CINXE.COM

<!DOCTYPE html> <html lang="en-us" class="cdc-2022 theme-teal cdc-page-type-content cdc-tp5" > <head> <meta charset="utf-8" /> <meta http-equiv="X-UA-Compatible" content="IE=Edge" /> <meta content="width=device-width, initial-scale=1, shrink-to-fit=no" name="viewport" /> <meta name="mobile-web-app-capable" content="yes" /> <meta name="apple-mobile-web-app-capable" content="yes" /> <meta name="theme-color" content="#075290"> <link rel="apple-touch-icon" sizes="180x180" href="/TemplatePackage/4.0/assets/imgs/favicon/apple-touch-icon.png"> <link rel="icon" type="image/png" sizes="32x32" href="/TemplatePackage/4.0/assets/imgs/favicon/favicon-32x32.png"> <link rel="icon" type="image/png" sizes="16x16" href="/TemplatePackage/4.0/assets/imgs/favicon/favicon-16x16.png"> <link rel="mask-icon" href="/TemplatePackage/4.0/assets/imgs/favicon/safari-pinned-tab.svg" color="#0056b3"> <meta name="msapplication-TileColor" content="#0056b3"> <meta name="theme-color" content="#0056b3"> <link rel="stylesheet prefetch" href="/TemplatePackage/contrib/libs/bootstrap/latest/css/bootstrap.min.css?_=79008" /> <link rel="stylesheet prefetch" href="/TemplatePackage/4.0/assets/css/app.tp5.min.css?_=79008" /> <link rel="stylesheet" media="print" href="/TemplatePackage/4.0/assets/css/print.min.css?_=79008" />  <script src="https://www.cdc.gov/JScript/metrics/topic_levels.js?_=79008"></script> <script src="https://www.cdc.gov/JScript/metrics/adobe/launch/b36c1852e229/2c674008a127/launch-04da70ea688d.min.js" async></script> <title>FAQs: Analysis | NHSN | CDC</title> <meta name="description" content="CDC’s National Healthcare Safety Network is the nation’s most widely used healthcare-associated infection tracking system."/> <meta name="robots" content="index, archive" /> <meta property="cdc:template_version" content="4.0"/> <meta property="cdc:first_published" content="October 3, 2018"/> <meta property="cdc:last_updated" content="May 12, 2022"/> <meta property="cdc:last_reviewed" content="March 24, 2023"/> <meta property="cdc:content_source" content="CENTERS FOR DISEASE CONTROL AND PREVENTION; DIVISION OF HEALTHCARE QUALITY PROMOTION; NATL CTR FOR EMERGING & ZOONOTIC INFECTIOUS DISEASES"/> <meta property="cdc:maintained_by" content="DIVISION OF HEALTHCARE QUALITY PROMOTION; NATL CTR FOR EMERGING & ZOONOTIC INFECTIOUS DISEASES"/> <meta property="cdc:content_id" content="10895" /> <meta property="cdc:build" content="3426" /> <meta property="cdc:version" content="4.24.4" /> <meta property="cdc:page_type" content="cdc_page" /> <meta property="cdc:page_origin" content="wcms"/> <link rel="canonical" href="https://www.cdc.gov/nhsn/faqs/faq-analysis.html"/> <meta property="cdc:wcms_build" content="4.24.4 - b.3426" />  <meta name="DC.date" content="2023-03-23T07:38:53Z" /> <meta name="cdc:last_published" content="2024-05-13T14:51:43Z" /> </head> <body class="no-js cdc-page"> <div id="skipmenu"> <a class="skippy sr-only-focusable" href="#content">Skip directly to site content</a> <a class="skippy sr-only-focusable" href="#headerSearch">Skip directly to search</a> </div> <div class="header-language-bar container text-right pt-1 pb-1 fs0875"> <a href="/spanish/"><span lang="es-us">Español</span></a><span class="link-divider"> | </span> <a href="https://wwwn.cdc.gov/pubs/other-languages/">Other Languages</a> </div> <div class="cdc-header-official-notice container noindex"> <div class="cdc-header-official-notice-header d-flex"> <img src="/TemplatePackage/4.0/assets/imgs/uswds/us_flag_small.png" width="16" height="11" alt="U.S. flag" /> <small class="ml-2">An official website of the United States government <button class="cdc-header-official-notice-header-btn">Here's how you know <span class="cdc-header-official-notice-header-icon x12 fill-p cdc-icon-arrow-down"></span></button></small> </div> <div class="cdc-header-official-notice-body row" style="display: none;"> <figure class="col-lg-6 d-flex"> <img class="cdc-header-official-notice-body-img" src="/TemplatePackage/4.0/assets/imgs/uswds/icon-dot-gov.svg" alt="Official icon" aria-hidden="true" /> <figcaption class="cdc-header-official-notice-body-info ml-3"> <p class="cdc-header-official-notice-body-title mb-1"><strong>Official websites use .gov</strong></p> <p>A .gov website belongs to an official government organization in the United States.</p> </figcaption> </figure> <figure class="col-lg-6 d-flex"> <img class="cdc-header-official-notice-body-img" src="/TemplatePackage/4.0/assets/imgs/uswds/icon-https.svg" alt="Lock icon" aria-hidden="true" /> <figcaption class="cdc-header-official-notice-body-info ml-3"> <p class="cdc-header-official-notice-body-title mb-1"><strong>Secure .gov websites use HTTPS</strong></p> <p>A lock ( <span class="x16 fill-black cdc-icon-lock-alt-solid"></span> ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.</p> </figcaption> </figure> </div> </div> <header id="page_banner" role="banner" aria-label="Banner"> <div class="container-fluid header-wrapper"> <div class="container"> <div class="row py-2"> <div class="col cdc-logo"> <a href="https://www.cdc.gov/"> <span class="sr-only">Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People</span> <img src="/TemplatePackage/4.0/assets/imgs/logo/logo-notext.svg" alt="CDC Logo" class="cdc-logo--desktop"> <img src="/TemplatePackage/4.0/assets/imgs/logo/logo-notext.svg" alt="CDC Logo" class="cdc-logo--mobile"> </a> </div> <div class="col-2 col-md-3 col-xl-5 col-xxl-4 tp-search"> <div class="headerSearch cdc-header-local-search"> <form accept-charset="UTF-8" action="https://search.cdc.gov/search/" class="cdc-header-local-search-form" method="get" autocomplete="off">  <button class="btn btn-primary dropdown-toggle no-toggle search-button ssi d-xl-none" type="button" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false" aria-label="search"><span>Search</span> <i class="fi cdc-icon-magnify dropdown-menu-medium-search-icon x24" aria-hidden="true"></i> <i class="fi cdc-icon-close dropdown-menu-medium-close-icon x24" aria-hidden="true"></i> </button> <div class="dropdown-menu dropdown-menu-right dropdown-menu-search dropdown-menu-medium-search"> <div class="input-group"> <input id="headerSearch" type="text" class="form-control" maxlength="300" placeholder="Search" aria-label="Search" name="query"> <div class="input-group-append dropdown-submenu"> <span class="form-control-clear" style="visibility: hidden;">×</span> <button class="btn btn-control dropdown-toggle text-ellipsis local-search-label" type="button" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">Search NHSN</button> <div class="dropdown-menu dropdown-menu-right ds-6"> <a class="dropdown-item" data-site-limit="NHSN" href="#">Search NHSN</a> <a class="dropdown-item" data-site-limit="cdc" href="#">All CDC</a> </div> </div> <div class="input-group-append"> <button class="btn search-submit" type="button"> <span class="sr-only">Submit</span> <i class="fi cdc-icon-magnify x24 search-submit" aria-hidden="true"></i> </button> </div> </div> </div> <input type="hidden" name="affiliate" value="cdc-main"> </form> </div> </div> </div> </div> </div> <div class="container-fluid site-title"> <div class="container"> <div class="row"> <div class="col"> <div class="display-6 text-white fw-500 pt-1 pb-1 site-title-inner "> <a href="/nhsn/index.html"> National Healthcare Safety Network (NHSN)</a> </div> </div> </div> </div> </div> <nav role="navigation" aria-label="Mobile Nav" id="mobilenav" class="sticky-top"> </nav>  <div class="container-fluid feature-area"> <div class="container"></div> </div> </header> <div class="container d-flex flex-wrap body-wrapper bg-white"> <main class="col-lg-9 order-lg-2" role="main" aria-label="Main Content Area"> <div class="row visual-element"> <div class="col"> </div> </div> <div class="section-nav-area"> <nav role="navigation" aria-label="Section Nav" class="w-100 sticky-top"></nav> </div> <div class="row"> <div class="col content "><div class="syndicate"><h1 id="content" class="page-title">FAQs: Analysis</h1></div> <div class="title-bar"> <a href="#print" class="print-link" aria-label="print this page" onclick="window.print()">Print</a> </div> <div class="mb-3 card tp-related-pages fourth-level-nav d-none"> <div class="card-header collapse-icon"> <a class="collapse-link float-right nav-minus fs0875" data-toggle="collapse" href="#collapse_10895664228ffe4951" aria-expanded="false" aria-controls="collapse_10895664228ffe4951"> <svg viewBox="0 0 24 24" focusable="false" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"> <title>Minus</title> <path d="M19,13H5V11H19V13Z"></path> </svg> </a> <div class="h4">Related Pages</div> </div> <div class="card-body collapse show" id="collapse_10895664228ffe4951"></div> </div> <div class="syndicate"> <div class="row "><div class="col-md-12"><div class="card mb-3"><div class="card-header h4 bg-gray-l3">On This Page</div><div class="card-body "><div class="row"> <div class="col-md-6"> <ul class="block-list"> <li><a href="#q1">2015 Re-baseline</a></li> <li><a href="#q2">Generating Datasets</a></li> <li><a href="#q4">SIRs</a></li> <li><a href="#q6">Line Lists</a></li> <li><a href="#q7">SSI SIRs</a></li> <li><a href="#q8">SSI Rates</a></li> <li><a href="#q9">MRSA or C.difficile SIR</a></li> <li><a href="#q11">Fiscal Year SIRs</a></li> </ul> </div> <div class="col-md-6"> <ul class="block-list"> <li><a href="#q12">CLABSI ECMO and VAD Events</a></li> <li><a href="#q13">Rehab Unit Data</a></li> <li><a href="#q14">Previously Excluded Locations</a></li> <li><a href="#q15">PS Annual Survey</a></li> <li><a href="#q16">TAP Reports</a></li> <li><a href="#q18">Outpatient Procedures</a></li> <li><a href="#q19">Closure techniques of other than primary</a></li> <li><a href="#q20">Rates</a></li> </ul> </div> </div> </div></div><div class="cdc-textblock"><h3><a id="q1"></a>2015 Re-baseline</h3> <p><strong>Q1: </strong><strong>What can hospitals and other organizations expect to happen to their SIRs after the 2015 re-baseline?</strong></p> <p>The data included in the 2015 baseline serves as a new “reference point” for comparing progress. CDC expects that hospital SIRs will increase and shift closer to 1, especially for SIRs that will be calculated for 2015. In addition, hospitals may notice that the rules for inclusion and exclusion of data have changed from the original baseline.</p> <p>For more information, please see “<a href="/nhsn/pdfs/rebaseline/2015-rebaseline-sir-changes-applicable-to-cms-qrp.pdf" target="_blank">NHSN 2015 Rebaseline SIR Changes Applicable to CMS Quality Reporting Programs <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 150 KB]</span></a>” and the <a href="/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf" target="_blank">NHSN SIR Guide <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 50 Pages]</span></a>.</p> <hr> <h3><a id="q2"></a>Generating Datasets</h3> <p><strong>Q2: If I generate datasets, will I be able to analyze the data that were entered by my colleagues? Or can I only analyze the data I’ve entered?</strong></p> <p>Each user has access to the data entered for their facility, per their data access rights. The dataset generation process essentially copies and freezes data from the live database, so you’re actually using a copy of your facility’s data, per the data rights assigned to you. Any changes you or another user makes to your facility’s data within NHSN after that point in time will not be represented in your reports until you generate datasets again.</p> <p> </p> <p><strong>Q3: Do I have to generate datasets in order for CMS, or a Group (e.g., state health department) to see my facility’s data?</strong></p> <p>No. Datasets are user-specific and do not impact other users in NHSN who have access to your facility’s data. In addition, applicable data shared with CMS are prepared using the data in the NHSN database and are independent of the dataset generation feature.</p> <hr> <h3><a id="q4"></a>SIRs</h3> <p><strong>Q4: I work in a small hospital and therefore, the number of predicted infections is most often less than 1.0. As a result, our SIR is not calculated. What is the justification for this?</strong></p> <p>NHSN withholds the calculation of the SIR when the number of predicted infections is < 1.0 in order to enforce precision of the estimate and comparisons to the national data.  If the number predicted is less than 1.0, this means that the risk of patients is low enough (according to national baseline data) such that not even 1 infection or event of that type is predicted to occur in that group of patients. Here are other options to consider:</p> <ul> <li>Infection rates can be used to track internal HAI incidence over time.</li> <li>Analyze your facility’s SIRs over a longer period of time (e.g., six months, one year)</li> <li>Run the <a href="/hai/prevent/tap.html">TAP Reports</a> to review the CAD (cumulative attributable difference, which is the difference between the # observed and # predicted)</li> </ul> <div class="text-right d-block"><span class="icon-angle-up"></span> <a href="#">Top of Page</a></div> <p><strong>Q5: What is a 95% Confidence Interval and how do I interpret it for my SIRs?</strong></p> <p>A 95% confidence interval (CI) is an interval for which we have a high degree of confidence that it contains the true SIR. The upper and lower limits are used to determine the accuracy and precision of the SIR. If the 95% CI of the SIR includes the value of 1.0 – meaning, the lower bound is < 1.0 and the upper bound is > 1.0, then the SIR is not statistically significant. Example of a non-significant 95% CI: (0.674, 3.578) – notice that the lower bound, 0.674, is less than 1.0 and the upper bound, 3.578, is greater than 1.0. Since these two values are on the opposite side of the nominal value of 1.0, we say that the 95% CI “includes” 1.0 and is therefore not statistically significant.</p> <p>For additional details regarding the interpretation of p-values and 95% CIs, please see the <a href="/nhsn/Training/analysis/index.html">NHSN Analysis trainings</a>.</p> <hr> <h3><a id="q6"></a>Line Lists</h3> <p><strong>Q6: Is there a way to see which records have been changed in NHSN and when?</strong></p> <p>Yes. Line lists available from the “Advanced” report options folder provide the date a record was first entered into NHSN (variable name = createDate) and the last date when a non-deleted record was modified (variable name = modifyDate). If a record has not been changed, the modify date and the create date will be the same. Note that this information will only list the date of the last saved change <strong>prior to</strong> generating datasets. Additionally, there is no record of exactly which data elements within the record have been changed.