Central Line Related Blood stream Infection (CLR-BSI): Difference between revisions
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'''B.''' at least '''two blood cultures''' results from specimens obtained at different times or from specimens drawn at different phlebotomy sites, e.g., left arm and right arm, within a 2 day period include the same type of common skin commensal organism. | '''B.''' at least '''two blood cultures''' results from specimens obtained at different times or from specimens drawn at different phlebotomy sites, e.g., left arm and right arm, within a 2 day period include the same type of common skin commensal organism. | ||
*'''OR''' | *'''OR''' | ||
'''C.''' at least '''one blood | '''C.''' at least '''one blood culture'''e result includes a common skin commensal organism | ||
*'''AND''' | *'''AND''' | ||
'''antibiotic''' treatment effective against that organism was started on the day that the culture was collected and was continued for greater than 3 days. | '''antibiotic''' treatment effective against that organism was started on the day that the culture was collected and was continued for greater than 3 days. | ||
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**ICU associated BSI: BSI is not present on admission to ICU. The patient must have been in the ICU for 48 hours for the BSI to be considered ICU associated, unless compelling evidence suggests the infection was ICU associated. | **ICU associated BSI: BSI is not present on admission to ICU. The patient must have been in the ICU for 48 hours for the BSI to be considered ICU associated, unless compelling evidence suggests the infection was ICU associated. | ||
**BSI onset during ICU stay or within 48 hours of leaving the ICU. | **BSI onset during ICU stay or within 48 hours of leaving the ICU. | ||
#'''CL''' means'''Central Line'''. A CL is a vascular access catheter that passes through or has a tip ending at or close to the heart or in one of the great vessels. | |||
==DISCUSSION== | ==DISCUSSION== | ||