CNISP Publications
Quick Index
The Canadian Nosocomial Infection Surveillance Program (CNISP) is a collaborative effort of the Canadian Hospital Epidemiology Committee (CHEC), a subcommittee of the Association of Medical Microbiology and Infectious Disease (AMMI) Canada and the Centre for Communicable Diseases and Infection Control (CCDIC) of the Public Health Agency of Canada (PHAC). IPAC Canada has a representative in this program.
CNISP Surveillance Protocols
For protocols or documents not appearing below, contact CNISP: cnisp-pcsin@phac-aspc.gc.ca
- Antimicrobial Utilization (AMU) Protocol (Jan 1, 2018-Dec 31, 2018)
- Carbapenemase-Producing Organisms (CPO) in CNISP Healthcare Facilities (2019)
- Clostridium difficile infection (CDI) Protocol (2019)
- Central Line Associated Blood Stream Infections (CLABSI) in Intensive Care Units (2019)
- Healthcare Acquired Cerebrospinal Fluid Shunt (CSF) Associated Infections (2019)
- Methicillin-Resistant and Methicillin-Susceptible Staphylococcus aureus (MRSA & MSSA) Bloodstream Infections in CNISP Hosptials (2019)
- Surgical Sites Infections Following Pediatric Cardiac Surgery (2019)
- Surgical Sites Infections Following Total Hip and Knee Arthroplasty (2019)
- Vancomycin Resistant Enterococci (VRE) Bloodstream Infections in CNISP Hospitals (2019)
- CNISP Infographic: Healthcare-associated infection rates in Canadian hospitals (2013-2017)
- Laboratory Surveillance 2019
Surveillance Definitions
- CNISP (Acute Care) HAI Surveillance Case definitions (2018)
- CNISP Long Term Care Infection Surveillance Definitions (2017)
Protocoles de Surveillance PCSIN
- Infections du site opératoire associées aux arthroplasties de la hanche et du genou (2019)
- Infections du sang à entérocoques résistants à la vancomycine (ERV) dans les hôpitaux participant au PCSIN (2019)
- Infections du site opératoire (ISO) cardiaques chez les patients pédiatriques au sein du réseau hospitalier du PCSIN (2019)
- Infections du liquide céphalorachidien (LCR) acquise en milieu de soins de santé 2019
- Organismes producteurs de carbapénémase (OPC) dans les établissements de soins de santé affiliés au PCSIN (2019)
- Infections du sang à Staphylococcus aureus résistant à la méthicilline (SARM) et sensible à la méthicilline (SASM) dans les établissements de soins de santé du PCSIN (2019)
- TPCSIN Inforgraphie: Taux d’infections associées aux soins de santé dans les hôpitaux canadiens (2013-2017)
- Surveillance en laboratoire dans le cadre du PCSIN (2019)
Definitions des Surveillance
- Définition des cas Surveillance des infections associées aux établissements de soins de courte durée PCSIN (2018)
- Définitions de la surveillance des infections pour les établissements de soins de longue durée PCSIN (2017)
CNISP Surveillance Reports
- Summary Report of Healthcare Associated Infection (HAI), Antimicrobial Resistance (AMR) and Antimicrobial Use (AMU) Surveillance Data from January 1, 2013 to December 31, 2017
- Rapport sommaire sur les données de surveillance des infections associées aux soins de santé (IASS), la résistance aux antimicrobiens (RAM) et l’utilisation des antimicrobiens (UAM) du 1er janvier 2013 au 31 décembre 2017
- Antimicrobial Resistant Organisms (ARO) Surveillance: Surveillance Report for data from January 1, 2009 to December 31, 2014
- Surveillance des micro-organismes résistant aux antimicrobiens : Rapport de surveillance sur résultats du 1 janvier 2009 au 31 décembre 2014
- Central Venous Catheter-Associated Blood Stream Infections (CLA-BSI) in Intensive Care units in Canadian Acute-Care Hospitals: Surveillance Report January 1, 2006 to December 31, 2006 and January 1, 2009 to December 31, 2011
- Bactériémies associées aux cathéters veineux centraux dans les unités de soins intensifs des hôpitaux canadiens de soins de courte durée: Rapport de surveillance du 1er janvier 2006 au 31 décembre 2006 et 1er janvier 2009 au 31 décembre 2011
CARSS Reports
- CARSS Report 2018 (Canadian Antimicrobial Resistance Surveillance System)
- Key findings from the 2018 CARSS update
- Principales constatations de la mise à jour de 2018 du SCSRA
- CARSS Infographic/ CARSS Inforgraphie)
About CNISP
- Established in 1995
- Partnership between Canadian Hospital Epidemiology Committee (CHEC), Association of Medical Microbiology and Infectious Disease (AMMI)-Canada
- 32 members in 9 provinces; 52 hospitals
- Collaborative network of hospitals and PHAC; good geographic representation; laboratory, epidemiologic and statistical expertise
- National, regional and site-specific rates
- Ability to link epidemiologic and laboratory data
- Able to distinguish infection vs. colonization
- Contributes to scientific medical literature (publications, abstracts)
- Provide evidence-based data for Canadian infection prevention and control guideline preparation
- Raises public awareness of important infection control issues (MRSA, C. difficile, re-use of single-use medical devices, etc.)
