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MetaStar Teleconference Surveillance Case Studies July 26, 2011

MetaStar Teleconference Surveillance Case Studies July 26, 2011. Case 1 Sez, Simon.

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MetaStar Teleconference Surveillance Case Studies July 26, 2011

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  1. MetaStar TeleconferenceSurveillance Case StudiesJuly 26, 2011

  2. Case 1Sez, Simon You are performing surveillance for MRSA LabID in all inpatient and outpatient units by location in your facility. You receive a microbiology report on an 89 YO male admitted to the med/surg unit on 11/25/10 from the ER. Patient had a lower respiratory infection on admission and his last admission was 2 years ago.

  3. Case 1Sez, Simon Is this a LabID event? Why or why not?

  4. Case 1Sez, Simon To what location or locations will this be attributed? Why?

  5. Case 1Sez, Simon Suppose you are conducting surveillance for pneumonia. You see in the progress notes the patient has purulent sputum. Can you use this information to determine whether the definition for pneumonia has been met?

  6. Case 1Sez, Simon Does this patient have purulent sputum?

  7. Case 1Sez, Simon Another culture was obtained from bronchial washings on 12/3/10 while the patient was on the med/surg unit and was positive for MRSA. Is this a LabID event? Why or why not?

  8. Case 1Sez, Simon Suppose the patient is transferred from the med/surg unit into the ICU on 12/4/10 and has a wound culture collected on 12/5 that is positive for MRSA. Is this a LabID event?

  9. Case 1Sez, Simon To what unit is this second LabID event attributed?

  10. Case 1Sez, Simon Patient is discharged on 12/6 and then readmitted to the hospital to the med/surg unit on 12/24 and had a positive MRSA culture from urine on 12/25, is this a LabID event?

  11. Case 2Doodle, Yankee You are conducting surveillance for MRSA HAIs and LabID events on all your inpatient units by location. You receive a positive MRSA wound culture report on this 62 YO male admitted 2/22/11 into the swing bed unit. The culture was collected on 3/9.

  12. Case 2Doodle, Yankee Is this a LabID event?

  13. Case 2Doodle, Yankee Does the patient have a MRSA HAI?

  14. Case 3Queen, Ima You are conducing surveillance for surgical site infections associated with hip and knee arthroplasty. You receive this report from the IP at a neighboring hospital about a patient who underwent a knee replacement surgery at your facility and now has an SSI.

  15. Case 3Queen, Ima The patient underwent a left total knee replacement on 3/7/11. The procedure went well and the patient was doing fine until she fell and the wound dehisced on 3/9. She had and I and D that same day, with closure, and was discharged on 3/10 doing well.

  16. Case 3 Queen, Ima Patient was admitted to neighboring facility on 3/17 with redness and pain at the incision site and S. aureus and Pseudomonas were isolated from drainage. Is this an SSI?

  17. Case 3Queen, Ima To what procedure is the SSI attributed? Are you going to enter this event into NHSN under your reporting plan?

  18. AJIC Case 5

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