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Third HCAI Prevalence Survey

HIS ICNA HCAI Prevalence Survey 2006. 2. Definitions used. CDC DEFINITIONS OFNOSOCOMIAL INFECTIONSHoran TC, Gaynes RP.Surveillance of nosocomial infections.Hospital Epidemiology and Infection Control, 3rd ed.Philadelphia:LippincottWilliams

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Third HCAI Prevalence Survey

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    1. Third HCAI Prevalence Survey Healthcare associated infections- Definitions

    2. HIS ICNA HCAI Prevalence Survey 2006 2 Definitions used CDC DEFINITIONS OF NOSOCOMIAL INFECTIONS Horan TC, Gaynes RP. Surveillance of nosocomial infections. Hospital Epidemiology and Infection Control, 3rd ed. Philadelphia:Lippincott Williams & Wilkins, 2004:1659-1702

    3. HIS ICNA HCAI Prevalence Survey 2006 3 Definitions While all participants may not agree with all the criteria, it is important that hospitals consistently use them for reporting infections so rates can be appropriately aggregated and compared.

    4. HIS ICNA HCAI Prevalence Survey 2006 4 What is a healthcare-associated infection? A healthcare-associated (or nosocomial) infection is a localised or systemic condition resulting from an adverse reaction to the presence of an infectious agent(s) or its toxins that meet the following criteria:

    5. HIS ICNA HCAI Prevalence Survey 2006 5 Criteria for healthcare-associated infection Occurs in the survey population and There is no evidence that it was present or incubating at the time of admission to this hospital unless the infection was related to a previous admission to this hospital (i.e. the hospital under surveillance) and It meets the criteria for a specific infection site For most bacterial nosocomial infection, this means that the infection usually becomes evident 48 hours (i.e. typical incubation period) or more after admission.

    6. HIS ICNA HCAI Prevalence Survey 2006 6 What infections will be collected? All active healthcare-associated infections active at the time of the survey includes healthcare-associated infections for which the patient is undergoing antimicrobial treatment on the day of the survey

    7. HIS ICNA HCAI Prevalence Survey 2006 7 Infection sites 13 major sites of infection Emphasis on four main system infections: Bloodstream infection Pneumonia Urinary tract infection Surgical site infection 9 other healthcare-associated infections: Bone and joint Central nervous system Cardiovascular system Gastrointestinal system Eye, ENT, or Mouth Systemic infection Reproductive tract Skin and soft tissue infection Lower respiratory tract infection (other than pneumonia)

    8. HIS ICNA HCAI Prevalence Survey 2006 8 Information required to identify HCAI Information must satisfy the criteria for HCAI before an infection is reported: Clinical Laboratory Other diagnostic information

    9. HIS ICNA HCAI Prevalence Survey 2006 9 Related questions Only the four main infections will be identified to specific site level All HCAI will include questions on whether: MRSA was the causative organism the infection was device or procedure related the patient developed a secondary bloodstream infection

    10. HIS ICNA HCAI Prevalence Survey 2006 10

    11. HIS ICNA HCAI Prevalence Survey 2006 11

    12. HIS ICNA HCAI Prevalence Survey 2006 12

    13. HIS ICNA HCAI Prevalence Survey 2006 13 UTI related questions Urinary tract infection [Yes/No] Type of urinary tract infection MRSA causative organism Secondary bloodstream infection Catheter related urinary tract infection

    14. HIS ICNA HCAI Prevalence Survey 2006 14

    15. HIS ICNA HCAI Prevalence Survey 2006 15 Surgical site infection (SSI) related questions SSI [Yes/No] Type of SSI MRSA causative organism Secondary bloodstream infection Procedure category

    16. HIS ICNA HCAI Prevalence Survey 2006 16

    17. HIS ICNA HCAI Prevalence Survey 2006 17 Other healthcare-associated infections 9 other healthcare-associated infections: Bone and joint Central nervous system Cardiovascular system Gastrointestinal system Eye, ENT, or Mouth Systemic infection Reproductive tract Skin and soft tissue infection Lower respiratory tract infection (other than pneumonia)

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