</p> <p>For more information about how to view the <a href="/nhsn/pdfs/analysis/how2view-create-modify-dates-in-nhsn.pdf" target="_blank">Create and Modify dates <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 342 KB]</span></a> in NHSN.</p> <div class="row"> <div class="col-12"> <div class="float-right toTop"><a href="#">Top of Page</a></div> </div> </div> <hr> <h3><a id="q7"></a>SSI SIRs</h3> <p><strong>Q7: I am running an SSI SIR and I noticed that there are a few procedures listed at the bottom of the report that are excluded from the SIR calculation. Why are they excluded?</strong></p> <p>Procedures (and any associated SSIs) can be excluded from the SIRs if they meet one or more of the defined exclusion criteria, as described in the Table 2 of the SSI section of the <a href="/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf" target="_blank">SIR Guide <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 50 Pages]</span></a>.</p> <p>A specialized line list that can be run in NHSN is the “<a href="/nhsn/pdfs/ps-analysis-resources/line-list-procedures-excluded-sir.pdf" target="_blank">Line Listing – Procedures Excluded from SIR <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 366 KB]</span></a>” that will include only those procedure records that are excluded from the SIRs for the reasons listed.</p> <p>While these records may be technically complete, the data in those records are considered “outliers” or invalid (for example, extremely high procedure duration) and could indicate a potential data quality issue.</p> <p>There are some instances when the record can be fixed (specifically, if you notice a data entry error). There are other instances, however, where it may be impossible to include the procedure in the SIR. For example, if a procedure has an extremely long procedure duration (what we call being greater than the interquartile range (IQR5) – as described in the above SIR Guide) – and that duration is accurate – there is nothing that can be fixed on the record and therefore, it will continue to be excluded from the SIRs.</p> <p>Certain procedures may also be excluded from the SIR depending on the SSI SIR model you are using.  The inclusion and exclusion criteria for each SSI model are stated in the SSI section of the <a href="/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf" target="_blank">SIR Guide <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 50 Pages]</span></a> as well as the SSI Protocol Chapter.</p> <div class="text-right d-block"><span class="icon-angle-up"></span> <a href="#">Top of Page</a></div> <hr> <h3><a id="q8"></a>SSI Rates</h3> <p><strong>Q8: Where can I find the most recently published SSI rates?</strong></p> <p>In the past, CDC has published SSI rates stratified by procedure category and basic risk index. NHSN has last published data in this way in 2009 – the report can be found here: <a href="/nhsn/PDFs/dataStat/2009NHSNReport.pdf" target="_blank">2009 NHSN Report <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 6 MB]</span></a>.</p> <p>Since the fall of 2010, we have progressed to the use of standardized infection ratios (SIRs), which utilize a different kind of risk adjustment and is an improvement over the risk adjustment afforded by the legacy basic risk index. In the past, we compared a hospital’s SSI rate to the national SSI rate (for a given strata). With the SIRs, we can now use the national baseline data to determine risk adjustment and the number of SSIs predicted based on those risk factors. For details regarding this risk adjustment used in the SIRs for all procedure categories, please see the following resources:</p> <ul class="list-false"> <li><a href="/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf" target="_blank">SIR Guide for the 2015 baseline <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 50 Pages]</span></a></li> <li><a href="/nhsn/PDFs/pscManual/SSI_ModelPaper.pdf" target="_blank">The model paper for the 2006-2008 baseline <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 600 KB]</span></a></li> <li><a href="/hai/progress-report/index.html">Most recent HAI Progress Report</a></li> </ul> <hr> <h3><a id="q9"></a>MRSA or <em>C.difficile</em> SIR</h3> <p><strong>Q9: My line list shows 5 healthcare facility-onset (HO) C. difficile LabID events. Why are only 3 events showing in the SIR report?</strong></p> <p>Not all CDI LabID events are counted in the SIR. Only those events from an applicable inpatient location that are categorized as incident and healthcare-facility onset are included in the SIR. When running your CDI line list, look at the variable called “FWCDIF_facIncHoCount”; this variable will equal 1 for each event counted in the SIR. Rehab units within a hospital that are designated as CMS IRF units use a different algorithm for determining which events are counted in the Rehab unit’s SIR. More information about the algorithms used for all LabID Event SIRs, as well as general troubleshooting steps, can be found in the <a style="background-color: #ffffff;" href="/nhsn/pdfs/ps-analysis-resources/mrsacdi_tips.pdf" target="_blank">LabID SIR Troubleshooting Guide <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 300 KB]</span></a>.</p> <p> </p> <p><strong>Q10: I am unable to get a C. difficile SIR for a single month. The SIR report shows a second table with months excluded from the SIR. Why?</strong></p> <p>The risk adjustment for CDI LabID events under the 2015 baseline requires that data from all 3 months of the quarter have been entered into NHSN before an SIR can be calculated. Several variables in the risk adjustment models, including the inpatient community-onset (CO) prevalence rate and CDI test type, are based on data that are entered for the entire quarter. If you run the LabID event SIR report before completing data entry for all 3 months of the quarter, you will see a table showing those months that have been entered into NHSN from an incomplete quarter; these months will continue to be excluded from the SIR until data entry is complete for the entire quarter. Once data from all 3 months of the quarter(s) have been entered, SIRs can be calculated for a quarter, half-year, or year. Monthly CDI and MRSA bacteremia data can be reviewed using the Rate Tables, Frequency Tables, and Line Lists.</p> <div class="text-right d-block"><span class="icon-angle-up"></span> <a href="#">Top of Page</a></div> <hr> <h3><a id="q11"></a>Fiscal Year SIRs</h3> <p><strong>Q11: I would like to obtain a fiscal-year SIR, however when I try to set the time period, I am unable to obtain a single SIR.</strong></p> <p>If you would like a cumulative SIR for a time period that you’ve defined on the Modify Screen – such as fiscal year, this can be obtained using the “Display Options” tab of the Modify Screen. Set Group by = Cumulative.</p> <div class="row"> <div class="col-12"> <div class="float-right toTop"><a href="#">Top of Page</a></div> </div> </div> <hr> <h3><a id="q12"></a>CLABSI ECMO and VAD Events</h3> <p><strong>Q12: Are MBI-LCBI still included in the CLABSI SIR?</strong></p> <p>Are CLABSI events that are identified as ECMO and VAD included in the CLABSI SIR?</p> <p>CLABSI events reported to NHSN as ECMO and VAD will be excluded from the numerator beginning with 2019 CLABSI data and forward. To identify these specific excluded events, please run your CLABSI Device-associated line list. For more information on modifying your reports, please see: <a href="/nhsn/pdfs/ps-analysis-resources/howtomodifyreport.pdf" target="_blank">How to Modify a Report <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 375 KB]</span></a></p> <hr> <h3><a id="q13"></a>Rehab Unit Data</h3> <p><strong>Q13: Can I combine my inpatient rehab unit data with my ACH data?</strong></p> <p>With the re-baseline, only the Inpatient Rehabilitation Facilities (IRF) SIR reports will contain Rehab unit data. Acute Care Hospital (ACH) Reports will no longer contain Rehab unit data. This is due to varying risk factors and models that have been applied to the ACH and IRF SIRs. Therefore, the IRF unit data and the ACH data cannot be combined into the same report.</p> <div class="text-right d-block"><span class="icon-angle-up"></span> <a href="#">Top of Page</a></div> <hr> <h3><a id="q14"></a>Previously Excluded Locations</h3> <p><strong>Q14: With the re-baseline, we were told that Telemetry units and Mixed Acuity Units will be included in the SIR reports, however, I still don’t see these units in my CMS SIR reports. Why?</strong></p> <p>The CMS SIR reports were created in order to allow facilities to review those data that would be submitted to CMS on their behalf. These reports will only include the locations that meet the CMS reporting requirements. Telemetry Units and Mixed Acuity Units will not be included in the CMS reports. However, these units will be included in the non-CMS SIR reports. Please see the link below on more information regarding reportable locations and deadlines: <a href="/nhsn/pdfs/cms/cms-reporting-requirements-deadlines.pdf" target="_blank">Reporting Requirements and Deadlines in NHSN per CMS Current Rules <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 853 KB]</span></a></p> <hr> <h3><a id="q15"></a>PS Annual Survey</h3> <p><strong>Q15: Does NHSN use the most recent PS annual survey for SIR Calculations?</strong></p> <p>Under the 2015 NHSN baseline, SIRs are risk adjusted using the corresponding annual survey from that same year. If the annual survey from that year hasn’t been completed, SIRs will be risk adjusted using the previous year’s survey.</p> <div class="text-right d-block"><span class="icon-angle-up"></span> <a href="#">Top of Page</a></div> <hr> <h3><a id="q16"></a>TAP Reports</h3> <p><strong>Q16: </strong><strong>How can I use TAP Reports to review a subset of locations (for example, only ICU locations)?</strong></p> <p>This is not recommended. TAP Reports are designed to identify and prioritize locations where prevention efforts can yield the greatest impact. All locations must be included in the analysis for the TAP report to properly prioritize the facility’s locations for the TAP strategy.</p> <p> </p> <p><strong>Q17: Why would a location not be ranked in the TAP Report?</strong></p> <p>The Cumulative Attributable Difference (CAD) is the metric used to rank facilities or facility locations within the TAP Report. The CAD is based on the same rules and exclusions that influence the SIR calculation. Therefore data that is not included in the calculation of the SIR, will not be included in the calculation of CAD. Locations that are not included in the SIR calculation for a particular HAI will also be excluded from TAP Reports. For example, outpatient locations are excluded from the SIR. Outpatient locations may show up in the TAP Report as unranked locations with the location CAD, Location DUR, and location SIR all remaining blank.</p> <hr> <h3><a id="q18"></a>Outpatient Procedures</h3> <p><strong>Q18: Are outpatient procedures included in the new 2015 baseline models?</strong></p> <p>Under the 2015 baseline, hospital outpatient procedure department (HOPD) procedures were modeled separately from the inpatient procedures. This means, there are separate SIR reports for the inpatient procedures and HOPD procedures in NHSN.</p> <p>Outpatient procedures from ambulatory surgery centers were also separated from the general acute care hospitals and included in a new NHSN component called the outpatient procedure component (OPC).</p> <p>Please see the SSI section of the <a href="/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf" target="_blank">SIR guide <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 50 Pages]</span></a> for more information on the new risk-adjusted models, it starts on page 26.</p> <div class="text-right d-block"><span class="icon-angle-up"></span> <a href="#">Top of Page</a></div> <hr> <h3><a id="q19"></a>Closure techniques of other than primary</h3> <p><strong>Q19: Are procedures with other than primary closures included in the SIR?</strong></p> <p>All of the SSI reports will include procedures (and associated SSIs) that are reported with either primary or other than primary closure techniques. This is a change that was made during the 2015 rebaseline process and not related to a change in protocol or definition changes.</p> <p>Under the previous risk models and baseline of 2006-2008, the SSI reports included only procedures (and associated SSIs) that were reported with primary closure technique.</p> <hr> <h3><a id="q20"></a>Rates</h3> <p><strong>Q20: Where can I find the most recent National HAI Rates</strong></p> <p>National, stratified rates will no longer be provided annually. This is due to the manner in which the HAI data are risk-adjusted – meaning, we will be using regression models to estimate the predicted number of infections, and using that information to calculate SIRs. In addition, CLABSI and CAUTI now use factors in addition to location in this risk-adjustment. A similar approach is applied for device use, such that facilities will have the ability to run standardized utilization ratios (SURs).</p> <p>Note that, for both SIRs and SURs, these measures will continue to be available at the location-level. In contrast, the location-level rates and DURs will not have a national rate or DUR comparison.