CNISP Objectives
- Establish ongoing national surveillance system to determine the epidemiology of nosocomial infections in Canadian hospitals
- Establish "benchmark" data
- Provide data that can be used to develop national guidelines for infection prevention CNISP Hospitals
- Predominantly teaching hospitals, with required expertise and commitment
- 12 long term care facilities; 13 adult and pediatric facilities; 8 pediatric facilities
CNISP Limitations
- Mostly tertiary-care teaching hospitals; few community hospitals
- Significant workload at hospital sites
CNISP Achievements
- Only national surveillance system in Canada collecting epidemiologic and linked microbiology data regarding healthcare acquired infections
- Network of hospitals that has worked in partnership with PHAC/National Microbiology Laboratory (NML) since 1995
- Has provided Canadian "benchmark" data for a variety of infections
Permission has been given to IPAC Canada to provide CNISP information on the IPAC Canada website for our members. More information about CNISP projects may be found on the CNISP website: http://www.phac-aspc.gc.ca/nois-sinp/survprog-eng.php.
CNISP Publications
1997
- The Canadian Nosocomial Infection Surveillance Program: Results of the first 18 months of surveillance for methicilllin-resistant Staphylococcus aureus in Canadian hospitals
- Vancomycin-resistant enterococci (VRE) in Canada – Results of the Canadian Nosocomial Infection Surveillance Program. 1996 VRE point prevalence surveillance project
1999
2001
- N-CDAD in Canada: Results of the Canadian Nosocomial Infection Surveillance Program 1997 N-CDAD Prevalence Surveillance Project
- The emerging epidemiology of VRE in Canada: Results of the CNISP Passive Reporting Network, 1994 to 1998
- Identification of the first vancomycin resistant Enterococcus faecalis harbouring vanE in Canada
- Reuse of single-use medical devices in Canadian acute-care healthcare facilities, 2001
- The evolution of methicillin-resistant Staphylococcus aureus in Canadian hospitals: 5 years of national surveillance
2002
- Morbidity, Mortality, and Healthcare Burden of Nosocomial Clostridium difficile–Associated Diarrhea in Canadian Hospitals
- Prospective surveillance for primary bloodstream infections occurring in Canadian hemodialysis units
- Laboratory Characterization of Methicillin-Resistant Staphylococcus aureus
in Canadian Hospitals: Results of 5 Years of National Surveillance, 1995–1999
2003
- Ambler Class A Extended-Spectrum Beta-Lactamase-Producing Escherichia coli and Klebsiella spp. in Canadian Hospitals
- The state of infection surveillance and control in Canadian acute care hospitals (AJIC)
- The state of infection surveillance and control in Canadian acute care hospitals (CJIC)
2004
- Incidence of bloodstream infection in multicenter inception cohorts of hemodialysis patients
- Molecular Characterization of Cefoxitin-Resistant Escherichia coli from Canadian Hospitals
- Complete Nucleotide Sequence of a 92-Kilobase Plasmid Harboring the CTX-M-15 Extended-Spectrum Beta-Lactamase Involved in an Outbreak in Long-Term-Care Facilities in Toronto, Canada
2005
- Surveillance for Methicillin-Resistant Staphylococcus aureus in Canadian Hospitals – A Report Update from the Canadian Nosocomial Infection Surveillance Program
- Clinical and Epidemiologic Features of Methicillin-Resistant Staphylococcus
aureus in Elderly Hospitalized Patients - The relationship between hospital infection surveillance and control activities and antibiotic-resistant pathogen rates
2006
- VanG-Type Vancomycin-Resistant Enterococcus faecalis Strains Isolated in Canada
- Central venous catheter-associated bloodstream infections occurring in Canadian intensive care units: A six-month cohort study
- Methicillin-Resistant Staphylococcus aureus in Canadian Aboriginal People
2007
- A point prevalence survey of healthcare-associated infections in pediatric populations in major Canadian acute care hospitals
- Infection control and antimicrobial restriction practices for antimicrobial-resistant organisms in Canadian tertiary care hospitals
- Mupirocin-Resistant, Methicillin-Resistant Staphylococcus aureus Strains in Canadian Hospitals
- Comparative Genomics of Canadian Epidemic Lineages of Methicillin-Resistant Staphylococcus aureus
- ampC gene expression in promoter mutants of cefoxitin-resistant Escherichia coli clinical isolates
- Point prevalence survey for healthcare-associated infections within Canadian adult acute-care hospitals
- Acinetobacter baumannii in casualties returning from Afghanistan
2008
2009
- Surveillance for Healthcare-Acquired Febrile Respiratory Infection in Pediatric Hospitals Participating in the Canadian Nosocomial Infection Surveillance Program
- Infection control practices related to Clostridium difficile infection in acute care hospitals in Canada
- Health Care–Associated Clostridium difficile Infection in Adults Admitted to Acute Care Hospitals in Canada: A Canadian Nosocomial Infection Surveillance Program Study
- Study of Cerebrospinal Fluid Shunt–Associated Infections in the First Year Following Placement, by the Canadian Nosocomial Infection Surveillance Program
- Risk factors for, and outcomes associated with, clinical isolates of Escherichia coli and Klebsiella species resistant to extended-spectrum cephalosporins among patients admitted to Canadian hospitals
2019
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