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Patient episode of Staphylococcus aureus bacteraemia—most probable healthcare associated Staphylococcus aureus bacteraemia clinical criteria, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termHealthcare associated Staphylococcus aureus bacteraemia clinical criteria
METeOR identifier:Help on this term388928
Registration status:Help on this termHealth, Standard 15/11/2012
Definition:Help on this termMost probable clinical criteria for a healthcare associated patient episode of Staphylococcus aureus bacteraemia (SAB) when the patient’s first SAB positive blood culture was collected less than or equal to 48 hours after hospital admission, as represented by a code.
Data Element Concept:Patient episode of Staphylococcus aureus bacteraemia—most probable healthcare associated Staphylococcus aureus bacteraemia clinical criteria

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1The patient episode of SAB is a complication of the presence of an indwelling medical device (e.g. intravascular line, haemodialysis vascular access, CSF shunt, urinary catheter)
2The patient episode of SAB occurs within 30 days of a surgical procedure where the SAB is related to the surgical site
3The patient episode of SAB was diagnosed within 48 hours of a related invasive instrumentation or incision
4The patient episode of SAB is associated with neutropenia (Neutrophils: less than 1 x 10^9/L) contributed to by cytotoxic therapy
Supplementary values:Help on this term
7Not applicable
8Unknown
9Not stated/inadequately described

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care (ACSQHC)

Origin:Help on this term

ACSQHC Healthcare Associated Infection Technical Working Group

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

A Staphylococcus aureus bacteraemia (SAB) will be considered to be a healthcare associated event if:

EITHER

  • the patient’s first SAB blood culture was collected more than 48 hours after hospital admission or less than 48 hours after discharge

    OR

  • the patient’s first 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.
  1. SAB is a complication of the presence of an indwelling medical device (e.g. intravascular line, haemodialysis vascular access, 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 (Neutrophils: less than 1 x 109/L) contributed to by cytotoxic therapy

The most probable healthcare associated clinical criteria should be selected.

If none of these criteria are met, then the SAB will be considered to be community-acquired for the purposes of surveillance.
Comments:Help on this termTo identify whether SABs are community associated or healthcare associated, SABs should undergo a standard case review by a healthcare worker trained in Infectious Diseases/Infection Control.

Source and reference attributes

Submitting organisation:Help on this termAustralian Commission on Safety and Quality in Health Care (ACSQHC)
Origin:Help on this termACSQHC Healthcare Associated Infection Technical Working Group

Relational attributes

Implementation in Data Set Specifications:Help on this term

Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia NBPDS Health, Standard 15/11/2012

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