</p> <div class="text-right d-block"><span class="icon-angle-up"></span> <a href="#">Top of Page</a></div> </div></div></div> </div> </div> </div> <div class="row d-none d-lg-block"> <div class="col pca"> <hr /> <div class="row"> <div class="col-md-3"> <div class="rx-row"> <div class="card border-0 mb-3 text-center"><div class="card-body bg-white"> <p> <a href="/nhsn/training/index.html"><img src="/nhsn/images/icons/e-learning.jpg" alt="E-learning NHSN" width="173" height="54"></a> </p> <p><a href="/nhsn/training/index.html">Training</a></p> </div></div> </div> </div> <div class="col-md-3"> <div class="rx-row"> <div class="card border-0 mb-3"><div class="card-body bg-white"> <p> <a href="/nhsn/newsletters/index.html"><img src="/nhsn/images/icons/nhsn-news.jpg" alt="Newsletters" width="66" height="54"></a> </p> <p><a href="/nhsn/newsletters/index.html">Newsletters / Members Meeting Updates</a></p> </div></div> </div> </div> <div class="col-md-3"> <div class="rx-row"> <div class="card border-0 mb-3"><div class="card-body bg-white"> <p> <a href="/nhsn/commup/index.html"><img src="/nhsn/images/icons/email-updates.jpg" alt="e-mail icon" width="46" height="54"></a></p> <p><a href="/nhsn/commup/index.html">E-mail Updates</a></p> </div></div> </div> </div> <div class="col-md-3"> <div class="rx-row"> <div class="card border-0 mb-3"><div class="card-body bg-white"> <p> <a href="/healthcare-associated-infections/programs/"><img src="/nhsn/images/icons/state-map3.jpg" alt="United States map" width="95" height="54"></a></p> <p><a href="/healthcare-associated-infections/programs/">Health Department HAI/AR Programs</a></p> </div></div> </div> </div> </div> </div> </div> <div class="row share-row last-reviewed-row"> <div class="col-md last-reviewed"> Last Reviewed: <span id="last-reviewed-date">March 24, 2023</span> <div class="d-none d-lg-block content-source">Source: <a href="http://www.cdc.gov/" class="td-none">Centers for Disease Control and Prevention</a>, <a href="/ncezid/index.html" class="td-none">National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)</a>, <a href="/ncezid/divisions-offices/about-dhqp.html" class="td-none">Division of Healthcare Quality Promotion (DHQP)</a> </div> </div> <div class="col-md page-share ml-auto"> <nav id="share-nav" class="page-share-wrapper" role="navigation" aria-label="Social Media"> <ul> <li><a target="_blank" title="Share to Facebook" rel="noreferrer noopener" class="page-share-facebook metrics-share-facebook" href="https://api.addthis.com/oexchange/0.8/forward/facebook/offer?url=https%3A%2F%2Fwww.cdc.gov%2Findex.htm&title=CDC%20Works%2024/7&description=As%20the%20nation%27s%20health%20protection%20agency,%20CDC%20saves%20lives%20and%20protects%20people%20from%20health,%20safety,%20and%20security%20threats.&via=CDCgov&ct=0&media=https://www.cdc.gov/homepage/images/centers-for-disease-control-and-prevention.png"><span class="sr-only">Facebook</span><span class="fi cdc-icon-fb-round"></span></a></li> <li><a target="_blank" title="Share to Twitter" rel="noreferrer noopener" class="page-share-twitter metrics-share-twitter" href="https://api.addthis.com/oexchange/0.8/forward/twitter/offer?url=https%3A%2F%2Fwww.cdc.gov%2Findex.htm&title=CDC%20Works%2024/7&description=As%20the%20nation%27s%20health%20protection%20agency,%20CDC%20saves%20lives%20and%20protects%20people%20from%20health,%20safety,%20and%20security%20threats.&via=CDCgov&ct=0&media=https://www.cdc.gov/homepage/images/centers-for-disease-control-and-prevention.png"><span class="sr-only">Twitter</span><span class="fi cdc-icon-twitter-round"></span></a></li> <li><a target="_blank" title="Share to LinkedIn" rel="noreferrer noopener" class="page-share-linkedin metrics-share-linkedin" href="https://api.addthis.com/oexchange/0.8/forward/linkedin/offer?url=https%3A%2F%2Fwww.cdc.gov%2Findex.htm&title=CDC%20Works%2024/7&description=As%20the%20nation%27s%20health%20protection%20agency,%20CDC%20saves%20lives%20and%20protects%20people%20from%20health,%20safety,%20and%20security%20threats.&via=CDCgov&ct=0&media=https://www.cdc.gov/homepage/images/centers-for-disease-control-and-prevention.png"><span class="sr-only">LinkedIn</span><span class="fi cdc-icon-linkedin-round"></span></a></li> <li><a target="_blank" title="Embed this Page" rel="noreferrer noopener" class="page-share-syndication metrics-share-syndicate" href="https://tools.cdc.gov/medialibrary/index.aspx#/sharecontent/https%3A%2F%2Fwww.cdc.gov%2Findex.htm"><span class="sr-only">Syndicate</span><span class="fi cdc-icon-syndication-round"></span></a></li> </ul> </nav> </div> </div> </main> <div class="col-lg-3 order-lg-1 leftnav-wrapper"> <nav role="navigation" aria-label="Left Navigation Menu"> <div id="cdc-left-nav-menu" data-menu-id="1051"><div class="nav-section-home d-sm-block"><span class="sr-only">home</span><span class="fi cdc-icon-home nav-home-icon x24" aria-hidden="true"></span><a href="/nhsn/index.html">NHSN Home</a></div><ul class="list-group tp-nav-main"><li class="list-group-item nav-lvl1"><a href="https://sams.cdc.gov/">NHSN Login</a></li><li class="list-group-item nav-lvl1"><a href="/nhsn/about-nhsn/index.html">About NHSN</a><a href="#nav-group-c6273" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-c6273"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-c6273" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/about-nhsn/technology.html">NHSN’s Stated Purposes</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/about-nhsn/helpdesk.html">About NHSN Help Desk</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/training/admin-training/nhsn-admin-training.html">NHSN Administrator Training</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/about-nhsn/dua.html">Data Use Agreements (DUA) with NHSN</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/about-nhsn/dua-faq.html">DUA FAQs for Health Departments and Facilities</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/about-nhsn/faq-agreement-to-participate.html">FAQs About NHSN Agreement to Participate and Consent</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/releasemgt/index.html">NHSN Release Management</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/faq_general.html">FAQs About NHSN</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/sams/about-sams.html">About SAMS</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/sams/sams-user-faq.html">SAMS NHSN User FAQs</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/nhsnsecurity.html">FAQs About NHSN Security</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/enrollment/index.html">Enroll Facility Here</a><a href="#nav-group-348aa" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-348aa"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-348aa" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/acute-care-hospital/enroll.html">Acute Care Hospitals/Facilities</a><a href="#nav-group-a0a4e" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-a0a4e"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-a0a4e" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/acute-care-hospital/setup.html">Set-up</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ambulatory-surgery/enroll.html">Ambulatory Surgery Centers</a><a href="#nav-group-9ed63" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-9ed63"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-9ed63" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/ambulatory-surgery/setup.html">Set-up</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/acute-care-hospital/bio-hemo/enroll.html">Blood Safety Surveillance</a><a href="#nav-group-1eba3" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-1eba3"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-1eba3" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/acute-care-hospital/bio-hemo/setup.html">Set-up</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltach/enroll.html">Long-term Acute Care Facilities</a><a href="#nav-group-2b0c8" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-2b0c8"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-2b0c8" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/ltach/setup.html">Set-up</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/inpatient-rehab/enroll.html">Inpatient Rehabilitation Facilities</a><a href="#nav-group-ace17" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-ace17"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-ace17" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/inpatient-rehab/setup.html">Set-up</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ipfs/enroll.html">Inpatient Psychiatric Facilities</a><a href="#nav-group-dd518" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-dd518"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-dd518" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/ipfs/setup.html">Set-up</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/enroll.html">Long-term Care Facilities</a><a href="#nav-group-70074" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-70074"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-70074" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/ltc/setup.html">Set-up</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/dialysis/enroll.html">Outpatient Dialysis Facilities</a><a href="#nav-group-0926c" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-0926c"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-0926c" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/dialysis/setup.html">Set-up</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/dialysis/homedialysis/enroll.html">Home Dialysis Facilities</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/faq_enrollment.html">FAQs About Enrollment</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/cms/index.html">CMS Requirements</a><a href="#nav-group-f332f" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-f332f"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-f332f" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/cms/ach.html">Acute Care Hospitals (ACH)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/cms/irf.html">Inpatient Rehabilitation Facilities (IRF)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/cms/ltach.html">Long-term Acute Care Facilities (LTACH)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/cms/long-term-care-facilities.html">Long-term Care Facilities</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/cms/pps.html">PPS Exempt Cancer Hospitals</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/cms/dialysis.html">Outpatient Dialysis Facilities</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/cms/cms-reporting.html">CDC and CMS Issue Joint Reminder on NHSN Reporting</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/cms/faq_cms_hai.html">FAQs About CMS Quality Reporting Programs</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/cms/cms-faq-aur.html">FAQs About CMS Promoting Interoperability Program</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/dialysis/faq-esrd-qip.html">FAQs About NHSN and CMS ESRD QIP Rule</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/facadmin/index.html">Change NHSN Facility Admin</a></li><li class="list-group-item nav-lvl1"><a href="/nhsn/enrolled-facilities/index.html">Resources by Facility</a><a href="#nav-group-3e9bf" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-3e9bf"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-3e9bf" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/covid19/index.html">COVID-19 Information</a><a href="#nav-group-3ef15" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-3ef15"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-3ef15" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/psc/hospital-respiratory-dashboard.html">Hospital Respiratory Data Dashboard</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/covid19/ltc-report-overview.html">Nursing Home Data Dashboard</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/covid19/ltc-vaccination-dashboard.html">Nursing Home Vaccination Data Dashboard</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/covid19/dial-report-overview.html">Dialysis COVID-19 Data Dashboard</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/covid19/dial-vaccination-dashboard.html">Dialysis Vaccination Data Dashboard</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/covid19/transition-faqs.html">FAQs on Transition of COVID-19 Hospital Reporting</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/covid19/archive.html">Archived COVID-19/Respiratory Pathogens and Vaccination Materials</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/acute-care-hospital/index.html">Acute Care / Critical Access Hospitals</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ambulatory-surgery/index.html">Ambulatory Surgery Centers</a><a href="#nav-group-fb25e" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-fb25e"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-fb25e" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/ambulatory-surgery/newsletters/index.html">Newsletters & Archived Communications</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltach/index.html">Long-term Acute Care Hospitals</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/inpatient-rehab/index.html">Inpatient Rehabilitation Facilities</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ipfs/index.html">Inpatient Psychiatric Facilities</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/psc/index.html">Patient Safety Component</a><a href="#nav-group-3a933" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-3a933"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-3a933" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/nshi/index.html">Nurse Staffing Hours Indicator</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/locations.html">Annual Surveys, Locations & Monthly Reporting Plans</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ps-analysis-resources/index.html">Analysis Resources</a><a href="#nav-group-847f2" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-847f2"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-847f2" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/ps-analysis-resources/reference-guides.html">Analysis Quick Reference Guides</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/ps-analysis-resources/arm/index.html">Adjusted Ranking Metric (ARM)</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/ps-analysis-resources/keys-to-success.html">Keys to Success with the SIR</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/ps-analysis-resources/keys-to-success-saar.html">Keys to Success with the SAAR</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/ps-analysis-resources/keys-to-success-tas.html">Keys to Success with TAS</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/ps-analysis-resources/data-quality/index.html">Data Quality</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/nhsnrebaseline/index.html">HAI Rebaseline</a><a href="#nav-group-8a821" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-8a821"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-8a821" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/2022rebaseline/index.html">Charting the Course</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/2022rebaseline/progress-tracker.html">Progress Tracker</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/2022rebaseline/analysis-resources.html">Education & Analysis Resources</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/2022rebaseline/newsletters/index.html">Archived Communications</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/aur/index.html">Antimicrobial Use & Resistance</a><a