Bosmana fem at 17:17, 12 April 2023

2023-04-12T17:17:20Z

← Older revision		Revision as of 17:17, 12 April 2023
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			'''The “Point prevalence survey of healthcare-associated infections and Antimicrobial use in European acute care hospitals” protocol adopts the following definition of Cardiovascular System Infection (CVS).'''

			'''CVS-VASC: arterial or venous infection.'''

			;Arterial or venous infection must meet at least one of the following criteria:
			:patient has organisms cultured from arteries or veins removed during a surgical operation and blood culture not done or no organisms cultured from blood;
			:patient has evidence of arterial or venous infection seen during a surgical operation or histopathologic examination;
			:patient has at least one of the following signs or symptoms with no other recognised cause: fever (> 38 °C), pain, erythema, or heat at involved vascular site,
			: and
			:more than 15 colonies cultured from intravascular cannula tip using semiquantitative culture method,
			: and
			:blood culture not done or no organisms cultured from blood.
			:patient has purulent drainage at the involved vascular site,
			: and
			:blood culture not done or no organisms cultured from blood.
			:infection of an arteriovenous graft, shunt, or fistula, or intravascular cannulation site without organisms cultured from blood must be reported as CVS-VASC.

			'''CVS-ENDO: endocarditis.'''

			;Endocarditis of a natural or prosthetic heart valve must meet at least one of the following criteria:
			:patient has organisms cultured from valve or vegetation;
			:patient has two or more of the following signs or symptoms with no other recognised cause: fever (> 38 °C), new or changing murmur, embolic phenomena, skin manifestations (i.e. petechiae, splinter haemorrhages, painful subcutaneous nodules), congestive heart failure, or cardiac conduction abnormality,
			: and at least one of the following:
			:organisms cultured from two or more blood cultures;
			:organisms seen on Gram’s stain of the valve when culture is negative or not done;
			:valvular vegetation is seen during a surgical operation or autopsy;
			:positive antigen test on blood or urine (e.g. H. influenzae, S. pneumoniae, N. meningitidis, or Group B Streptococcus);
			:evidence of new vegetation seen on echocardiogram;

			If the diagnosis is made antemortem, the physician institutes appropriate antimicrobial therapy.

			'''CVS-CARD: myocarditis or pericarditis.'''

			;Myocarditis or pericarditis must meet at least one of the following criteria:
			:patient has organisms cultured from pericardial tissue or fluid obtained by needle aspiration or during a surgical operation;
			:patient has at least two of the following signs or symptoms with no other recognised cause: fever (> 38 °C), chest pain, paradoxical pulse, or increased heart size;
			: and at least one of the following:
			:abnormal ECG/EKG consistent with myocarditis or pericarditis;
			:positive antigen test on blood (e.g. H. influenzae, S. pneumonia);
			:evidence of myocarditis or pericarditis on histologic examination of heart tissue;
			:fourfold rise in type-specific antibody with or without isolation of virus from pharynx or faeces;
			:pericardial effusion identified by echocardiogram, CT scan, MRI, or angiography.


			'''CVS-MED: mediastinitis.'''

			;Mediastinitis must meet at least one of the following criteria:
			:patient has organisms cultured from mediastinal tissue or fluid obtained during a surgical operation or needle aspiration;
			:patient has evidence of mediastinitis seen during a surgical operation or histopathologic examination;
			:patient has at least one of the following signs or symptoms with no other recognised cause: fever (> 38 °C), chest pain, or sternal instability;
			: and at least one of the following:
			:purulent discharge from the mediastinal area;
			:organisms cultured from blood or discharge from the mediastinal area;
			:mediastinal widening on x-ray.

			A mediastinitis that follows a cardiac surgery that is accompanied by osteomyelitis must be reported as SSI-O


			==Link to European IC/HH Core Competencies==
			* Area 3. Surveillance and investigation of healthcare-associated infection (HAI)

			=References=
			* http://www.ecdc.europa.eu/en/publications/Publications/0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf

	[[Category:HAI case definitions for use in hospitals]]		[[Category:HAI case definitions for use in hospitals]]

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2023-03-23T12:57:01Z

Created page with " Category:HAI case definitions for use in hospitals"

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[[Category:HAI case definitions for use in hospitals]]

Cardiovascular System Infection - Revision history

Bosmana fem at 17:17, 12 April 2023

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