to improve use of 
antimicrobials. The total cost to the respondents is $157,500.

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                                                                     Number of
                      Form                           Number of     responses per  Average burden   Total burden
                                                    respondents     respondent     per response     (in hours)
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Agreement to participate and Practices Survey...             100               1               1             100
Census Form.....................................             100              12               1           1,200
Log.............................................             100              10               1           1,000
Incident Form...................................             100             200           12/60           4,000
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............           6,300
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    Dated: December 1, 2003.
Laura Yerdon Martin,
Acting Director, Executive Secretariat, Centers for Disease Control and 
Prevention.
[FR Doc. 03-30426 Filed 12-8-03; 8:45 am]
BILLING CODE 4163-18-P