href="#nav-group-f91b0" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-f91b0"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-f91b0" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/au-case-examples/index.html">AU Option Case Examples</a><a href="#nav-group-2c213" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-2c213"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-2c213" class="collapse"><li class="list-group-item nav-lvl4"><a href="/nhsn/au-case-examples/tdh-au-dataquality.html">Disseminating Quarterly Data Quality Reports</a></li><li class="list-group-item nav-lvl4"><a href="/nhsn/au-case-examples/multiple-interventions.html">Tracking Multiple Interventions</a></li><li class="list-group-item nav-lvl4"><a href="/nhsn/au-case-examples/reduce-fluoroquinolone-use.html">Reducing Fluoroquinolone Use</a></li><li class="list-group-item nav-lvl4"><a href="/nhsn/au-case-examples/reducing-carbapenem-use.html">Reducing Carbapenem Use</a></li><li class="list-group-item nav-lvl4"><a href="/nhsn/au-case-examples/reducing-aztreonam-use.html">Reducing Aztreonam Use</a></li></ul></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/bsi/index.html">BSI (CLABSI)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/clip/index.html">CLIP</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/cdiff/index.html">MDRO & CDI</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/pedvae/index.html">PedVAE</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/pneu/index.html">PNEU</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/ssi/index.html">SSI</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/uti/index.html">UTI (CAUTI)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/vae/index.html">VAE</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/faq-index.html">Frequently Asked Questions (FAQs)</a><a href="#nav-group-0c317" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-0c317"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-0c317" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-annual-survey.html">Annual Surveys</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-bsi.html">Bloodstream Infection (BSI) Events</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-clip.html">Central Line Insertion Practices (CLIP)</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-pneu.html">Pneumonia (PNEU) Events</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-uti.html">Urinary Tract Infection (UTI) Events</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-ssi.html">Surgical Site Infections (SSI) Events</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-ssi-proc-codes.html">Surgical Site Procedure Codes</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-vae.html">Ventilator-Associated (VAE) Events</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-pedvae.html">Pediatric Ventilator-Associated Events (PedVAE)</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-au.html">Antimicrobial Use (AU) Option</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-ar.html">Antimicrobial Resistance (AR) Option</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-mdro-cdi.html">MDRO & CDI</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/psc/nshi/faqs.html">Nurse Staffing Hours Indicator (NSHI)</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-analysis.html">Analysis</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faq-locations.html">Locations</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/faqs-miscellaneous.html">Miscellaneous</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/calculators.html">Calculators & Worksheets</a><a href="#nav-group-ea482" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-ea482"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-ea482" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/poa/index.html">HAI & POA Worksheet Generator</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/labid-calculator/index.html">MDRO & CDI LabID Event Calculator</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/pedvae-calculator/index.html">PedVAE Calculator</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/vae-calculator/index.html">VAE Calculator</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/hai-checklists/index.html">HAI Checklists</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/psc/hospital-respiratory-reporting.html">Hospital Respiratory Data</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/ltc/index.html">Long-term Care Facility Component</a><a href="#nav-group-076a9" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-076a9"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-076a9" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/weekly-covid-vac/index.html">Respiratory Pathogens and Vaccination Module</a><a href="#nav-group-d06ce" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-d06ce"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-d06ce" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/ltc/covid19/enroll.html">Covid-19 Module Enrollment</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/ltc/covid19/poc.html">Point of Care</a></li><li class="list-group-item nav-lvl3"><a href="/nhsn/ltc/covid19/rpv-resources.html">RPV Resources</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/vha/index.html">State Veterans Homes COVID-19 Tool</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/cdiff-mrsa/index.html">MDRO & CDI</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/uti/index.html">UTI</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/process-measures/index.html">Prevention Process Measures</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/vaccination/index.html">HCP Flu Vaccination</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/validation/index.html">LTCF Data Validation Guidance</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ltc/newsletters/index.html">Newsletters & Archived Communications</a><a href="#nav-group-2d3b9" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-2d3b9"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-2d3b9" class="collapse"><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/dec20-newsletter-ltc.html">December 2020 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/jul20-newsletter-ltc.html">July 2020 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/mar20-newsletter-ltc.html">March 2020 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/dec19-newsletter-ltc.html">December 2019 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/sep19-newsletter-ltc.html">September 2019 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/jun19-newsletter-ltc.html">June 2019 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/mar19-newsletter-ltc.html">March 2019 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/ltc-email-updates-2018.html">2018 LTCF Email Updates</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/dec18-newsletter-ltc.html">December 2018 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/sep18-newsletter-ltc.html">September 2018 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/jun18-newsletter-ltc.html">June 2018 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/march18-newsletter-ltc.html">March 2018 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/ltc-email-updates-2017.html">2017 LTCF Email Updates</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/dec-newsletter-ltc.html">December 2017 LTCF Newsletter</a></li><li class="list-group-item nav-lvl3 cdc-nav-item-hidden"><a href="/nhsn/ltc/newsletters/sept-newsletter-ltc.html">September 2017 LTCF Newsletter</a></li></ul></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/dialysis/index.html">Dialysis Component</a><a href="#nav-group-87595" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-87595"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-87595" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/dialysis/covid19/index.html">Dialysis COVID-19 Module</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/dialysis/pt-covid-vac/index.html">Patient COVID-19 Vaccination</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/dialysis/event/index.html">Dialysis Event</a><a href="#nav-group-8036b" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-8036b"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-8036b" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/faqs/dialysis/faq-dialysis-event-reporting.html">Dialysis Event Reporting FAQs</a></li></ul></li><li class="list-group-item nav-lvl2"><a href="/nhsn/dialysis/process-measures/index.html">Prevention Process Measures</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/dialysis/clip/index.html">CLIP Adherence</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/dialysis/newsblasts/index.html">Monthly Newsblast Archive</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/biovigilance/index.html">Biovigilance Component</a><a href="#nav-group-7631d" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-7631d"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-7631d" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/biovigilance/blood-safety/index.html">Blood Safety</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/biovig/faq_hemovigilance.html">Hemovigilance Module FAQs</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/hps/index.html">Healthcare Personnel Safety Component (HPS)</a><a href="#nav-group-99937" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-99937"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-99937" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/hps/vaccination/index.html">HCP Flu Vaccination</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/hps/exposure/index.html">HCP Exposure</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/hps/weekly-covid-vac/index.html">HCP COVID-19 Vaccination</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/hps/weekly-covid-vac/faqs.html">COVID-19 Vaccination Data FAQs</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/vaccination/weekly-fluvax.html">Weekly Influenza Vaccination Data Reporting FAQs</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/vaccination/faq-influenza-vaccination-summary-reporting.html">HCP Influenza Vaccination Summary Reporting FAQs</a><a href="#nav-group-01ac3" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-01ac3"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-01ac3" class="collapse"><li class="list-group-item nav-lvl3"><a href="/nhsn/ambulatory-surgery/newsletters/index.html">Newsletters & Archived Communications</a></li></ul></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/neonatal/index.html">Neonatal Component</a><a href="#nav-group-c5000" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-c5000"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-c5000" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/neonatal/qrg.html">Quick Reference Guides</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/neonatal/los-men/index.html">LOS/MEN Events</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/faq-losmen.html">LOS/MEN FAQs</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/opc/index.html">Outpatient Procedure Component</a><a href="#nav-group-67206" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-67206"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-67206" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/opc/ssi/index.html">SSI</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/opc/sdom/index.html">Same Day Outcome Measures</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/faqs/faq-opc.html">Frequently Asked Questions (FAQs)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/ambulatory-surgery/newsletters/index.html">Newsletters & Archived Communications</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/sdoh/index.html">NHSN and Social Determinants of Health</a></li><li class="list-group-item nav-lvl1"><a href="/nhsn/nhsncolab/index.html">NHSNCoLab</a></li><li class="list-group-item nav-lvl1"><a href="/nhsn/fhirportal/index.html">NHSN Digital Quality Measures (dQMs)</a><a href="#nav-group-34c78" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-34c78"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-34c78" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/fhirportal/about.html">About FHIR and NHSNLink</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/fhirportal/faqs.html">Digital Quality Measures (dQMs) FAQs</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/datastat/index.html">NHSN Reports</a><a href="#nav-group-de2ca" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-de2ca"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-de2ca" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/covid19.html">Coronavirus Disease - 2019 (COVID-19)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/progress-report.html">HAI Progress Reports</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/ar-pathogens.html">HAI Pathogens and Antimicrobial Resistance (AR)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/aur-reports.html">Antibiotic Use and Resistance (AUR) Module</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/ltcf-reports.html">Long-term Care Facility (LTCF)</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/psc-survey-reports.html">Patient Safety Annual Facility Survey</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/da-reports.html">Device-Associated (DA) Module Data Summary</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/flu-datatables.html">HCP Influenza Vaccination</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/dialysis-reports.html">Dialysis Event</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/datastat/other-reports.html">Miscellaneous</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/group-users/index.html">Group Users</a></li><li class="list-group-item nav-lvl1"><a href="/nhsn/newsletters/index.html">Newsletters</a></li><li class="list-group-item nav-lvl1"><a href="/nhsn/validation/index.html">Data Validation Guidance</a><a href="#nav-group-36eec" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-36eec"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-36eec" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/validation/2023.html">2023</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/validation/2022.html">2022</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/validation/2021.html">2021</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/validation/validation-faqs.html">Validation FAQs</a></li><li class="list-group-item nav-lvl2"><a href="/nhsn/validation/archive.html">Archived Validation Documents</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/nhsn/commup/index.html">Email Updates</a></li><li class="list-group-item nav-lvl1"><a href="/nhsn/qme/index.html">Quality Measure Endorsement</a></li><li class="list-group-item nav-lvl1"><a href="/nhsn/hipaa/index.html">HIPAA Privacy Rule</a><a href="#nav-group-e5007" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-e5007"><span class="sr-only">plus icon</span><span class="fi cdc-icon-plus" aria-hidden="true"></span></a><ul id="nav-group-e5007" class="collapse"><li class="list-group-item nav-lvl2"><a href="/nhsn/hipaa/fp-fp-comms-under-hippa.html">Facility/Provider Communications Under HIPAA</a></li></ul></li></ul></div> </nav> <div class="col-12 mt-5"> <div class="card tp-gov-d mb-3"> <div class="card-header h4"><span class="sr-only">email_03</span><span class="fi cdc-icon-email_03 icon x32"></span><span class="gov-d-header-text">Get Email Updates</span></div> <div class="card-body"> <p id="emailDescription">To receive email updates about this page, enter your email address:</p> <form id="govd-subscribe" action="https://tools.cdc.gov/campaignproxyservice/subscriptions.aspx" method="GET"> <div class="form-row"> <div class="form-group col-md-12"> <label for="gov-d-email"> <span class="sr-only">Email Address</span> <input id="gov-d-email" title="Email Address" name="userID" type="email" class="form-control" placeholder="Email Address" required="required" aria-describedby="emailDescription"> </label> </div> </div> <div class="form-row"> <div class="col-6"> <a class="explain" href="//www.cdc.gov/emailupdates/">What's this?