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Episode of healthcare-associated Staphylococcus aureus bacteraemia

Glossary Item Attributes

Identifying and definitional attributes

Metadata item type:Help on this termGlossary Item
METEOR identifier:Help on this term590503
Registration status:Help on this term

Health, Superseded 10/06/2022

Definition:Help on this term

A patient episode of Staphylococcus aureus bacteraemia (SAB) is a positive blood culture for Staphylococcus aureus.

For surveillance purposes, only the first isolate per patient is counted, unless at least 14 days has passed without a positive blood culture, after which an additional episode is recorded.

A SAB will be considered to be a healthcare-associated event if either:

CRITERION A: The patient’s first positive Staphylococcus aureus blood culture is collected more than 48 hours after hospital admission or less than 48 hours after discharge.

OR

CRITERION B: The patient’s first Staphylococcus aureus positive blood culture is collected less than or equal to 48 hours after admission to hospital and the patient-episode of SAB meets at least one of the following criteria:

  1. SAB is a complication of the presence of an indwelling medical device (e.g. intravascular line, haemodialysis vascular access, cerebrospinal fluid (CSF) shunt, urinary catheter)
  2. SAB occurs within 30 days of a surgical procedure where the SAB is related to the surgical site
  3. SAB was diagnosed within 48 hours of a related invasive instrumentation or incision
  4. SAB is associated with neutropenia contributed to by cytotoxic therapy. Neutropenia is defined as at least two separate calendar days with values of absolute neutrophil count (ANC) or total white blood cell count (WBC) <500 cells/mm3 (0.5 × 109 / L) on or within a seven-day time period which includes the date the positive blood specimen was collected (Day 1), the 3 calendar days before and the 3 calendar days after.

If none of these criteria are met, then the episode of SAB is considered to be community-acquired for the purposes of surveillance.

Source and reference attributes

Submitting organisation:Help on this term
Australian Institute of Health and Welfare
Reference documents:Help on this term

ACSQHC (Australian Commission on Safety and Quality in Health Care), unpublished. Endorsed amendments to the Staphylococcus aureus bacteraemia (SAB) Data set specification (DSS). Sydney: ACSQHC.

Relational attributes

Related metadata references:Help on this term
Has been superseded by Episode of healthcare-associated Staphylococcus aureus bloodstream infection

        Health, Standard 10/06/2022

Metadata items which use this glossary item:Help on this term
Australian Health Performance Framework: PI 2.2.2–Healthcare-associated Staphylococcus aureus bloodstream infections, 2019

        Health, Superseded 13/10/2021

Australian Health Performance Framework: PI 2.2.2–Healthcare-associated Staphylococcus aureus bloodstream infections, 2020

        Health, Superseded 11/07/2023

Australian Health Performance Framework: PI 2.2.2–Healthcare-associated Staphylococcus aureus bloodstream infections, 2021

        Health, Standard 11/07/2023

Establishment—number of healthcare-associated Methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia patient episodes

        Health, Superseded 10/06/2022

Establishment—number of healthcare-associated Methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia patient episodes, total episodes N[NNNN]

        Health, Superseded 10/06/2022

Establishment—number of healthcare-associated Methicillin-sensitive Staphylococcus aureus (MSSA) bacteraemia patient episodes

        Health, Superseded 10/06/2022

Establishment—number of healthcare-associated Methicillin-sensitive Staphylococcus aureus (MSSA) bacteraemia patient episodes, total episodes N[NNNN]

        Health, Superseded 10/06/2022

Establishment—Staphylococcus aureus bacteraemia surveillance indicator

        Health, Superseded 10/06/2022

Healthcare-associated infections NBEDS 2016–2021

        Health, Superseded 10/06/2022

National Healthcare Agreement: PI 22–Healthcare associated infections: Staphylococcus aureus bacteraemia, 2020

        Health, Standard 13/03/2020

National Healthcare Agreement: PI 22–Healthcare associated infections: Staphylococcus aureus bacteraemia, 2021

        Health, Standard 16/09/2020

National Healthcare Agreement: PI 22–Healthcare associated infections: Staphylococcus aureus bacteraemia, 2022

        Health, Standard 24/09/2021

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