Difference between revisions of "Bloodstream Infection"

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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 Bloodstream Infection (BSI).'''
  
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;Laboratory-confirmed bloodstream infection (BSI):
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:one positive blood culture for a recognised pathogen
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: or
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:the patient has at least one of the following signs or symptoms: fever (> 38 °C), chills, or hypotension
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: and
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:two positive blood cultures for a common skin contaminant (from two separate blood samples, usually within 48 hours).
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Skin contaminants are considered: coagulase-negative staphylococci (including S. epidermidis), Micrococcus spp., Propionibacterium acnes, Bacillus spp., Corynebacterium spp.
  
[[Category:Case definitions of healthcare infections]]
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Sources of bloodstream infection are considered:
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;Catheter-related
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: the same microorganism was cultured from the catheter or symptoms improve within 48 hours after removal of the catheter (C-PVC: peripheral catheter, C-CVC: central vascular catheter)
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;Secondary to another infection
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: the same microorganism was isolated from another infection site, or strong clinical evidence exists that bloodstream infection was secondary to another infection site, invasive diagnostic procedure or foreign body:
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:* pulmonary (S-PUL);
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:* urinary tract infection (S-UTI);
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:* digestive tract infection (S-DIG);
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:* surgical site infection (S-SSI);
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:* skin and soft tissue (S-SST);
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:* other (e.g. meningitis, osteomyelitis, etc.) (S-OTH).
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;Unknown origin (UO)
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: none of the above, bloodstream infection of unknown origin (verified during survey and no source found)
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;Unknown (UNK)
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: no information available about the source of the bloodstream infection or information missing
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==Link to European IC/HH Core Competencies==
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* Area 3. Surveillance and investigation of healthcare-associated infection (HAI)
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=References=
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* http://www.ecdc.europa.eu/en/publications/Publications/0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf
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* Horan TC, Emori TG. Definitions of keyterms used in the NNIS system. AJIC AM J of Infect Control 1997;25:112-6
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[[Category:HAI case definitions for use in hospitals]]

Latest revision as of 17:11, 12 April 2023

The “Point prevalence survey of healthcare-associated infections and antimicrobial use in European acute care hospitals” protocol adopts the following definition of Bloodstream Infection (BSI).

Laboratory-confirmed bloodstream infection (BSI)
one positive blood culture for a recognised pathogen
or
the patient has at least one of the following signs or symptoms: fever (> 38 °C), chills, or hypotension
and
two positive blood cultures for a common skin contaminant (from two separate blood samples, usually within 48 hours).

Skin contaminants are considered: coagulase-negative staphylococci (including S. epidermidis), Micrococcus spp., Propionibacterium acnes, Bacillus spp., Corynebacterium spp.

Sources of bloodstream infection are considered:

Catheter-related
the same microorganism was cultured from the catheter or symptoms improve within 48 hours after removal of the catheter (C-PVC: peripheral catheter, C-CVC: central vascular catheter)
Secondary to another infection
the same microorganism was isolated from another infection site, or strong clinical evidence exists that bloodstream infection was secondary to another infection site, invasive diagnostic procedure or foreign body:
  • pulmonary (S-PUL);
  • urinary tract infection (S-UTI);
  • digestive tract infection (S-DIG);
  • surgical site infection (S-SSI);
  • skin and soft tissue (S-SST);
  • other (e.g. meningitis, osteomyelitis, etc.) (S-OTH).
Unknown origin (UO)
none of the above, bloodstream infection of unknown origin (verified during survey and no source found)
Unknown (UNK)
no information available about the source of the bloodstream infection or information missing


Link to European IC/HH Core Competencies

  • Area 3. Surveillance and investigation of healthcare-associated infection (HAI)

References

Contributors