</a> </div> <div class="col-6 text-right"> <button type="submit" class="btn btn-primary">Submit</button> </div> </div> <input id="gov-d-topic" name="topic_id" type="hidden" value="USCDC_307"> <input id="gov-d-origin" name="origin" type="hidden" value="/nhsn/wcms-inc/localgovdelivery_tp4.html?publish=true&location=betalink&domain=www.cdc.gov"> <input id="gov-d-pop" name="pop" type="hidden" value="t"> </form> </div></div> <div class="card mb-3 bg-amber-q"> <div class="card-header h4 bg-gray-d1">NHSN Helpdesk</div> <p><img decoding="async" class="card-img-top img-fluid p-0" src="/nhsn/images/icons/helpdesk.jpg" alt="helpdesk"></p> <div class="card-body"> <p><strong>Questions about NHSN?</strong>Contact us: <a href="mailto:nhsn@cdc.gov">nhsn@cdc.gov</a></p> </div> </div> <div class="card mb-3"> <div class="card-header h4 bg-gray-d1">Manuals & Protocols</div> <div class="card-body bg-white"> <ul class="block-list td-none"> <li style="list-style-type: none;"> <ul class="block-list td-none"> <li style="list-style-type: none;"> <ul class="block-list td-none"> <li><a href="/nhsn/pdfs/covid19/ltcf/vax-rpv-protocol-ltc-residents-oct-2023-508.pdf" target="_blank">2023 LTCF Resident Weekly COVID-19/Respiratory Pathogens Vaccination Module Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 414 KB]</span></a></li> <li><a href="/nhsn/pdfs/pscmanual/pcsmanual_current.pdf" target="_blank">2024 Patient Safety Component Manual <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 8 MB]</span></a></li> <li><a href="/nhsn/pdfs/validation/2023/pcsmanual_2023.pdf" target="_blank">2023 Patient Safety Component Manual <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 7 MB]</span></a></li> <li><a style="background-color: #ffffff;" href="/nhsn/pdfs/ltc/LTCF-Component-Manual.pdf" target="_blank">2024 Long-term Care Facility Manual <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 2 MB]</span></a></li> <li><a href="/nhsn/pdfs/opc/opc-manual-508.pdf" target="_blank">2024 Outpatient Procedure Component Manual <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 1 MB]</span></a></li> <li><a href="/nhsn/pdfs/validation/2023/opc-manual-2023.pdf" target="_blank">2023 Outpatient Procedure Component Manual <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 1 MB]</span></a></li> <li><a aria-label="/nhsn/pdfs/hps-manual/hps_manual-exp-plus-flu-portfolio.pdf">Coming Soon: 2023 Healthcare Personnel Safety Component Manual</a></li> <li><a href="/nhsn/pdfs/hps/covidvax/2025-hcp-combined-protocol-508.pdf" target="_blank">2025 HCP Weekly COVID-19 Vaccination Module Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 359 KB]</span></a></li> <li><a href="/nhsn/pdfs/hps/covidvax/2024-hcp-combined-protocol-508.pdf" target="_blank">2024 HCP Weekly COVID-19 Vaccination Module Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 350 KB]</span></a></li> <li><a href="/nhsn/pdfs/hps/covidvax/protocol-hcp-508.pdf" target="_blank">2023 HCP Weekly COVID-19 Vaccination Module Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 348 KB]</span></a></li> <li><a href="/nhsn/pdfs/hps/covidvax/2022-protocol-hcp-508.pdf" target="_blank">2022 HCP Weekly COVID-19 Vaccination Module Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 348 KB]</span></a></li> <li><a href="/nhsn/pdfs/ltc/covidvax/protocol-resident-patient-508.pdf" target="_blank">2025 Dialysis Patient Weekly COVID-19 Vaccination Module Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 292 KB]</span></a></li> <li><a style="background-color: #ffffff;" href="/nhsn/pdfs/ltc/covidvax/2023-protocol-resident-patient-508.pdf" target="_blank">2023 Dialysis Patient Weekly COVID-19 Vaccination Module Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 382 KB]</span></a></li> <li><a href="/nhsn/pdfs/ltc/covidvax/protocol-resident-patient-2022-508.pdf" target="_blank">2023 Combined LTCF Resident and Dialysis Patient Weekly COVID-19 Vaccination Module Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 421 KB]</span></a></li> <li><a href="/nhsn/pdfs/hps-manual/vaccination/hps-flu-vaccine-protocol-508.pdf" target="_blank">2025 HCP Vaccination Module: Influenza Vaccination Summary Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 350 KB]</span></a></li> <li><a href="/nhsn/pdfs/hps-manual/vaccination/hps-flu-vaccine-protocol-508.pdf" target="_blank">2022 HCP Vaccination Module: Influenza Vaccination Summary Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 596 KB]</span></a></li> <li><a href="/nhsn/pdfs/biovigilance/bv-hv-protocol-current.pdf" target="_blank">2021 Biovigilance Component Protocol <span aria-label="pdf icon" class="sr-only" role="img"></span><span class="fi cdc-icon-pdf x16 fill-pdf" alt="" aria-hidden="true"></span><span class="file-details">[PDF – 600 KB]</span></a></li> </ul> </li> </ul> </li> </ul> </div> </div> <div class="d-none d-lg-block"> </div> </div> </div> </div> <footer class="" role="contentinfo" aria-label="Footer"> <div class="container-fluid footer-wrapper"> <div class="container"> <div class="footer-2022"> <div class="footer-desktop"> <div class="row"> <div class="col-6 about"> <ul class="d-flex"> <li><a href="https://www.cdc.gov/about/default.htm">About CDC</a></li> <li><a href="https://www.cdc.gov/cdc-info/index.html">Contact Us</a></li> <li><a href="tel:8002324636">800-232-4636</a></li> </ul> </div> <div class="col-6 social"> <div class="d-flex flex-nowrap"> <a href="https://www.facebook.com/CDC" target="_blank" rel="noreferrer noopener"><span class="cdc-icon-facebook-inverse"></span><span class="sr-only">Facebook</span></a> <a href="https://twitter.com/CDCgov" target="_blank" rel="noreferrer noopener"><span class="cdc-icon-twitter-inverse"></span><span class="sr-only">Twitter</span></a> <a href="https://www.instagram.com/CDCgov/" target="_blank" rel="noreferrer noopener"><span class="cdc-icon-instagram-inverse"></span><span class="sr-only">Instagram</span></a> <a href="https://www.linkedin.com/company/centers-for-disease-control-and-prevention" target="_blank" rel="noreferrer noopener"><span class="cdc-icon-linkedin-inverse"></span><span class="sr-only">LinkedIn</span></a> <a href="https://www.youtube.com/c/cdc/" target="_blank" rel="noreferrer noopener"><span class="cdc-icon-youtube-inverse"></span><span class="sr-only">Youtube</span></a> <a href="https://www.pinterest.com/cdcgov/" target="_blank" rel="noreferrer noopener"><span class="cdc-icon-pinterest-inverse"></span><span class="sr-only">Pinterest</span></a> <a href="https://www.snapchat.com/add/cdcgov" target="_blank" rel="noreferrer noopener"><span class="cdc-icon-snapchat-inverse"></span><span class="sr-only">Snapchat</span></a> </div> </div> </div> </div> <div class="footer-mobile" aria-label="Footer" role="contentinfo"> <ul class="accordion indicator-arrow mb-3" role="tablist" aria-busy="true"> <li class="card footer-mobile_contact" role="presentation"> <button role="tab" class="card-header tab collapsed" data-target="#footer-mobile-collapse-1" data-toggle="collapse" aria-expanded="false" id="footer-mobile-card-1" >CONTACT CDC</button> <div class="collapse" id="footer-mobile-collapse-1" role="tabpanel" aria-hidden="true"> <div class="card-body"> <address itemscope="itemscope" itemtype="https://schema.org/Organization"> <div class="row mt-2"> <div class="col-1"> <span aria-hidden="true" class="fi cdc-icon-desktop x24"></span> </div> <div class="col"> <span class="pl-1"><a href="https://www.cdc.gov/cdc-info/index.html">Contact Us</a></span> </div> </div> <div class="row mt-2"> <div class="col-1"> <span class="fi cdc-icon-phone x24"></span> </div> <div class="col"> <span class="pl-1" itemprop="telephone">Call 800-232-4636</span> </div> </div> <div class="row mt-2"> <div class="col-1"> <span class="fi cdc-icon-email x24"></span> </div> <div class="col"> <span class="pl-1" itemprop="url"><a href="https://www.cdc.gov/cdc-info/index.html">Email Us</a></span> </div> </div> </address> </div> </div> </li> <li class="card footer-mobile_about" role="presentation"> <button role="tab" class="card-header tab collapsed " data-target="#footer-mobile-collapse-2" data-toggle="collapse" aria-expanded="false" id="footer-mobile-card-2" >ABOUT CDC</button> <div class="collapse" id="footer-mobile-collapse-2" role="tabpanel" aria-hidden="true"> <div class="card-body"> <ul> <li><a href="https://www.cdc.gov/about/default.htm">About CDC</a></li> <li><a href="https://jobs.cdc.gov">Jobs</a></li> <li><a href="https://www.cdc.gov/funding">Funding</a></li> </ul> </div> </div> </li> <li class="card footer-mobile_policies" role="presentation"> <button role="tab" class="card-header tab collapsed " data-target="#footer-mobile-collapse-3" data-toggle="collapse" aria-expanded="false" id="footer-mobile-card-3">POLICIES</button> <div class="collapse" id="footer-mobile-collapse-3" role="tabpanel" aria-hidden="true"> <div class="card-body"> <ul> <li><a href="https://www.cdc.gov/other/accessibility.html">Accessibility</a></li> <li><a href="https://www.cdc.gov/Other/disclaimer.html">External Links</a></li> <li><a href="https://www.cdc.gov/other/privacy.html">Privacy</a></li> <li><a href="https://www.cdc.gov/Other/policies.html">Policies</a></li> <li><a href="https://www.cdc.gov/oeeowe/nofearact/">No Fear Act</a></li> <li><a href="https://www.cdc.gov/od/foia">FOIA</a></li> <li><a href="https://oig.hhs.gov">OIG</a></li> <li><a href="https://www.cdc.gov/other/nondiscrimination.html">Nondiscrimination</a></li> <li><a href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html">Vulnerability Disclosure Policy</a></li> <li><a href="https://stacks.cdc.gov/ ">Public Health Publications</a></li> </ul> </div> </div> </li> <li class="card footer-mobile_connect" role="presentation"> <button role="tab" class="card-header tab collapsed " data-target="#footer-mobile-collapse-4" data-toggle="collapse" aria-expanded="false" id="footer-mobile-card-4">CONNECT WITH US</button> <div class="collapse" id="footer-mobile-collapse-4" role="tabpanel" aria-hidden="true"> <div class="card-body"> <ul class="bullet-list cc-4 lsp-out row"> <div class="col-12"> <li><a href="https://www.facebook.com/CDC" target="_blank" rel="noreferrer noopener"><span class="sr-only">Facebook</span><span class="fi cdc-icon-fb-white x24" aria-hidden="true"></span></a></li> <li><a href="https://twitter.com/CDCgov" target="_blank" rel="noreferrer noopener"><span class="sr-only">Twitter</span><span class="fi cdc-icon-twitter-white x24" aria-hidden="true"></span></a></li> <li><a href="https://www.instagram.com/CDCgov/" target="_blank" rel="noreferrer noopener"><span class="sr-only">Instagram</span><span class="fi cdc-icon-ig-white x24" aria-hidden="true"></span></a></li> <li><a href="https://www.linkedin.com/company/centers-for-disease-control-and-prevention" target="_blank" rel="noreferrer noopener"><span class="sr-only">LinkedIn</span><span class="fi cdc-icon-linkedin-white x24" aria-hidden="true"></span></a></li> </div> <div class="col-12"> <li><a href="https://www.youtube.com/c/cdc/" target="_blank" rel="noreferrer noopener"><span class="sr-only">Youtube</span><span class="fi cdc-icon-youtube-white x24" aria-hidden="true"></span></a></li> <li><a href="https://www.pinterest.com/cdcgov/" target="_blank" rel="noreferrer noopener"><span class="sr-only">Pinterest</span><span class="fi cdc-icon-pinterest-white x24" aria-hidden="true"></span></a></li> <li><a href="https://www.snapchat.com/add/cdcgov" target="_blank" rel="noreferrer noopener"><span class="sr-only">Snapchat</span><span class="fi cdc-icon-snapchat x24" aria-hidden="true"></span></a></li> <li><a href="https://wwwn.cdc.gov/dcs/RequestForm.aspx"><span class="sr-only">Email</span><span class="fi cdc-icon-email x24" aria-hidden="true"></span></a></li> </div> </ul> </div> </div> </li> <li class="card footer-mobile_language" role="presentation"> <button role="tab" class="card-header tab collapsed " data-target="#footer-mobile-collapse-5" data-toggle="collapse" aria-expanded="false" id="footer-mobile-card-5">LANGUAGES</button> <div class="collapse" id="footer-mobile-collapse-5" role="tabpanel" aria-hidden="true"> <div class="card-body"> <ul class="bullet-list cc-2 lsp-out"> <li lang="es"><a href="https://www.cdc.gov/other/language-assistance.html#Spanish" title="Spanish">Español</a></li> <li lang="zh"><a href="https://www.cdc.gov/other/language-assistance.html#Chinese" title="Chinese">繁體中文</a></li> <li lang="vi"><a href="https://www.cdc.gov/other/language-assistance.html#Vietnamese" title="Vietnamese">Tiếng Việt</a></li> <li lang="ko"><a href="https://www.cdc.gov/other/language-assistance.html#Korean" title="Korean">한국어</a></li> <li lang="tl"><a href="https://www.cdc.gov/other/language-assistance.html#Tagalog" title="Tagalog">Tagalog</a></li> <li lang="ru"><a href="https://www.cdc.gov/other/language-assistance.html#Russian" title="Russian">Русский</a></li> <li lang="ar"><a href="https://www.cdc.gov/other/language-assistance.html#Arabic" title="Arabic">العربية</a></li> <li