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CNISP Protocols & Publications

The Canadian Nosocomial Infection Surveillance Program (CNISP) is a collaborative effort of the Canadian Hospital Epidemiology Committee (CHEC), a subcommittee of the Association of Medical Microbiology and Infectious Disease (AMMI) Canada and the Centre for Communicable Diseases and Infection Control (CCDIC) of the Public Health Agency of Canada (PHAC). IPAC Canada has a representative in this program.

CNISP Surveillance Protocols 

For protocols or documents not appearing below, contact CNISP:

Protocoles de Surveillance PCSIN 

CNISP Surveillance Reports

Canadian Antimicrobial Resistance Surveillance System (CARSS) Report 

Canada Communicable Disease Report


  • Established in 1995
  • Partnership between Canadian Hospital Epidemiology Committee (CHEC), Association of Medical Microbiology and Infectious Disease (AMMI)-Canada
  • 32 members in 9 provinces; 52 hospitals
  • Collaborative network of hospitals and PHAC; good geographic representation; laboratory, epidemiologic and statistical expertise
  • National, regional and site-specific rates
  • Ability to link epidemiologic and laboratory data
  • Able to distinguish infection vs. colonization
  • Contributes to scientific medical literature (publications, abstracts)
  • Provide evidence-based data for Canadian infection prevention and control guideline preparation
  • Raises public awareness of important infection control issues (MRSA, C. difficile, re-use of single-use medical devices, etc.)

CNISP Objectives

  • Establish ongoing national surveillance system to determine the epidemiology of nosocomial infections in Canadian hospitals
  • Establish "benchmark" data
  • Provide data that can be used to develop national guidelines for infection prevention CNISP Hospitals
  • Predominantly teaching hospitals, with required expertise and commitment
  • 12 long term care facilities; 13 adult and pediatric facilities; 8 pediatric facilities

CNISP Limitations

  • Mostly tertiary-care teaching hospitals; few community hospitals
  • Significant workload at hospital sites

CNISP Achievements

  • Only national surveillance system in Canada collecting epidemiologic and linked microbiology data regarding healthcare acquired infections
  • Network of hospitals that has worked in partnership with PHAC/National Microbiology Laboratory (NML) since 1995
  • Has provided Canadian "benchmark" data for a variety of infections

Permission has been given to IPAC Canada to provide CNISP information on the IPAC Canada website for our members. More information about CNISP projects may be found on the CNISP website:

CNISP Publications













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