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Patient episode of Staphylococcus aureus bacteraemia—Staphylococcus aureus bacteraemia status, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termStaphylococcus aureus bacteraemia status
METeOR identifier:Help on this term458219
Registration status:Help on this termHealth, Standard 15/11/2012
Definition:Help on this termIdentifies whether the patient episode of Staphylococcus aureus bacteraemia (SAB) is healthcare associated or community-acquired, as represented by a code.
Data Element Concept:Patient episode of Staphylococcus aureus bacteraemia—Staphylococcus aureus bacteraemia status

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
1Healthcare associated
2Community-acquired
Supplementary values:Help on this term
8Unknown
9Not stated/inadequately described

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

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 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:

  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
If none of these criteria are met, then the episode of SAB is considered to be community-acquired for the purposes of surveillance.
Comments:Help on this termTo 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: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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