lang="ht"><a href="https://www.cdc.gov/other/language-assistance.html#Haitian" title="Haitian">Kreyòl Ayisyen</a></li> <li lang="fr"><a href="https://www.cdc.gov/other/language-assistance.html#French" title="French">Français</a></li> <li lang="pl"><a href="https://www.cdc.gov/other/language-assistance.html#Polish" title="Polish">Polski</a></li> <li lang="pt"><a href="https://www.cdc.gov/other/language-assistance.html#Portuguese" title="Portuguese">Português</a></li> <li lang="it"><a href="https://www.cdc.gov/other/language-assistance.html#Italian" title="Italian">Italiano</a></li> <li lang="de"><a href="https://www.cdc.gov/other/language-assistance.html#German" title="German">Deutsch</a></li> <li lang="ja"><a href="https://www.cdc.gov/other/language-assistance.html#Japanese" title="Japanese">日本語</a></li> <li lang="fa"><a href="https://www.cdc.gov/other/language-assistance.html#Farsi" title="Farsi">فارسی</a></li> <li lang="en"><a href="https://www.cdc.gov/other/language-assistance.html#English" title="English">English</a></li> </ul> </div> </div> </li> </ul> </div> </div> </div> </div> <div class="container-fluid agency-footer"> <div class="container"> <div class="footer-2022 footer-agency row"> <div class="col"> <ul> <li><a href="https://www.hhs.gov/">U.S. Department of Health & Human Services</a></li> <li class="d-none d-md-block"><a href="https://www.cdc.gov/other/accessibility.html">Accessibility</a></li> <li class="d-none d-md-block"><a href="https://www.cdc.gov/Other/disclaimer.html">External Links</a></li> <li class="d-none d-md-block"><a href="https://www.cdc.gov/other/privacy.html">Privacy</a></li> <li class="d-none d-md-block"><a href="https://www.cdc.gov/Other/policies.html">Policies</a></li> <li class="d-none d-md-block"><a href="https://www.cdc.gov/oeeowe/nofearact/">No Fear Act</a></li> <li class="d-none d-md-block"><a href="https://www.cdc.gov/od/foia">FOIA</a></li> <li class="d-none d-md-block"><a href="https://www.cdc.gov/other/nondiscrimination.html">Nondiscrimination</a></li> <li class="d-none d-md-block"><a href="https://oig.hhs.gov">OIG</a></li> <li class="d-none d-md-block"><a href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html">Vulnerability Disclosure Policy</a></li> <li class="d-none d-md-block"><a href="https://stacks.cdc.gov/ ">Public Health Publications</a></li> <li><a href="https://www.usa.gov/">USA.gov</a></li> </ul> </div> </div> </div> </div> </footer>  <script src="/config/cdc_config.js"></script> <script>var CDC_POST={"id":"501_10895","type":"cdc_page","tax":[]};</script> <script src="/TemplatePackage/contrib/libs/jquery/latest/jquery.min.js?_=79008"></script> <script src="/TemplatePackage/contrib/libs/bootstrap/latest/js/bootstrap.bundle.min.js?_=79008"></script>    <script src="/TemplatePackage/contrib/libs/cdc/ab/4.0.0/ab.js"></script> <script src="/TemplatePackage/4.0/assets/js/app.min.js?_=79008"></script> <svg viewBox="0 0 40 40" class="d-none"> <radialGradient id="svg_ig_1" cx="-3.0686" cy="30.0001" r="39.8188" gradientTransform="matrix(0.9138 -0.3831 0.3831 0.9138 -6.346 8.975)" gradientUnits="userSpaceOnUse"> <stop offset="0" style="stop-color:#FFDD55"/> <stop offset="0.1" style="stop-color:#FFDD55"/> <stop offset="0.5" style="stop-color:#FF543E"/> <stop offset="1" style="stop-color:#C837AB"/> </radialGradient> <circle style="fill:url(#svg_ig_1);" cx="20" cy="20" r="20"/> <radialGradient id="svg_ig_2" cx="9.873329e-02" cy="-0.6373" r="22.6462" gradientTransform="matrix(0.9909 0 0 0.9909 -0.2262 -0.2261)" gradientUnits="userSpaceOnUse"> <stop offset="0" style="stop-color:#3771C8"/> <stop offset="0.128" style="stop-color:#3771C8"/> <stop offset="1" style="stop-color:#6600FF;stop-opacity:0"/> </radialGradient> <circle style="fill:url(#svg_ig_2);" cx="20" cy="20" r="20"/> <path class="fill-w" d="M20,5.5c-4,0-4.5,0-6.1,0.1c-1.6,0.1-2.6,0.3-3.6,0.7C9.4,6.7,8.5,7.2,7.7,8C6.9,8.8,6.4,9.7,6,10.6c-0.4,0.9-0.6,2-0.7,3.6c-0.1,1.6-0.1,2.1-0.1,6.1s0,4.5,0.1,6.1C5.4,28,5.6,29,6,30c0.4,1,0.9,1.8,1.7,2.6c0.8,0.8,1.6,1.3,2.6,1.7c0.9,0.4,2,0.6,3.6,0.7c1.6,0.1,2.1,0.1,6.1,0.1c4,0,4.5,0,6.1-0.1c1.6-0.1,2.6-0.3,3.6-0.7c1-0.4,1.8-0.9,2.6-1.7c0.8-0.8,1.3-1.6,1.7-2.6c0.4-0.9,0.6-2,0.7-3.6c0.1-1.6,0.1-2.1,0.1-6.1s0-4.5-0.1-6.1c-0.1-1.6-0.3-2.6-0.7-3.6c-0.4-1-0.9-1.8-1.7-2.6c-0.8-0.8-1.6-1.3-2.6-1.7c-0.9-0.4-2-0.6-3.6-0.7C24.5,5.6,24,5.5,20,5.5L20,5.5z M18.7,8.2c0.4,0,0.8,0,1.3,0c3.9,0,4.4,0,6,0.1c1.4,0.1,2.2,0.3,2.7,0.5c0.7,0.3,1.2,0.6,1.7,1.1c0.5,0.5,0.8,1,1.1,1.7c0.2,0.5,0.4,1.3,0.5,2.7c0.1,1.6,0.1,2,0.1,6s0,4.4-0.1,6c-0.1,1.4-0.3,2.2-0.5,2.7c-0.3,0.7-0.6,1.2-1.1,1.7c-0.5,0.5-1,0.8-1.7,1.1c-0.5,0.2-1.3,0.4-2.7,0.5c-1.6,0.1-2,0.1-6,0.1c-3.9,0-4.4,0-6-0.1c-1.4-0.1-2.2-0.3-2.7-0.5c-0.7-0.3-1.2-0.6-1.7-1.1c-0.5-0.5-0.8-1-1.1-1.7C8.3,28.5,8,27.7,8,26.3c-0.1-1.6-0.1-2-0.1-6s0-4.4,0.1-6c0.1-1.4,0.3-2.2,0.5-2.7c0.3-0.7,0.6-1.2,1.1-1.7c0.5-0.5,1-0.8,1.7-1.1c0.5-0.2,1.3-0.4,2.7-0.5C15.4,8.2,15.9,8.2,18.7,8.2L18.7,8.2z M27.9,10.7c-1,0-1.8,0.8-1.8,1.8c0,1,0.8,1.8,1.8,1.8s1.8-0.8,1.8-1.8S28.9,10.7,27.9,10.7L27.9,10.7z M20,12.7c-4.2,0-7.6,3.4-7.6,7.6s3.4,7.6,7.6,7.6c4.2,0,7.6-3.4,7.6-7.6S24.2,12.7,20,12.7L20,12.7z M20,15.4c2.7,0,4.9,2.2,4.9,4.9c0,2.7-2.2,4.9-4.9,4.9c-2.7,0-4.9-2.2-4.9-4.9C15.1,17.6,17.3,15.4,20,15.4z"/> </svg> <svg id="multicolor_icons" style="display:none" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink">  <symbol id="powerpoint" viewBox="0 0 40 40"> <path class="fill-ppt-1" d="M21,1.5h2.45V5.39c4.61,0,9.23,0,13.84,0A1.5,1.5,0,0,1,39,7.08c.07,8.06,0,16.13,0,24.2a5.07,5.07,0,0,1-.41,2.61,3.88,3.88,0,0,1-2.19.43c-4.32,0-8.63,0-13,0v4.32H20.76C14.18,37.43,7.59,36.33,1,35.17Q1,20.07,1,5C7.66,3.81,14.32,2.64,21,1.5Z"></path> <path class="fill-ppt-2" d="M23.44,6.68H37.69V33H23.44V29.56H33.8V27.83H23.44V25.68H33.8V23.95H23.45c0-.85,0-1.69,0-2.54a6.06,6.06,0,0,0,5.18-.51,5.91,5.91,0,0,0,2.66-4.71c-1.9,0-3.79,0-5.68,0,0-1.88,0-3.76,0-5.63L23.44,11Z"></path> <path class="fill-ppt-1" d="M26.47,9.65a6.07,6.07,0,0,1,5.68,5.66c-1.9,0-3.79,0-5.69,0C26.46,13.42,26.46,11.53,26.47,9.65Z"></path> <path class="fill-ppt-2" d="M7.93,12.91c2.34.11,5.18-.93,7.13.83,1.86,2.26,1.37,6.41-1.39,7.76a6.37,6.37,0,0,1-3.17.4q0,2.53,0,5.06l-2.57-.22C7.88,22.13,7.87,17.52,7.93,12.91Z"></path> <path class="fill-ppt-1" d="M10.49,15.24c.85,0,1.9-.19,2.48.6A3.13,3.13,0,0,1,13,18.68c-.49.89-1.61.8-2.47.91C10.47,18.14,10.48,16.69,10.49,15.24Z"></path> </symbol> <symbol id="pdf" viewBox="0 0 40 40"> <path class="fill-pdf-1" d="M32.52,1H1.45V38.68h38V7.42Z"></path> <polygon class="fill-op-2" points="39.38 7.49 32.96 7.49 32.52 1.06 39.38 7.49"></polygon> <path class="fill-pdf-2" d="M16.28,23C17,21.57,17.84,20,18.5,18.33h0l.26-.64c-.86-3.3-1.38-6-.92-7.67h0A1.19,1.19,0,0,1,19,9.31h.4c.75,0,1.11.95,1.15,1.33h0a6,6,0,0,1-.22,1.68h0a4.1,4.1,0,0,0-.25-1.71h0c-.32-.69-.62-1.1-.88-1.17h0a.85.85,0,0,0-.32.64h0a9.59,9.59,0,0,0-.12,1.47h0a16.43,16.43,0,0,0,.68,4.28h0c.08-.24.16-.48.22-.7h0l.68-2.65h0s-.15,3.07-.36,4h0c0,.2-.09.39-.14.59h0a13.5,13.5,0,0,0,3.36,5.25h0a10.46,10.46,0,0,0,1.94,1.34h0a26.93,26.93,0,0,1,3.95-.3h0a5,5,0,0,1,3,.68h0a1.2,1.2,0,0,1,.33.76h0a2.6,2.6,0,0,1-.06.44h0c0-.08,0-.47-1.19-.86h0a14,14,0,0,0-4.84-.06h0c2.46,1.2,4.85,1.79,5.61,1.44h0a1.69,1.69,0,0,0,.41-.4h0a3.92,3.92,0,0,1-.23.76h0a1.2,1.2,0,0,1-.59.4h0c-1.2.32-4.31-.42-7-2h0a57.18,57.18,0,0,0-9,2.15h0c-2.63,4.6-4.6,6.71-6.21,5.91h0l-.59-.3a.69.69,0,0,1-.22-.74h0c.19-.92,1.34-2.3,3.65-3.67h0c.24-.16,1.35-.74,1.35-.74h0s-.82.79-1,1h0c-1.84,1.51-3.2,3.41-3.17,4.14h0v.07c1.56-.23,3.91-3.41,6.93-9.31m.95.49c-.5,1-1,1.83-1.45,2.63h0a38.68,38.68,0,0,1,7.8-2.2h0c-.35-.24-.68-.5-1-.76h0a13.42,13.42,0,0,1-3.29-4.28h0a35.21,35.21,0,0,1-2.06,4.61"></path> </symbol> <symbol id="zip" viewBox="0 0 40 40"> <path class="fill-zip-1" d="M32.17,1.09H1V38.77H39V7.44Z"></path> <polygon class="fill-zip-2" points="39 7.47 32.6 7.47 32.17 1.09 39 7.47"></polygon> <rect class="fill-zip-3" height="13.48" width="0.56" x="17.75" y="1.09"></rect> <rect class="fill-zip-3" height="13.48" width="0.56" x="21.69" y="1.09"></rect> <rect class="fill-zip-3" height="1.69" width="1.78" x="18.22" y="1.09"></rect> <rect class="fill-zip-3" height="1.69" width="1.78" x="20" y="2.77"></rect> <rect class="fill-zip-3" height="1.69" width="1.78" x="18.22" y="4.46"></rect> <rect class="fill-zip-3" height="1.69" width="1.78" x="20" y="6.15"></rect> <rect class="fill-zip-3" height="1.69" width="1.78" x="18.22" y="7.83"></rect> <rect class="fill-zip-3" height="1.69" width="1.78" x="20" y="9.52"></rect> <rect class="fill-zip-3" height="1.69" width="1.78" x="18.22" y="11.19"></rect> <rect class="fill-zip-3" height="1.69" width="1.78" x="20" y="12.87"></rect> <path class="fill-zip-3" d="M22.53,14.56H17.47a1,1,0,0,0-1,1V18.4a1,1,0,0,0,1,1h.84V16.51h3.38v2.85h.84a1,1,0,0,0,1-1V15.53A1,1,0,0,0,22.53,14.56Z"></path> <rect class="fill-zip-3" height="7.2" width="1.97" x="19.02" y="17.56"></rect> <path class="fill-zip-3" d="M22.32,22.67h-.63v4.19H18.31V22.67h-.63a1.14,1.14,0,0,0-1.13,1.14V35a1.13,1.13,0,0,0,1.13,1.13h4.64A1.13,1.13,0,0,0,23.45,35V23.81A1.14,1.14,0,0,0,22.32,22.67Zm-.63,11.38H18.31V31h3.38Z"></path> </symbol> <symbol id="word" viewBox="0 0 40 40"> <path class="word-fill-1" d="M20.86,1.5h2.58V5c4.62,0,9.23,0,13.85,0A1.49,1.49,0,0,1,39,6.63c.07,8.5,0,17,0,25.52a5,5,0,0,1-.42,2.61,3.93,3.93,0,0,1-2.18.43c-4.32,0-8.64,0-13,0v3.45h-2.7C14.17,37.43,7.59,36.32,1,35.17Q1,20.07,1,5C7.62,3.81,14.24,2.68,20.86,1.5Z"></path> <path class="word-fill-2" d="M23.44,6.25H37.69V33.88H23.44V30.42H34.67V28.7H23.44V26.54H34.67V24.81H23.44V22.65H34.67V20.93H23.44V18.77H34.67V17H23.44V14.88H34.67V13.16H23.44V11H34.67V9.27H23.44Z"></path> <path class="word-fill-2" d="M9.92,13.88l2.46-.13c.57,2.91,1.16,5.82,1.78,8.72.49-3,1-6,1.55-9,.86,0,1.73-.08,2.59-.13-1,4.18-1.83,8.4-2.9,12.56-.72.38-1.8,0-2.65,0-.57-2.86-1.24-5.7-1.76-8.57-.5,2.79-1.16,5.55-1.74,8.32l-2.5-.15C6,21.78,5.2,18,4.53,14.2l2.22-.09c.44,2.75.95,5.49,1.34,8.24C8.69,19.52,9.32,16.7,9.92,13.88Z"></path> </symbol> <symbol id="txt" viewBox="0 0 40 40"> <path class="fill-txt-1" d="M32.1,1.09H.67v38H39V7.5Z"></path> <polygon class="fill-txt-2" points="39 7.47 32.6 7.47 32.1 1.09 39 7.47"></polygon> <path class="fill-txt-3" d="M33.78,30.22h.92a2.13,2.13,0,0,0,2.13-2.13V17.27a2.13,2.13,0,0,0-2.13-2.13H5.3a2.13,2.13,0,0,0-2.13,2.13V28.09A2.13,2.13,0,0,0,5.3,30.22H33.78Z"></path> <polygon class="fill-txt-4" points="9.47 19.4 9.47 17.74 15.96 17.74 15.96 19.4 13.54 19.4 13.54 27.53 11.9 27.53 11.9 19.4 9.47 19.4"></polygon> <polygon class="fill-txt-4" points="16.45 17.74 18.38 17.74 20.02 20.89 21.62 17.74 23.53 17.74 20.99 22.5 23.78 27.53 21.79 27.53 19.98 24.15 18.17 27.53 16.19 27.53 18.98 22.43 16.45 17.74"></polygon> <polygon class="fill-txt-4" points="24.04 19.4 24.04 17.74 30.53 17.74 30.53 19.4 28.11 19.4 28.11 27.53 26.46 27.53 26.46 19.4 24.04 19.4"></polygon> </symbol> <symbol id="media" viewBox="0 0 40 40"> <circle class="media-fill-1" cx="20" cy="20" r="19"></circle> <circle class="media-fill-2" cx="20" cy="20" r="15"></circle> <polygon class="media-fill-3" points="28.96 20 15.04 12.5 15.04 27.5 28.96 20"></polygon> </symbol> <symbol id="info-circle" viewBox="0 0 40 40"> <path d="M20,0A20,20,0,1,0,40,20,20,20,0,0,0,20,0Zm3.14,27.36c-1.51,2.27-3,4-5.63,4-1.76-.29-2.49-1.55-2.1-2.84l3.32-11a.52.52,0,0,0-.3-.64c-.25-.08-.73.23-1.14.69l-2,2.42a10.92,10.92,0,0,1,0-1.35c1.51-2.27,4-4.05,5.67-4.05A2.26,2.26,0,0,1,23,17.48L19.67,28.54a.52.52,0,0,0,.31.58c.25.08.76-.23,1.18-.69l2-2.42A10.84,10.84,0,0,1,23.14,27.41ZM22.69,13a2.23,2.23,0,0,1-2.3-2.29,2.3,2.3,0,0,1,4.6,0A2.23,2.23,0,0,1,22.69,13Z" class="fr-evenodd"></path> </symbol> <symbol id="alert_06"> <path d="M15,0C6.8,0,0,6.8,0,15s6.8,15,15,15s15-6.8,15-15S23.3,0,15,0z M15,22.5c-0.8,0-1.5-0.7-1.5-1.5 s0.7-1.5,1.5-1.5s1.5,0.7,1.5,1.5S15.8,22.5,15,22.5z M16.5,16c0,0.8-0.7,1.5-1.5,1.5s-1.5-0.7-1.5-1.5V9c0-0.8,0.7-1.5,1.5-1.5 s1.5,0.7,1.5,1.5V16z"/> </symbol>  <symbol id="timelineicon"> <path d="M12,8A4,4 0 0,1 16,12A4,4 0 0,1 12,16A4,4 0 0,1 8,12A4,4 0 0,1 12,8M3.05,13H1V11H3.05C3.5,6.83 6.83,3.5 11,3.05V1H13V3.05C17.17,3.5 20.5,6.83 20.95,11H23V13H20.95C20.5,17.17 17.17,20.5 13,20.95V23H11V20.95C6.83,20.5 3.5,17.17 3.05,13M12,5A7,7 0 0,0 5,12A7,7 0 0,0 12,19A7,7 0 0,0 19,12A7,7 0 0,0 12,5Z" /> </symbol>  <symbol id="alert-circle" viewBox="0 0 24.00 24.00"> <path d="M 12.9994,12.998L 10.9994,12.998L 10.9994,6.99805L 12.9994,6.99805M 12.9994,16.998L 10.9994,16.998L 10.9994,14.998L 12.9994,14.998M 11.9994,1.99805C 6.47639,1.99805 1.99939,6.47504 1.99939,11.998C 1.99939,17.5211 6.47639,21.998 11.9994,21.998C 17.5224,21.998 21.9994,17.5211 21.9994,11.998C 21.9994,6.47504 17.5224,1.99805 11.9994,1.99805 Z "/> </symbol>  <symbol id="ext" viewBox="0 0 40 40"> <polygon points="36 17.97 36 36 4 36 4 4 22.03 4 22.03 1 1 1 1 39 39 39 39 17.97 36 17.97" /> <polygon points="39 1 26.27 1 31 5.73 17.52 19.21 20.8 22.48 34.27 9 39 13.73 39 1" /> </symbol> <symbol id="presentation_01" viewBox="0 0 40 40"> <path d="M35,5.21H5A1.29,1.29,0,1,1,5,2.63h13.7V1.34a1.3,1.3,0,0,1,2.6,0V2.63H35a1.29,1.29,0,1,1,0,2.58Zm0,20.64H5V6.5H35ZM9,15.57a5.2,5.2,0,0,0,10.4,0h-5.2V10.4A5.19,5.19,0,0,0,9,15.57Zm14.33-5.2H22v1.29h1.3Zm0,2.58H22v1.29h1.3Zm0,2.58H22v1.29h1.3Zm0,2.58H22V19.4h1.3Zm0,2.58H22V22h1.3Zm7.78-10.32H24.58v1.29h6.48Zm0,2.58H24.58v1.29h6.48Zm0,2.58H24.58v1.29h6.48Zm0,2.58H24.58V19.4h6.48Zm0,2.58H24.58V22h6.48ZM16.46,32.31h2.93V25.85h1.3v6.45h2.88l-2.88-6.45h2.6l5.18,11.61H25.88L24.15,33.6H20.69V40h-1.3V33.6H15.88l-1.76,3.87H11.53L16.8,25.85h2.59Zm4.22-6.45Zm-1.3,0Z" class="fill-a"></path> </symbol> <symbol id="excel" viewBox="0 0 40 40"> <path class="fill-excel-1" d="M20.87,1.5h2.56V5c4.32,0,8.64,0,13,0a4,4,0,0,1,2.17.41A4,4,0,0,1,39,7.54Q39,18.78,39,30a19.69,19.69,0,0,1-.15,3.78c-.17.9-1.25.92-2,.95-4.47,0-8.95,0-13.43,0v3.89H20.76C14.18,37.43,7.59,36.32,1,35.17V5C7.63,3.81,14.25,2.67,20.87,1.5Z"></path> <path class="fill-excel-2" d="M23.44,6.25H37.68v27.2H23.44V30.85h3.45v-3H23.44V26.11h3.45v-3H23.44V21.36h3.45v-3H23.44V16.61h3.45v-3H23.44V11.86h3.45v-3H23.44Z"></path> <path class="fill-excel-1" d="M28.62,8.84h6v3h-6Z"></path> <path class="fill-excel-2" d="M13.79,12.88q1.46-.1,2.94-.18Q15,16.25,13.24,19.78c1.19,2.42,2.4,4.82,3.59,7.23l-3.12-.2a51,51,0,0,1-2.15-5.42c-.59,1.75-1.42,3.41-2.1,5.12-.95,0-1.89-.05-2.84-.09,1.11-2.17,2.18-4.36,3.32-6.52-1-2.22-2-4.4-3-6.61l2.85-.16c.64,1.69,1.35,3.35,1.88,5.08C12.21,16.38,13.06,14.66,13.79,12.88Z"></path> <path class="fill-excel-1" d="M28.62,13.59h6v3h-6Z"></path> <path class="fill-excel-1" d="M28.62,18.34h6v3h-6Z"></path> <path class="fill-excel-1" d="M28.62,23.08h6v3h-6Z"></path> <path