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Central Line Related Blood stream Infection (CLR-BSI): Difference between revisions

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{{DX tag |Infection | Medical Problem| Central Line Related Blood stream Infections  | See: [[UPL]] (Universal Pathogen List) | 8600 - Central Line Related Blood stream Infections | No | 0 | '''''Critical Care and Medicine''''' |Currently Collected | Code added Jan 1996|}}
{{DX tag |Infection | Medical Problem| Central Line Related Blood stream Infections  | See: [[UPL]] (Universal Pathogen List) | 8600 - Central Line Related Blood stream Infections | No | 0 | '''''Critical Care and Medicine''''' |Currently Collected | Code added Jan 1996|}}


  '''''We are currently revisiting this article for clarity, please hold off on discussion Ttenbergen 20:08, 2017 September 12 (CDT) ''''' some important info go cleaned out and has been added back.  Tina will help reconstruct this.  thanks.[[User:TOstryzniuk|Trish Ostryzniuk]] 16:59, 2017 September 15 (CDT)
  '''''We are currently revisiting this article for clarity, please hold off on discussion Ttenbergen 20:08, 2017 September 12 (CDT) '''''  
     *article name should be update to: CLA-[[BSI]] - central line associated blood stream infection. [[User:TOstryzniuk|Trish Ostryzniuk]] 16:27, 2017 September 25 (CDT)
     *article name should be update to: CLA-[[BSI]] - central line associated blood stream infection. [[User:TOstryzniuk|Trish Ostryzniuk]] 16:27, 2017 September 25 (CDT)
   *Trish has the CNISP (Public Health CLA-BSI Survelliance Protocol).  Our criteria are the same!  They have a good flowchart also.  Their layout can help us restructure our guidelines here.  They have relapse criteria that we will include.[[User:TOstryzniuk|Trish Ostryzniuk]] 19:13, 2017 September 25 (CDT)
    
  **Tina & Lisa to work on these Wiki guidelines and they will pull in Laura and Allan G. Stay tuned.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:35, 2017 October 2 (CDT)
A Central Line Associated Infection (CLA[[BSI]]) is blood stream infection caused by a [[Central Line]].


If it is coded as a [[Acquired Diagnosis / Complication]], then it must also be coded in the the tmp study  [[QA Infection CLI]].


A Central Line Associated Infection (CLA[[BSI]]) is blood steam infections that are caused by a [[Central Line]]
== Criteria when to code a Central Line Associated Blood stream Infection (CLA-BSI) ==
 
CLA (CLI) can be coded as:
*[[Admit Diagnosis]] or
*[[Acquired Diagnosis / Complication]] based on the criteria below.
**If it is coded as a complication, then it must also be coded in the the tmp study  [[QA Infection CLI]].
 
'''Follow these criteria explicitly. We are reporting this information externally and it needs to be comparable.'''
'''Follow these criteria explicitly. We are reporting this information externally and it needs to be comparable.'''


== Criteria when to code a Central Line Associated Blood stream Infection (CLA-BSI) ==
The [[BSI]] NOT related to an infection at another site and meets one of the following criteria:
 
===Blood stream infection [[BSI]] case definition===
See [[BSI]] for definition.


===Criteria 1 ===
*'''Recognized pathogen''' (ie not a [[Common skin commensal]]) cultured from '''one or more''' blood cultures, unrelated to infection at another site.


* The [[BSI]] NOT related to an infection at another site and meets one of the following criteria:  
===Criteria 2 ===
1. [[Common skin commensal]] (contaminant) is cultured from '''two or more''' blood cultures (see [[#Blood Culture considerations]].
::'''and'''
2. Patient has at least '''one''' of the following signs or symptoms '''without any other recognized cause'':
:*fever (>38 C)
:*chills
:*hypotension


=== TIMELINE to consider if [[BSI]] is Central Line Associated  ===
=== TIMELINE to consider if [[BSI]] is Central Line Associated  ===
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