The Devil is in the Details: Applying CAUTI and CLABSI Criteria ...

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Case 2 • POD 3: 66 y.o. patient in the ICU with a Foley catheter s/p exploratory lap; patient noted to be febrile (38.9 ) and complained of diffuse abdominal pain • WBC increased to 19,000. He had cloudy, foul-smelling urine and urinalysis showed 2+ protein, + nitrite, 2+ leukocyte esterase, wbc – TNTC, and 3+ bacteria. Culture was 10,000 CFU/ml E. coli. The abdominal pain seemed localized to surgical area Is this a UTI? If so, what type? Criteria?
Case 3 • 84 year old patient is hospitalized with GI bleed • Day 3: Patient has catheter in place and no signs or symptoms of infection • Day 9: Patient becomes unresponsive, is intubated and CBC shows WBC of 15,000. Temp 38.5 C. Patient is pan-cultured. Blood culture and urine both grow Streptococcus pyogenes – urine >10 5 CFU/ml. Is this a UTI? If so, what type?
Page 1 and 2: The Devil is in the Details: Applyi
Page 3: NHSN Website A Valuable Resource
Page 6 and 7: Horan TC, Andrus ML, Dudeck MA. CDC
Page 8 and 9: What If My Physician’s Balk? •
Page 10 and 11: Major & Specific Infection Types
Page 12 and 13: Catheter-associated Urinary Tract I
Page 14 and 15: Major & Specific Infection Types- U
Page 16 and 17: Indwelling Catheter • A drainage
Page 18 and 19: 48 Hour Rule • If a CAUTI develop
Page 20 and 21: 2 Key Questions • Was an indwelli
Page 22 and 23: Symptomatic UTI - 2a
Page 24 and 25: SUTI for ≤1 year olds - Criteria
Page 26: Asymptomatic Bacteremic UTI (ABUTI)
Page 29 and 30: Available selections based on Speci
Page 31: Case 1 • Does this patient have a
Page 35 and 36: Case 4 • What if the one blood an
Page 37 and 38: Central Line-associate Bloodstream
Page 39 and 40: 48 Hour Rule • CLABSIs are attrib
Page 41 and 42: Definition: Central Line The follow
Page 43 and 44: Note • Neither the location of th
Page 45 and 46: LCBI - Criterion 1 Example: Jon Smi
Page 47 and 48: LCBI Criterion 3
Page 49 and 50: One or more blood cultures means th
Page 51 and 52: Determining “sameness” of two o
Page 53 and 54: Determining “sameness” of two o
Page 55 and 56: Case 1 • James is a 28 year old p
Page 57 and 58: Case 1 • Is this a BSI? • If ye
Page 59 and 60: Case 2 • A patient with a PICC pl
Page 61 and 62: An 81 year old patient was in MICU
Page 63 and 64: Case 4 • Patient admitted to MICU
Page 65 and 66: Case 5 • Day 3: All cultures nega
Page 67 and 68: Case 6 • 8/14- A 41 year old fema
Page 69 and 70: Case 6 • What unit should be indi
Page 71 and 72: Case 7 • Day 3: Repair of Patent
Page 73 and 74: Case 8 • Baby girl Jones is born
Page 75 and 76: Case 8 • What criteria would be m
Page 77 and 78: Case 9
Page 79 and 80: Collecting Summary Data • Data co
Page 81 and 82: Collecting SCA Summary Data
Page 83 and 84:
Collecting Summary Data • MICU -
Page 85 and 86:
Collecting Summary Data How many ce
Page 87 and 88:
References • AJIC: American Journ
Page 89:
nhsn@cdc.gov
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