class="fill-excel-1" d="M28.62,27.83h6v3h-6Z"></path> </symbol> <symbol id="epub" viewBox="0 0 40 40"> <path class="fill-epub-1" d="M32.64,1H1.45V38.68h38V7.36Z"></path> <polygon class="fill-epub-2" points="39.47 7.39 33.07 7.39 32.64 1 39.47 7.39"></polygon> <path class="fill-epub-3" d="M20,27.23,12.77,20,20,12.77l2.41,2.41L17.59,20,20,22.41l7.23-7.23-6.3-6.29a1.3,1.3,0,0,0-1.86,0L8.89,19.07a1.3,1.3,0,0,0,0,1.86L19.07,31.11a1.3,1.3,0,0,0,1.86,0L31.11,20.93a1.3,1.3,0,0,0,0-1.86l-1.47-1.48Z"></path> </symbol> <symbol id="imgft" viewBox="0 0 40 40"> <path class="fill-svgimgfile" d="M32.58,1H1.39V38.68h38V7.36Z"></path> <polygon class="fill-op-2" points="39.41 7.39 33.01 7.39 32.58 1 39.41 7.39"></polygon> <path class="fill-w" d="M8.52,15.32a4,4,0,1,1,4,4A4,4,0,0,1,8.52,15.32ZM33.27,33.25H7.73V29.18l4.79-4.07,3.19,2.71,9.58-8.14,8,6.78Z"></path> </symbol> <symbol id="sas" viewBox="0 0 40 40"> <title>SAS</title> <path class="fill-sas" d="M32.58,1H1.39V38.68h38V7.36Zm-15,6.32A10.77,10.77,0,0,1,20.38,7a8.72,8.72,0,0,1,8.22,5.71C26.85,9.84,21.74,9.22,19,11c-3.16,2-4.2,5.47-1.87,8.3,0,0,1.32,1.61,2.48,3,.24.29.29.33.52.61h0l.36.44a1.74,1.74,0,0,1-2.66,2.22l-.9-1.1-3.2-3.87C8.31,14.06,13.22,8.42,17.61,7.32Zm4.78,25.36c-5.06,1.27-9.63-1.37-11-5.39C13.15,30.16,18.26,30.78,21,29c3.16-2,4.2-5.46,1.87-8.29l-3.23-3.9c-.13-.15-.2-.25-.2-.25a1.61,1.61,0,0,1,.34-2.32A1.84,1.84,0,0,1,21,13.83a1.51,1.51,0,0,1,1.11.55l.43.54,3.75,4.53C31.69,26,26.78,31.58,22.39,32.68Z"></path> <polygon style="opacity: 0.2;" points="39.41 7.39 33.01 7.39 32.58 1 39.41 7.39"></polygon> </symbol> <symbol id="stats" viewBox="0 0 40 40"> <title>stats</title> <path class="fill-txt-3" d="M32.58,1H1.39V38.68h38V7.36ZM27.22,14.61h4V29.12h-4Zm-6,3.46h4V29.12h-4Zm-6-11h4v22.1h-4Zm-6,4.58h4V29.12h-4Zm25,21.61H6.2a1,1,0,0,1,0-2h28a1,1,0,0,1,0,2Z"></path> <polygon style="opacity: 0.3;" points="39.41 7.39 33.01 7.39 32.58 1 39.41 7.39"></polygon> </symbol> <symbol id="cdc-tv" viewBox="0 0 40 40"> <defs> <linearGradient id="linear-gradient" x1="-1374.15" y1="10.03" x2="-1354.09" y2="25.47" gradientTransform="matrix(-1, 0, 0, 1, -1343.57, 0)" gradientUnits="userSpaceOnUse"> <stop offset="0" stop-color="#b8bab9"></stop> <stop offset="1" stop-color="#414042"></stop> </linearGradient> </defs> <path d="M38.61,6.5H1.3A.29.29,0,0,0,1,6.78v23a.29.29,0,0,0,.29.29H18.48v.64a1.51,1.51,0,0,1-.15.67H11.08L8.77,32.81v.33H31.15v-.33l-2.3-1.41H21.62a1.72,1.72,0,0,1-.15-.72v-.59H38.61a.29.29,0,0,0,.29-.29v-23A.29.29,0,0,0,38.61,6.5Z"></path> <polygon style="fill:url(#linear-gradient);" points="37.78 7.61 2.13 7.61 2.13 28.92 37.78 28.8 37.78 7.61"></polygon> <rect class="fill-w" x="2.16" y="7.64" width="35.6" height="21.31"></rect> <rect class="fill-cdc-tv" x="2.12" y="7.51" width="35.8" height="21.57"></rect> <polygon class="fill-w" points="16.82 29.08 37.92 7.71 37.92 7.5 37.81 7.5 16.51 29.08 16.82 29.08"></polygon> <polygon class="fill-w" points="3.52 29.08 4.95 7.5 4.73 7.5 3.3 29.08 3.52 29.08"></polygon> <polygon class="fill-w" points="4.66 29.08 7.74 7.5 7.52 7.5 4.44 29.08 4.66 29.08"></polygon> <polygon class="fill-w" points="5.88 29.08 10.7 7.5 10.47 7.5 5.65 29.08 5.88 29.08"></polygon> <polygon class="fill-w" points="7.22 29.08 14.1 7.5 13.87 7.5 6.99 29.08 7.22 29.08"></polygon> <polygon class="fill-w" points="8.49 29.08 17.32 7.5 17.08 7.5 8.25 29.08 8.49 29.08"></polygon> <polygon class="fill-w" points="9.94 29.08 20.99 7.5 20.74 7.5 9.69 29.08 9.94 29.08"></polygon> <polygon class="fill-w" points="26.51 7.5 26.25 7.5 11.94 29.08 12.21 29.08 26.51 7.5"></polygon> <polygon class="fill-w" points="31.61 7.5 31.33 7.5 13.94 29.08 14.23 29.08 31.61 7.5"></polygon> <polygon class="fill-w" points="37.92 15.67 37.92 15.38 20.67 29.08 21.03 29.08 37.92 15.67"></polygon> <polygon class="fill-w" points="37.92 21.61 37.92 21.34 25.53 29.08 25.95 29.08 37.92 21.61"></polygon> <polygon class="fill-w" points="37.92 27.2 37.92 26.96 33.36 29.08 33.89 29.08 37.92 27.2"></polygon> <path class="fill-w" d="M10.14,22.51c-3.72,0-6.25-2.3-6.25-6a6,6,0,0,1,6.28-6.17,7,7,0,0,1,2.8.56v1.78a3.3,3.3,0,0,0-2.77-1.46c-2.24,0-3.51,2.06-3.51,5,0,3.13,1.19,5.35,3.75,5.35A4.3,4.3,0,0,0,13,20.66l.43.93A5.05,5.05,0,0,1,10.14,22.51Z"></path> <path class="fill-w" d="M22.31,16.43c0,4.6-2.83,4.92-5,4.92V11.44C19.53,11.44,22.31,11.71,22.31,16.43Zm-2.95,5.86a5.54,5.54,0,0,0,5.7-5.91c0-4.77-3.41-5.84-6-5.84H14.79V22.29Z"></path> <path class="fill-w" d="M32.69,22.51c-3.72,0-6.25-2.3-6.25-6a6,6,0,0,1,6.28-6.17,7,7,0,0,1,2.8.56v1.78a3.3,3.3,0,0,0-2.76-1.46c-2.25,0-3.52,2.06-3.52,5,0,3.13,1.19,5.35,3.75,5.35a4.3,4.3,0,0,0,2.53-.93l.43.93A5,5,0,0,1,32.69,22.51Z"></path> </symbol> <symbol id="flickr" viewBox="0 0 40 40"> <rect class="fill-flickr flr-bg" x="1" y="1" width="38" height="38" rx="6.23"></rect> <path class="fill-flickr flr-dot-1" d="M32.89,20a5.62,5.62,0,1,1-5.62-5.62A5.62,5.62,0,0,1,32.89,20Z"></path> <path class="fill-flickr flr-dot-2" d="M18.35,20a5.62,5.62,0,1,1-5.62-5.62A5.62,5.62,0,0,1,18.35,20Z"></path> </symbol>  <symbol id="pinterest" viewBox="0 0 40 40"> <circle class="fill-w" cx="20" cy="20" r="19"></circle> <path class="fill-pinterest" d="M20,1a19,19,0,0,0-6.92,36.69,18.15,18.15,0,0,1,.06-5.45l2.23-9.44A6.85,6.85,0,0,1,14.8,20c0-2.64,1.53-4.62,3.44-4.62A2.39,2.39,0,0,1,20.64,18c0,1.63-1,4.07-1.57,6.33a2.76,2.76,0,0,0,2.81,3.43c3.38,0,6-3.56,6-8.7,0-4.55-3.27-7.73-7.94-7.73a8.22,8.22,0,0,0-8.58,8.24A7.41,7.41,0,0,0,12.75,24a.57.57,0,0,1,.14.54c-.15.6-.47,1.9-.53,2.16s-.28.42-.64.25c-2.37-1.1-3.85-4.57-3.85-7.36,0-6,4.35-11.49,12.55-11.49,6.59,0,11.71,4.69,11.71,11,0,6.55-4.13,11.82-9.86,11.82a5.09,5.09,0,0,1-4.35-2.18s-1,3.62-1.18,4.51a21,21,0,0,1-2.37,5A19,19,0,1,0,20,1Z"></path> </symbol> <symbol id="social_govd" viewBox="0 0 40 40" xmlns:xlink="http://www.w3.org/1999/xlink"> <path d="M9.42,27.77h-3a5.23,5.23,0,0,1-2.6-.63A5.16,5.16,0,0,1,1,22.45C1,17.06,1,11.67,1,6.28A5.32,5.32,0,0,1,6.27,1c9.08,0,18.17,0,27.25,0A5.42,5.42,0,0,1,39,6.41q0,8,0,15.93a5.38,5.38,0,0,1-5.48,5.43H24.31a1.55,1.55,0,0,0-.93.28L6.93,39.19a1.2,1.2,0,0,1-2-.78,2,2,0,0,1,.22-.92q2-4.64,4.09-9.28Zm6.1-14,3.62,2.68a1.26,1.26,0,0,0,1.7,0l3.08-2.29.52-.38.16.17,4.31,5.19,4.14,5a.8.8,0,1,0,1.21-1l-6.73-8.11L25.74,12.8l.24-.19,8.62-6.4a1.28,1.28,0,1,0-1.53-2q-6.36,4.72-12.72,9.45a.5.5,0,0,1-.72,0q-5-3.77-10.11-7.51c-.91-.68-1.82-1.36-2.74-2a1.23,1.23,0,0,0-1.61.06,1.22,1.22,0,0,0-.3,1.51,2.1,2.1,0,0,0,.57.61l8.37,6.22.4.31-.21.28L6.26,22.4c-.22.27-.46.53-.66.81a.79.79,0,0,0,1.2,1A3,3,0,0,0,7,24l6.16-7.42Z" class="fill-govd"></path> </symbol>  <symbol id="social_round_bookmark" viewBox="0 0 40 40"> <path class="fill-bookmark" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1ZM29.8,29.8a1.67,1.67,0,0,1-1.09,1.56,1.53,1.53,0,0,1-.67.12A1.84,1.84,0,0,1,26.78,31l-6.71-6.45L13.37,31a1.86,1.86,0,0,1-1.26.5,1.55,1.55,0,0,1-.67-.14,1.67,1.67,0,0,1-1.09-1.56V10.2a1.68,1.68,0,0,1,1.09-1.56,1.71,1.71,0,0,1,.67-.14H28a1.71,1.71,0,0,1,.67.14A1.68,1.68,0,0,1,29.8,10.2Z"></path> </symbol> <symbol id="social_round_cdc-tv" viewBox="0 0 40 40"> <path class="fill-cdc-tv" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1Zm14.3,28H21.12v1.39a1.21,1.21,0,0,0,.12.55h5.55L28.55,32v.24H11.36V32l1.78-1.09H18.7a1,1,0,0,0,.12-.51V29H5.63a.27.27,0,0,1-.27-.27V11.05a.27.27,0,0,1,.27-.27H34.29a.27.27,0,0,1,.26.27V28.73A.27.27,0,0,1,34.29,29Z"></path> <path class="fill-cdc-tv" d="M17.9,15.6v7.62c1.69,0,3.87-.25,3.87-3.79S19.63,15.6,17.9,15.6Z"></path> <path class="fill-cdc-tv" d="M6.79,12V27.77H33.12V12ZM12.41,24.1c-2.85,0-4.8-1.76-4.8-4.61a4.64,4.64,0,0,1,4.83-4.74,5.26,5.26,0,0,1,2.15.43v1.37a2.53,2.53,0,0,0-2.12-1.12c-1.73,0-2.7,1.58-2.7,3.86s.91,4.11,2.88,4.11a3.24,3.24,0,0,0,1.94-.72l.33.72A3.84,3.84,0,0,1,12.41,24.1Zm7.09-.17H16v-9h3.28c2,0,4.61.82,4.61,4.48A4.26,4.26,0,0,1,19.5,23.93Zm10.24.17c-2.86,0-4.8-1.76-4.8-4.61a4.63,4.63,0,0,1,4.82-4.74,5.26,5.26,0,0,1,2.15.43v1.37a2.53,2.53,0,0,0-2.12-1.12c-1.72,0-2.7,1.58-2.7,3.86S28,23.4,30,23.4a3.24,3.24,0,0,0,1.94-.72l.33.72A3.83,3.83,0,0,1,29.74,24.1Z"></path> </symbol> <symbol id="social_round_email" viewBox="0 0 40 40"> <path class="fill-email" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1ZM32,11,20,20.71,8,11ZM8,13.56l6.58,5.33L8,26.06ZM8,29l8.11-8.85L20,23.29l3.87-3.14L32,29Zm24-2.94-6.58-7.17L32,13.56Z"></path> </symbol> <symbol id="social_round_fb" viewBox="0 0 40 40"> <circle class="fill-fb" cx="19.99" cy="20" r="19"></circle> <path class="fill-w" d="M30.9,24.42l.68-5.28H26.36V15.77c0-1.53.42-2.57,2.61-2.57h2.8V8.48a35.84,35.84,0,0,0-4.08-.21c-4,0-6.79,2.46-6.79,7v3.89H16.34v5.28H20.9V39a18.64,18.64,0,0,0,5.46-1.07V24.42Z"></path> </symbol> <symbol id="social_round_facebook" viewBox="0 0 40 40"> <circle class="fill-fb" cx="19.99" cy="20" r="19"></circle> <path class="fill-w" d="M30.9,24.42l.68-5.28H26.36V15.77c0-1.53.42-2.57,2.61-2.57h2.8V8.48a35.84,35.84,0,0,0-4.08-.21c-4,0-6.79,2.46-6.79,7v3.89H16.34v5.28H20.9V39a18.64,18.64,0,0,0,5.46-1.07V24.42Z"></path> </symbol> <symbol id="social_round_flickr" viewBox="0 0 40 40"> <circle class="fill-flickr flr-bg" cx="19.99" cy="20" r="19"></circle> <path class="fill-flickr flr-dot-1" d="M32.89,20a5.62,5.62,0,1,1-5.62-5.62A5.62,5.62,0,0,1,32.89,20Z"></path> <path class="fill-flickr flr-dot-2" d="M18.35,20a5.62,5.62,0,1,1-5.62-5.62A5.62,5.62,0,0,1,18.35,20Z"></path> </symbol> <svg id="social_round_googleplus" viewBox="0 0 40 40"> <path class="fill-googleplus" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1ZM14.55,29.5A9.5,9.5,0,1,1,20.94,13c-2,1.88-1.92,2-2.71,2.77a5.39,5.39,0,0,0-3.68-1.38,5.64,5.64,0,0,0,0,11.28c3.08,0,4.33-1.32,5.13-3.76H14.55V18.12h9.12C24.3,22.67,22.39,29.5,14.55,29.5Zm17.11-8.84V24H29.31V20.66H25.93V18.31h3.38V15h2.35v3.3H35v2.35Z"></path> </svg> <symbol id="social_round_govd" viewBox="0 0 40 40"> <path class="fill-govd" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1Zm8.43,25.94H22.69a.93.93,0,0,0-.58.18l-10.27,7a.75.75,0,0,1-1.24-.49,1.2,1.2,0,0,1,.14-.57c.84-1.93,1.7-3.86,2.55-5.79,0-.08.06-.16.11-.27H11.56a3.28,3.28,0,0,1-1.63-.4,3.24,3.24,0,0,1-1.78-2.93c0-3.36,0-6.72,0-10.08a3.32,3.32,0,0,1,3.28-3.29c5.67,0,11.34,0,17,0a3.37,3.37,0,0,1,3.4,3.38q0,5,0,9.94A3.36,3.36,0,0,1,28.42,26.94Z"></path> <path class="fill-govd" d="M28.16,12.21l-7.94,5.9a.32.32,0,0,1-.45,0l-6.31-4.69c-.56-.42-1.13-.85-1.7-1.26a.79.79,0,0,0-1,0,.76.76,0,0,0-.18.94,1.44,1.44,0,0,0,.35.39l5.23,3.88.24.19-.13.17-4.83,5.82c-.14.17-.29.33-.42.51a.48.48,0,0,0,.1.67.47.47,0,0,0,.65,0,1.14,1.14,0,0,0,.15-.16c1.28-1.54,2.56-3.09,3.85-4.63.47-.58,1-1.15,1.45-1.74.77.56,1.51,1.12,2.25,1.67a.81.81,0,0,0,1.07,0l1.92-1.43.32-.24a.47.47,0,0,1,.1.11c.9,1.07,1.79,2.15,2.69,3.23l2.58,3.11a.5.5,0,1,0,.75-.65c-1.39-1.69-2.8-3.37-4.2-5.06l-1.11-1.34.15-.12,5.38-4a.8.8,0,1,0-.95-1.27Z"></path> </symbol> <symbol id="social_round_instagram" viewBox="0 0 40 40"> <circle style="fill:url(#svg_ig_1);" cx="20" cy="20" r="20"></circle> <circle style="fill:url(#svg_ig_2);" cx="20" cy="20" r="20"></circle> <path class="fill-w" d="M20,5.5c-4,0-4.5,0-6.1,0.1c-1.6,0.1-2.6,0.3-3.6,0.7C9.4,6.7,8.5,7.2,7.7,8C6.9,8.8,6.4,9.7,6,10.6c-0.4,0.9-0.6,2-0.7,3.6c-0.1,1.6-0.1,2.1-0.1,6.1s0,4.5,0.1,6.1C5.4,28,5.6,29,6,30c0.4,1,0.9,1.8,1.7,2.6c0.8,0.8,1.6,1.3,2.6,1.7c0.9,0.4,2,0.6,3.6,0.7c1.6,0.1,2.1,0.1,6.1,0.1c4,0,4.5,0,6.1-0.1c1.6-0.1,2.6-0.3,3.6-0.7c1-0.4,1.8-0.9,2.6-1.7c0.8-0.8,1.3-1.6,1.7-2.6c0.4-0.9,0.6-2,0.7-3.6c0.1-1.6,0.1-2.1,0.1-6.1s0-4.5-0.1-6.1c-0.1-1.6-0.3-2.6-0.7-3.6c-0.4-1-0.9-1.8-1.7-2.6c-0.8-0.8-1.6-1.3-2.6-1.7c-0.9-0.4-2-0.6-3.6-0.7C24.5,5.6,24,5.5,20,5.5L20,5.5z M18.7,8.2c0.4,0,0.8,0,1.3,0c3.9,0,4.4,0,6,0.1c1.4,0.1,2.2,0.3,2.7,0.5c0.7,0.3,1.2,0.6,1.7,1.1c0.5,0.5,0.8,1,1.1,1.7c0.2,0.5,0.4,1.3,0.5,2.7c0.1,1.6,0.1,2,0.1,6s0,4.4-0.1,6c-0.1,1.4-0.3,2.2-0.5,2.7c-0.3,0.7-0.6,1.2-1.1,1.7c-0.5,0.5-1,0.8-1.7,1.1c-0.5,0.2-1.3,0.4-2.7,0.5c-1.6,0.1-2,0.1-6,0.1c-3.9,0-4.4,0-6-0.1c-1.4-0.1-2.2-0.3-2.7-0.5c-0.7-0.3-1.2-0.6-1.7-1.1c-0.5-0.5-0.8-1-1.1-1.7C8.3,28.5,8,27.7,8,26.3c-0.1-1.6-0.1-2-0.1-6s0-4.4,0.1-6c0.1-1.4,0.3-2.2,0.5-2.7c0.3-0.7,0.6-1.2,1.1-1.7c0.5-0.5,1-0.8,1.7-1.1c0.5-0.2,1.3-0.4,2.7-0.5C15.4,8.2,15.9,8.2,18.7,8.2L18.7,8.2z M27.9,10.7c-1,0-1.8,0.8-1.8,1.8c0,1,0.8,1.8,1.8,1.8s1.8-0.8,1.8-1.8S28.9,10.7,27.9,10.7L27.9,10.7z M20,12.7c-4.2,0-7.6,3.4-7.6,7.6s3.4,7.6,7.6,7.6c4.2,0,7.6-3.4,7.6-7.6S24.2,12.7,20,12.7L20,12.7z M20,15.4c2.7,0,4.9,2.2,4.9,4.9c0,2.7-2.2,4.9-4.9,4.9c-2.7,0-4.9-2.2-4.9-4.9C15.1,17.6,17.3,15.4,20,15.4z"></path> </symbol> <symbol id="social_round_ig" viewBox="0 0 40 40"> <circle style="fill:url(#svg_ig_1);" cx="20" cy="20" r="20"></circle> <circle style="fill:url(#svg_ig_2);" cx="20" cy="20" r="20"></circle> <path class="fill-w" d="M20,5.5c-4,0-4.5,0-6.1,0.1c-1.6,0.1-2.6,0.3-3.6,0.7C9.4,6.7,8.5,7.2,7.7,8C6.9,8.8,6.4,9.7,6,10.6c-0.4,0.9-0.6,2-0.7,3.6c-0.1,1.6-0.1,2.1-0.1,6.1s0,4.5,0.1,6.1C5.4,28,5.6,29,6,30c0.4,1,0.9,1.8,1.7,2.6c0.8,0.8,1.6,1.3,2.6,1.7c0.9,0.4,2,0.6,3.6,0.7c1.6,0.1,2.1,0.1,6.1,0.1c4,0,4.5,0,6.1-0.1c1.6-0.1,2.6-0.3,3.6-0.7c1-0.4,1.8-0.9,2.6-1.7c0.8-0.8,1.3-1.6,1.7-2.6c0.4-0.9,0.6-2,0.7-3.6c0.1-1.6,0.1-2.1,0.1-6.1s0-4.5-0.1-6.1c-0.1-1.6-0.3-2.6-0.7-3.6c-0.4-1-0.9-1.8-1.7-2.6c-0.8-0.8-1.6-1.3-2.6-1.7c-0.9-0.4-2-0.6-3.6-0.7C24.5,5.6,24,5.5,20,5.5L20,5.5z M18.7,8.2c0.4,0,0.8,0,1.3,0c3.9,0,4.4,0,6,0.1c1.4,0.1,2.2,0.3,2.7,0.5c0.7,0.3,1.2,0.6,1.7,1.1c0.5,0.5,0.8,1,1.1,1.7c0.2,0.5,0.4,1.3,0.5,2.7c0.1,1.6,0.1,2,0.1,6s0,4.4-0.1,6c-0.1,1.4-0.3,2.2-0.5,2.7c-0.3,0.7-0.6,1.2-1.1,1.7c-0.5,0.5-1,0.8-1.7,1.1c-0.5,0.2-1.3,0.4-2.7,0.5c-1.6,0.1-2,0.1-6,0.1c-3.9,0-4.4,0-6-0.1c-1.4-0.1-2.2-0.3-2.7-0.5c-0.7-0.3-1.2-0.6-1.7-1.1c-0.5-0.5-0.8-1-1.1-1.7C8.3,28.5,8,27.7,8,26.3c-0.1-1.6-0.1-2-0.1-6s0-4.4,0.1-6c0.1-1.4,0.3-2.2,0.5-2.7c0.3-0.7,0.6-1.2,1.1-1.7c0.5-0.5,1-0.8,1.7-1.1c0.5-0.2,1.3-0.4,2.7-0.5C15.4,8.2,15.9,8.2,18.7,8.2L18.7,8.2z M27.9,10.7c-1,0-1.8,0.8-1.8,1.8c0,1,0.8,1.8,1.8,1.8s1.8-0.8,1.8-1.8S28.9,10.7,27.9,10.7L27.9,10.7z M20,12.7c-4.2,0-7.6,3.4-7.6,7.6s3.4,7.6,7.6,7.6c4.2,0,7.6-3.4,7.6-7.6S24.2,12.7,20,12.7L20,12.7z M20,15.4c2.7,0,4.9,2.2,4.9,4.9c0,2.7-2.2,4.9-4.9,4.9c-2.7,0-4.9-2.2-4.9-4.9C15.1,17.6,17.3,15.4,20,15.4z"></path> </symbol> <symbol id="social_round_linkedin" viewBox="0 0 40 40"> <path class="fill-linkin" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1ZM13.58,31H8.92V16h4.66ZM11.25,14a2.7,2.7,0,1,1,2.7-2.7A2.7,2.7,0,0,1,11.25,14ZM31,31H26.36V23.73c0-1.73,0-4-2.42-4s-2.79,1.9-2.79,3.85V31H16.5V16H21v2.05H21a4.88,4.88,0,0,1,4.4-2.42c4.72,0,5.59,3.1,5.59,7.13Z"></path> </symbol> <symbol id="social_round_pinterest" viewBox="0 0 40 40"> <circle class="fill-w" cx="20" cy="20" r="19"></circle> <path