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

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Collecting Blood Culture Specimens Ideally, blood specimens for culture should be obtained from two to four blood draws from separate venipuncture sites (e.g., right and left antecubital veins), not through a vascular catheter. These blood draws should be performed simultaneously or over a short period of time (i.e., within a few hours). If your facility does not currently obtain specimens using this technique, you may still report BSIs using the NHSN criteria, but you should work with appropriate personnel to facilitate better specimen collection practices for blood cultures.
Case 1 • James is a 28 year old patient with a central line who is 3 days post colon surgery on April 1. He spikes a fever and has blood cultures x2 drawn; on April 2, 1 set is negative, 1 bottle from the second set is positive for Bacillus cereus. His doctor orders antibiotics and notes “postop sepsis” in the chart. How should this be reported?
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 and 32: Case 1 • Does this patient have a
Page 33 and 34: Case 3 • 84 year old patient is h
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: Determining “sameness” of two o
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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