[Federal Register Volume 69, Number 70 (Monday, April 12, 2004)]
[Notices]
[Pages 19191-19192]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-8184]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30Day-46-04]


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. 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: Surveillance for Bloodstream and Vascular Access 
Infections in Outpatient Hemodialysis Centers, (OMB No. 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 1,000 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 estimated annualized burden is 6,300 hours.

[[Page 19192]]



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                                                                                                      Average
                                                                     Number of       Number of      burden per
                              Form                                  respondents    responses per   response (in
                                                                                    respondent         hrs.)
----------------------------------------------------------------------------------------------------------------
Agreement to Participate and Practices Survey...................             100               1               1
Census Form.....................................................             100              12               1
Log.............................................................             100              10               1
Incident Form...................................................             100             200           12/60
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    Dated: April 1, 2003.
Alvin Hall,
Director, Management Analysis and Services Office, Centers for Disease 
Control and Prevention.
[FR Doc. 04-8184 Filed 4-9-04; 8:45 am]
BILLING CODE 4163-18-P