class="fill-pinterest" d="M20,1a19,19,0,0,0-6.92,36.69,18.15,18.15,0,0,1,.06-5.45l2.23-9.44A6.85,6.85,0,0,1,14.8,20c0-2.64,1.53-4.62,3.44-4.62A2.39,2.39,0,0,1,20.64,18c0,1.63-1,4.07-1.57,6.33a2.76,2.76,0,0,0,2.81,3.43c3.38,0,6-3.56,6-8.7,0-4.55-3.27-7.73-7.94-7.73a8.22,8.22,0,0,0-8.58,8.24A7.41,7.41,0,0,0,12.75,24a.57.57,0,0,1,.14.54c-.15.6-.47,1.9-.53,2.16s-.28.42-.64.25c-2.37-1.1-3.85-4.57-3.85-7.36,0-6,4.35-11.49,12.55-11.49,6.59,0,11.71,4.69,11.71,11,0,6.55-4.13,11.82-9.86,11.82a5.09,5.09,0,0,1-4.35-2.18s-1,3.62-1.18,4.51a21,21,0,0,1-2.37,5A19,19,0,1,0,20,1Z"></path> </symbol> <symbol id="social_round_podcast" viewBox="0 0 40 40"> <path class="fill-podcast" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1Zm2.8,33.33a.67.67,0,0,1-.67.67H17.84a.67.67,0,0,1-.67-.67V23.2a.67.67,0,0,1,.67-.67h4.28a.67.67,0,0,1,.67.67ZM17.27,19.16A2.73,2.73,0,1,1,20,21.89,2.73,2.73,0,0,1,17.27,19.16Zm8,4.37a6.89,6.89,0,1,0-10.59-.16l-.44,2a8.61,8.61,0,1,1,11.54.05Zm1.56,5.72-.49-1.74-.08-.28a10.19,10.19,0,1,0-12.42,0l-.12.58-.35,1.5a12.16,12.16,0,1,1,13.46-.08Z"></path> </symbol> <symbol id="social_round_rss" viewBox="0 0 40 40"> <path class="fill-rss" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1ZM12.08,31.06a3.14,3.14,0,1,1,3.13-3.14A3.14,3.14,0,0,1,12.08,31.06Zm11.22-.34a1,1,0,0,1-.77.34h-2.2a1,1,0,0,1-1-.95A10.46,10.46,0,0,0,9.89,20.7a1,1,0,0,1-1-1v-2.2a1,1,0,0,1,.34-.77,1,1,0,0,1,.71-.28h.08A14.79,14.79,0,0,1,23.58,29.93,1.1,1.1,0,0,1,23.3,30.72Zm8.35,0a1,1,0,0,1-.76.33H28.56a1.05,1.05,0,0,1-1-1A18.7,18.7,0,0,0,9.92,12.47a1,1,0,0,1-1-1V9.1a1,1,0,0,1,.33-.75A1,1,0,0,1,10,8.06h0A23.2,23.2,0,0,1,31.94,30,1,1,0,0,1,31.65,30.73Z"></path> </symbol> <symbol id="social_round_syndication" viewBox="0 0 40 40"> <path class="fill-synd" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1Zm1.33,9.94a1,1,0,0,1,1.27-.71,10.47,10.47,0,0,1,2.37,1,10.11,10.11,0,0,1,4.83,6.42A1,1,0,0,1,29,18.89a1,1,0,0,1-1.24-.75A8.17,8.17,0,0,0,22,12.21,1,1,0,0,1,21.32,10.94Zm8,12.86a9,9,0,0,1-.66,1.36,10.13,10.13,0,0,1-7.55,5H21a1,1,0,0,1-1-.89,1,1,0,0,1,.89-1.15,8.1,8.1,0,0,0,6-4A7.31,7.31,0,0,0,27.45,23a1,1,0,0,1,1.91.76Zm-9-8.72a1,1,0,0,1,1.3-.66,5.91,5.91,0,0,1,3.85,3.94,1,1,0,0,1-.68,1.27,1,1,0,0,1-1.29-.69,3.86,3.86,0,0,0-2.52-2.57A1,1,0,0,1,20.39,15.08Zm-1.76.12a1,1,0,0,1-.48,1.37,4,4,0,0,0-2.1,2.67,1,1,0,0,1-1,.81.83.83,0,0,1-.22,0A1,1,0,0,1,14,18.8a6,6,0,0,1,3.22-4.07A1,1,0,0,1,18.63,15.2Zm-.8-4.15a1,1,0,0,1-.64,1.31A8.14,8.14,0,0,0,12.78,16a8,8,0,0,0-1,2.72,1,1,0,0,1-1,.85h-.18a1,1,0,0,1-.84-1.18A10,10,0,0,1,11,15a10.2,10.2,0,0,1,5.53-4.54A1,1,0,0,1,17.83,11.05ZM6.93,19H6.77a1,1,0,0,1-.86-1.17A14.11,14.11,0,0,1,14.84,6.9a1,1,0,0,1,1.33.6,1,1,0,0,1-.6,1.32,12.14,12.14,0,0,0-6.16,5.23A11.7,11.7,0,0,0,8,18.16,1,1,0,0,1,6.93,19Zm7.37,6.31-6-.84L19.8,19.85,15.2,31.23Zm6.12-1.44a3.89,3.89,0,0,0,2.94-2.17,1,1,0,0,1,1.38-.49,1,1,0,0,1,.49,1.37,5.93,5.93,0,0,1-4.51,3.32h-.15a1,1,0,0,1-.15-2Zm12.51,1.46a14.92,14.92,0,0,1-.86,1.75,14.11,14.11,0,0,1-11.24,7h-.07a1,1,0,0,1-.07-2.05A12,12,0,0,0,31,24.58a1,1,0,0,1,1.91.77ZM32.8,18a1,1,0,0,1-.24,0,1,1,0,0,1-1-.78,11.93,11.93,0,0,0-5.68-7.55,12.09,12.09,0,0,0-3-1.22,1,1,0,0,1-.73-1.26,1,1,0,0,1,1.26-.73,14.12,14.12,0,0,1,3.46,1.43,14,14,0,0,1,6.65,8.84A1,1,0,0,1,32.8,18Z"></path> </symbol> <symbol id="social_round_tumblr" viewBox="0 0 40 40"> <path class="fill-tumblr" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1Zm7.59,29.88a7.34,7.34,0,0,1-4.74,1.6h-.2c-6.14,0-7.47-4.5-7.47-7.14V18H12.75a.5.5,0,0,1-.5-.51V14.07a.86.86,0,0,1,.57-.81A6.46,6.46,0,0,0,17.1,7.31c0-.55.33-.83.82-.83h3.6A.51.51,0,0,1,22,7v5.85h4.21a.51.51,0,0,1,.51.51V17.5a.5.5,0,0,1-.51.5H22v6.77a1.89,1.89,0,0,0,1.81,2.16,5,5,0,0,0,1.64-.35,1.13,1.13,0,0,1,.65-.11c.18,0,.29.17.37.4l1.12,3.26C27.69,30.39,27.77,30.68,27.58,30.88Z"></path> </symbol> <symbol id="social_round_twitter" viewBox="0 0 40 40"> <circle class="fill-tw" cx="19.99" cy="20" r="19"></circle> <path class="fill-w" d="M15.59,29.65A13.77,13.77,0,0,0,29.46,15.79c0-.21,0-.42,0-.63a10,10,0,0,0,2.44-2.53,9.85,9.85,0,0,1-2.8.77,4.9,4.9,0,0,0,2.14-2.69,10,10,0,0,1-3.09,1.18,4.87,4.87,0,0,0-8.43,3.33,5,5,0,0,0,.12,1.11,13.8,13.8,0,0,1-10-5.09,4.88,4.88,0,0,0,1.51,6.51,5,5,0,0,1-2.21-.61v.06A4.88,4.88,0,0,0,13,22a5,5,0,0,1-1.29.17,4.53,4.53,0,0,1-.91-.09,4.87,4.87,0,0,0,4.55,3.38,9.77,9.77,0,0,1-6.05,2.09,8.82,8.82,0,0,1-1.16-.07,13.77,13.77,0,0,0,7.46,2.19"></path> </symbol> <symbol id="social_round_youtube" viewBox="0 0 40 40"> <path class="fill-youtube" d="M20,1A19,19,0,1,0,39,20,19,19,0,0,0,20,1ZM13.85,27V13l12.3,7Z"></path> </symbol> <symbol id="intranet-connects-cdc"> <style type="text/css"> .st0 { fill: #FFFFFF; } .st1 { fill: none; stroke: #FFFFFF; stroke-width: 2.1206; } .st2 { fill: #005DA9; } .st3 { fill: none; stroke: #FFFFFF; stroke-width: 1.8943; } .st4 { fill: #607171; } </style> <g> <rect x="1.3" y="9.6" class="st0" width="157.9" height="96.4"/> <rect x="1.3" y="9.6" class="st1" width="157.9" height="96.4"/> <rect x="2.8" y="11" class="st2" width="155" height="93.4"/> <polygon class="st0" points="66.5,104.5 157.8,11.9 157.8,11 157.3,11 65.1,104.5 "/> <polygon class="st0" points="8.8,104.5 15,11 14.1,11 7.9,104.5 "/> <polygon class="st0" points="13.8,104.5 27.1,11 26.1,11 12.8,104.5 "/> <polygon class="st0" points="19.1,104.5 39.9,11 39,11 18.1,104.5 "/> <polygon class="st0" points="24.9,104.5 54.7,11 53.7,11 23.9,104.5 "/> <polygon class="st0" points="30.4,104.5 68.6,11 67.6,11 29.3,104.5 "/> <polygon class="st0" points="36.7,104.5 84.5,11 83.4,11 35.6,104.5 "/> <polygon class="st0" points="108.4,11 107.3,11 45.3,104.5 46.5,104.5 "/> <polygon class="st0" points="130.5,11 129.3,11 54,104.5 55.2,104.5 "/> <polygon class="st0" points="157.8,46.4 157.8,45.2 83.1,104.5 84.7,104.5 "/> <polygon class="st0" points="157.8,72.1 157.8,71 104.2,104.5 106,104.5 "/> <polygon class="st0" points="157.8,96.4 157.8,95.3 138.1,104.5 140.3,104.5 "/> <g> <path class="st0" d="M37.5,76C21.4,76,10.4,66.1,10.4,50c0-15.7,11.7-26.7,27.2-26.7c4.1,0,8.7,0.8,12.2,2.4v7.7 c-1.7-2.3-5.2-6.3-12-6.3c-9.7,0-15.2,8.9-15.2,21.8c0,13.5,5.1,23.2,16.2,23.2c3.9,0,8.8-2,11-4.1l1.8,4.1 C49.5,73.7,45.6,76,37.5,76"/> <path class="st3" d="M37.5,76C21.4,76,10.4,66.1,10.4,50c0-15.7,11.7-26.7,27.2-26.7c4.1,0,8.7,0.8,12.2,2.4v7.7 c-1.7-2.3-5.2-6.3-12-6.3c-9.7,0-15.2,8.9-15.2,21.8c0,13.5,5.1,23.2,16.2,23.2c3.9,0,8.8-2,11-4.1l1.8,4.1 C49.5,73.7,45.6,76,37.5,76z"/> <path class="st0" d="M77.4,75.1c9.8,0,24.7-6.1,24.7-25.6c0-20.7-14.8-25.3-26-25.3H57.6v50.9H77.4z M90.2,49.7 C90.2,69.6,78,71,68.4,71V28C78.2,28,90.2,29.2,90.2,49.7"/> <path class="st3" d="M77.4,75.1c9.8,0,24.7-6.1,24.7-25.6c0-20.7-14.8-25.3-26-25.3H57.6v50.9H77.4z M90.2,49.7 C90.2,69.6,78,71,68.4,71V28C78.2,28,90.2,29.2,90.2,49.7z"/> <path class="st0" d="M135.2,76c-16.1,0-27.1-9.9-27.1-26.1c0-15.7,11.7-26.7,27.2-26.7c4.2,0,8.7,0.8,12.2,2.4v7.7 c-1.7-2.3-5.2-6.3-12-6.3c-9.7,0-15.2,8.9-15.2,21.8c0,13.5,5.1,23.2,16.2,23.2c3.9,0,8.8-2,11-4.1l1.8,4.1 C147.2,73.7,143.2,76,135.2,76"/> <path class="st3" d="M135.2,76c-16.1,0-27.1-9.9-27.1-26.1c0-15.7,11.7-26.7,27.2-26.7c4.2,0,8.7,0.8,12.2,2.4v7.7 c-1.7-2.3-5.2-6.3-12-6.3c-9.7,0-15.2,8.9-15.2,21.8c0,13.5,5.1,23.2,16.2,23.2c3.9,0,8.8-2,11-4.1l1.8,4.1 C147.2,73.7,143.2,76,135.2,76z"/> </g> </g> <circle fill="transparent" cx="291.9" cy="61.5" r="30.6"/> <path class="st4" d="M267.9,97.4c-8.5,8-20,12.9-32.6,12.9c-26.3,0-47.8-21.4-47.8-47.8c0-26.3,21.4-47.8,47.8-47.8 c12.6,0,24,4.9,32.6,12.9c3.7-2.6,7.9-4.7,12.4-6C269.1,9.4,253.1,1.7,235.3,1.7c-33.5,0-60.8,27.3-60.8,60.8s27.3,60.8,60.8,60.8 c17.8,0,33.8-7.7,44.9-19.9C275.8,102,271.6,100,267.9,97.4z"/> <g> <path class="st4" d="M255.5,62.4c0-20.4,16.5-36.9,37-36.9c20.4,0,37,16.5,37,36.9c0,20.5-16.5,37-37,37 C272,99.5,255.5,83,255.5,62.4z M316.4,62.5c0-13.6-10.7-24.6-24-24.6c-13.2,0-24,11-24,24.6c0,13.7,10.7,24.7,24,24.7 C305.7,87.2,316.4,76.1,316.4,62.5z"/> <path class="st4" d="M404.9,57.2V98h-13V60.3c0-12.4-9.7-22.5-21.8-22.5c-12,0-21.8,10.1-21.8,22.5V98h-13V27h13v10.5 c5.8-7.3,14.8-12,24.8-12C390.7,25.5,404.9,39.7,404.9,57.2z"/> <path class="st4" d="M482.9,57.2V98h-13V60.3c0-12.4-9.7-22.5-21.8-22.5c-12,0-21.8,10.1-21.8,22.5V98h-13V27h13v10.5 c5.8-7.3,14.8-12,24.8-12C468.7,25.5,482.9,39.7,482.9,57.2z"/> <path class="st4" d="M526.7,87.2c8.3,0,18.1-2.9,25.7-7.3l5.6,10.9c-9.4,5.4-20.9,8.7-31.3,8.7c-22.3,0-37.4-14.3-37.5-37 c0-20.4,15.9-37,35.5-37c19.6,0,35.5,16.5,35.5,36.9c0,2.4-0.3,4.8-0.7,7.1H503C505.5,80.9,514.3,87.2,526.7,87.2z M546.8,57.5 c-2.1-11.2-11.2-19.7-22.1-19.7c-10.9,0-20,8.5-22.1,19.7H546.8z"/> <path class="st4" d="M622.7,77.1l8.9,8.2c-6.7,8.5-17.2,14-29,14c-20.4,0-37-16.5-37-36.9c0-20.4,16.5-36.9,37-36.9 c11.8,0,22.2,5.5,29,14l-8.9,8.2c-4.5-5.6-12-9.9-20-9.9c-13.1,0-24,11-24,24.6c0,13.6,10.9,24.6,24,24.6 C610.8,87.1,618.2,82.8,622.7,77.1z"/> <path class="st4" d="M689,95.8c-10.7,4.7-22.8,5.3-31.4,0c-6.2-3.8-10-10.4-10-19.6V39.3H634V27h13.6V7.1h13V27h22.7v12.3h-22.7 v35.5c0,4.9,1.4,8.4,4.5,10.4c4.9,3,12.9,1.9,20.1-0.9L689,95.8z"/> <path class="st4" d="M690.5,89.6l5.7-10.3c4.6,2.9,13.8,7.6,24.9,7.5c8.3-0.1,16.2-2.9,16.1-8.5c-0.1-6.5-8-8-15.5-9.3 c-13.2-2.4-27.8-6.8-27.9-22.4c-0.1-14.9,15.6-21.3,28.4-21.4c9.7-0.1,21.6,4.3,29.5,9.7L746,45.1c-5.1-3.6-15.1-7.6-23.6-7.5 c-8.8,0.1-14.5,3.5-14.4,8.6c0.1,6.8,7.5,8.5,13.8,9.8c15.7,3.1,29.5,6.8,29.6,21.6c0.1,15.8-18,21.6-29.9,21.6 C711.1,99.3,698.6,94.9,690.5,89.6z"/> </g> </symbol> <symbol id="intranet-connects-text"> <style type="text/css"> .st0 { fill: #FFFFFF; } .st1 { fill: none; stroke: #FFFFFF; stroke-width: 2.1206; } .st2 { fill: #005DA9; } .st3 { fill: none; stroke: #FFFFFF; stroke-width: 1.8943; } .st4 { fill: #607171; } </style> <g> <rect x="1.3" y="9.6" class="st0" width="157.9" height="96.4"/> <rect x="1.3" y="9.6" class="st1" width="157.9" height="96.4"/> <rect x="2.8" y="11" class="st2" width="155" height="93.4"/> <polygon class="st0" points="66.5,104.5 157.8,11.9 157.8,11 157.3,11 65.1,104.5 "/> <polygon class="st0" points="8.8,104.5 15,11 14.1,11 7.9,104.5 "/> <polygon class="st0" points="13.8,104.5 27.1,11 26.1,11 12.8,104.5 "/> <polygon class="st0" points="19.1,104.5 39.9,11 39,11 18.1,104.5 "/> <polygon class="st0" points="24.9,104.5 54.7,11 53.7,11 23.9,104.5 "/> <polygon class="st0" points="30.4,104.5 68.6,11 67.6,11 29.3,104.5 "/> <polygon class="st0" points="36.7,104.5 84.5,11 83.4,11 35.6,104.5 "/> <polygon class="st0" points="108.4,11 107.3,11 45.3,104.5 46.5,104.5 "/> <polygon class="st0" points="130.5,11 129.3,11 54,104.5 55.2,104.5 "/> <polygon class="st0" points="157.8,46.4 157.8,45.2 83.1,104.5 84.7,104.5 "/> <polygon class="st0" points="157.8,72.1 157.8,71 104.2,104.5 106,104.5 "/> <polygon class="st0" points="157.8,96.4 157.8,95.3 138.1,104.5 140.3,104.5 "/> <g> <path class="st0" d="M37.5,76C21.4,76,10.4,66.1,10.4,50c0-15.7,11.7-26.7,27.2-26.7c4.1,0,8.7,0.8,12.2,2.4v7.7 c-1.7-2.3-5.2-6.3-12-6.3c-9.7,0-15.2,8.9-15.2,21.8c0,13.5,5.1,23.2,16.2,23.2c3.9,0,8.8-2,11-4.1l1.8,4.1 C49.5,73.7,45.6,76,37.5,76"/> <path class="st3" d="M37.5,76C21.4,76,10.4,66.1,10.4,50c0-15.7,11.7-26.7,27.2-26.7c4.1,0,8.7,0.8,12.2,2.4v7.7 c-1.7-2.3-5.2-6.3-12-6.3c-9.7,0-15.2,8.9-15.2,21.8c0,13.5,5.1,23.2,16.2,23.2c3.9,0,8.8-2,11-4.1l1.8,4.1 C49.5,73.7,45.6,76,37.5,76z"/> <path class="st0" d="M77.4,75.1c9.8,0,24.7-6.1,24.7-25.6c0-20.7-14.8-25.3-26-25.3H57.6v50.9H77.4z M90.2,49.7 C90.2,69.6,78,71,68.4,71V28C78.2,28,90.2,29.2,90.2,49.7"/> <path class="st3" d="M77.4,75.1c9.8,0,24.7-6.1,24.7-25.6c0-20.7-14.8-25.3-26-25.3H57.6v50.9H77.4z M90.2,49.7 C90.2,69.6,78,71,68.4,71V28C78.2,28,90.2,29.2,90.2,49.7z"/> <path class="st0" d="M135.2,76c-16.1,0-27.1-9.9-27.1-26.1c0-15.7,11.7-26.7,27.2-26.7c4.2,0,8.7,0.8,12.2,2.4v7.7 c-1.7-2.3-5.2-6.3-12-6.3c-9.7,0-15.2,8.9-15.2,21.8c0,13.5,5.1,23.2,16.2,23.2c3.9,0,8.8-2,11-4.1l1.8,4.1 C147.2,73.7,143.2,76,135.2,76"/> <path class="st3" d="M135.2,76c-16.1,0-27.1-9.9-27.1-26.1c0-15.7,11.7-26.7,27.2-26.7c4.2,0,8.7,0.8,12.2,2.4v7.7 c-1.7-2.3-5.2-6.3-12-6.3c-9.7,0-15.2,8.9-15.2,21.8c0,13.5,5.1,23.2,16.2,23.2c3.9,0,8.8-2,11-4.1l1.8,4.1 C147.2,73.7,143.2,76,135.2,76z"/> </g> </g> <circle fill="transparent" cx="291.9" cy="61.5" r="30.6"/> <path class="st4" d="M267.9,97.4c-8.5,8-20,12.9-32.6,12.9c-26.3,0-47.8-21.4-47.8-47.8c0-26.3,21.4-47.8,47.8-47.8 c12.6,0,24,4.9,32.6,12.9c3.7-2.6,7.9-4.7,12.4-6C269.1,9.4,253.1,1.7,235.3,1.7c-33.5,0-60.8,27.3-60.8,60.8s27.3,60.8,60.8,60.8 c17.8,0,33.8-7.7,44.9-19.9C275.8,102,271.6,100,267.9,97.4z"/> <g> <path class="st4" d="M255.5,62.4c0-20.4,16.5-36.9,37-36.9c20.4,0,37,16.5,37,36.9c0,20.5-16.5,37-37,37 C272,99.5,255.5,83,255.5,62.4z M316.4,62.5c0-13.6-10.7-24.6-24-24.6c-13.2,0-24,11-24,24.6c0,13.7,10.7,24.7,24,24.7 C305.7,87.2,316.4,76.1,316.4,62.5z"/> <path class="st4" d="M404.9,57.2V98h-13V60.3c0-12.4-9.7-22.5-21.8-22.5c-12,0-21.8,10.1-21.8,22.5V98h-13V27h13v10.5 c5.8-7.3,14.8-12,24.8-12C390.7,25.5,404.9,39.7,404.9,57.2z"/> <path class="st4" d="M482.9,57.2V98h-13V60.3c0-12.4-9.7-22.5-21.8-22.5c-12,0-21.8,10.1-21.8,22.5V98h-13V27h13v10.5 c5.8-7.3,14.8-12,24.8-12C468.7,25.5,482.9,39.7,482.9,57.2z"/> <path class="st4" d="M526.7,87.2c8.3,0,18.1-2.9,25.7-7.3l5.6,10.9c-9.4,5.4-20.9,8.7-31.3,8.7c-22.3,0-37.4-14.3-37.5-37 c0-20.4,15.9-37,35.5-37c19.6,0,35.5,16.5,35.5,36.9c0,2.4-0.3,4.8-0.7,7.1H503C505.5,80.9,514.3,87.2,526.7,87.2z M546.8,57.5 c-2.1-11.2-11.2-19.7-22.1-19.7c-10.9,0-20,8.5-22.1,19.7H546.8z"/> <path class="st4" d="M622.7,77.1l8.9,8.2c-6.7,8.5-17.2,14-29,14c-20.4,0-37-16.5-37-36.9c0-20.4,16.5-36.9,37-36.9 c11.8,0,22.2,5.5,29,14l-8.9,8.2c-4.5-5.6-12-9.9-20-9.9c-13.1,0-24,11-24,24.6c0,13.6,10.9,24.6,24,24.6 C610.8,87.1,618.2,82.8,622.7,77.1z"/> <path class="st4" d="M689,95.8c-10.7,4.7-22.8,5.3-31.4,0c-6.2-3.8-10-10.4-10-19.6V39.3H634V27h13.6V7.1h13V27h22.7v12.3h-22.7 v35.5c0,4.9,1.4,8.4,4.5,10.4c4.9,3,12.9,1.9,20.1-0.9L689,95.8z"/> <path class="st4" d="M690.5,89.6l5.7-10.3c4.6,2.9,13.8,7.6,24.9,7.5c8.3-0.1,16.2-2.9,16.1-8.5c-0.1-6.5-8-8-15.5-9.3 c-13.2-2.4-27.8-6.8-27.9-22.4c-0.1-14.9,15.6-21.3,28.4-21.4c9.7-0.1,21.6,4.3,29.5,9.7L746,45.1c-5.1-3.6-15.1-7.6-23.6-7.5 c-8.8,0.1-14.5,3.5-14.4,8.6c0.1,6.8,7.5,8.5,13.8,9.8c15.7,3.1,29.5,6.8,29.6,21.6c0.1,15.8-18,21.6-29.9,21.6 C711.1,99.3,698.6,94.9,690.5,89.6z"/> </g> </symbol> </svg>  <script> s.pageName=document.title; s.channel="NHSN"; siteCatalyst.setLevel1("NCEZID"); siteCatalyst.setLevel2("DHQP"); siteCatalyst.setLevel3("NHSN"); </script> <script> window.shortTitle = "FAQs: Analysis"; window.pageOptions = window.pageOptions || {}; window.pageOptions.navigation = window.pageOptions.navigation || { showFourthLevel: false }; </script> <script> window.pageOptions.navigation.breadcrumbs = { mode: 'auto', showCurrentPage: false , prefix: [{"text":"CDC","href":"https:\/\/www.cdc.gov\/"}] }; </script> <script> window.CDC.tp4.public.appInit( window.pageOptions ); </script> </body> </html>