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).''' | ||
+ | ;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. | ||
− | [[Category: | + | 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= | ||
+ | * http://www.ecdc.europa.eu/en/publications/Publications/0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf | ||
+ | * Horan TC, Emori TG. Definitions of keyterms used in the NNIS system. AJIC AM J of Infect Control 1997;25:112-6 | ||
+ | |||
+ | [[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
- http://www.ecdc.europa.eu/en/publications/Publications/0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf
- Horan TC, Emori TG. Definitions of keyterms used in the NNIS system. AJIC AM J of Infect Control 1997;25:112-6
Root > Infection control and hospital hygiene > Surveillance and investigation of healthcare-associated infections > Case definitions of healthcare infections > HAI case definitions for use in hospitals