Patient episode of Staphylococcus aureus bacteraemia—Staphylococcus aureus bacteraemia status, code N
Identifying and definitional attributes
Metadata item type:
Data Element
Short name:
Staphylococcus aureus bacteraemia status
METeOR identifier:
458219
Registration status:
Health, Standard 15/11/2012
Definition:
Identifies whether the patient episode of Staphylococcus aureus bacteraemia (SAB) is healthcare associated or community-acquired, as represented by a code.
Australian Commission on Safety and Quality in Health Care (ACSQHC)
Origin:
ACSQHC Healthcare Associated Infection Technical Working Group
Data element attributes
Collection and usage attributes
Guide for use:
A Staphylococcus aureus bacteraemia (SAB) will be considered to be a healthcare associated event if:
EITHER
The patient’s first SAB positive blood culture was collected more than 48 hours after hospital admission or less than 48 hours after discharge.
OR
The patient’s first positive SAB blood culture was collected less than or equal to 48 hours after hospital admission and one or more of the following key clinical criteria was met for the patient-episode of SAB:
SAB is a complication of the presence of an indwelling medical device (e.g. intravascular line, haemodialysis vascular access, CSF shunt, urinary catheter)
SAB occurs within 30 days of a surgical procedure where the SAB is related to the surgical site
SAB was diagnosed within 48 hours of a related invasive instrumentation or incision
SAB is associated with neutropenia (Neutrophils: less than 1 x 109/L) contributed to by cytotoxic therapy
If none of these criteria are met, then the episode of SAB is considered to be community-acquired for the purposes of surveillance.
Comments:
To identify whether SABs are healthcare associated or community-acquired, SABs should undergo a standard case review by a healthcare worker trained in Infectious Diseases/Infection Control.
Source and reference attributes
Submitting organisation:
Australian Commission on Safety and Quality in Health Care (ACSQHC)
Origin:
ACSQHC Healthcare Associated Infection Technical Working Group
