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

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==Central Line Related Blood Stream Infections (CLR-BSI)==
{{PreICD10 dx
| NewDxArticle = Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)
}}
{{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|}}


'''The Case for Preventing Central Venous Catheter related Bloodstream Infections.'''
== Criteria ==
*●Central Venous Catheters (CVCs) are being used increasingly in the inpatient and outpatient setting to provide long-term venous access. CVCs disrupt the integrity of the skin, making infection with bacteria and/or fungi possible. Infection may spread to the bloodstream and hemodynamic changes and organ dysfunction (severe sepsis) may ensue, possibly leading to death. Approximately 90% of the catheter-related bloodstream infections (CR-BSIs) occur with CVC.
Have been moved to [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)]] in prep for ICD10, please see there.  
*● Forty-eight percent of intensive care unit (ICU) patients in the U.S. have central venous catheters, accounting for 15 million central-venous-catheter-days per year in U.S.-based ICUs. Studies of catheter-related bloodstream infections that control for the underlying severity of illness suggest that mortality attributable to these infections is between 4% and 20%. Thus, it is estimated that 500 to 4000 U.S. patients die annually due to bloodstream infections.
*●In addition, nosocomial bloodstream infections prolong hospitalization by a mean of 7 days.Attributable cost per bloodstream infection is estimated to be between US $3,700 and $29,000. There are no equivalent Canadian figures for burden of illness. (as per literature).  


*'''Purpose'''
== Related Articles ==
**To identify the incidence of Central Venous Line Related Infections within the WRHA ICU's.
{{Related Articles}}
**The monitoring of the incidence over time will identify the magnitude of the problem within a specific area or unit and will enable comparisons between selected ICU's across Canada (Canadian Collaborative - Safer Health Care Now).
**This should lead to the review of practices occuring at the time of insertion as well as the care processes relating to the maintenance of the catheter dressings.


*'''GOAL'''
[[Category: Central lines (old)]]
**Eliminate this preventable patient harm.
 
=='''Criteria for Central Line Related Blood Stream Infections (CLR-BSI'''==
Laboratory confirmed bloodstream infection must meet at least '''one''' of the following criteria and have occurred in the ICU or within 48 hours of leaving the ICU:
*'''Criterion 1:'''
Patient has a recognized pathogen cultured from '''one or more''' blood cultures and the organism cultured from '''blood is not related''' to an '''infection at another site'''.
*'''Criterion 2:'''
Patient has at least '''one''' of the following signs or symptoms:
*fever (>38 C)
    '''OR'''
*chills
    '''OR'''
*hypotension
    '''OR'''
*Signs of infection of catheter insertion site/tunnel
    '''PLUS'''
*at least one of the following (A or B) below:
a.) Common skin commensal (comtaminant) is cultured from '''two or more''' blood cultures drawn on separate occasions.  (e.g.  diphtheriods, Bacillus sp., Propionibacterium sp., coagulase-negative staphylococci, or micrococci).
    '''OR'''
b.) Common skin commensal (comtaminant) is cultured from at least '''one''' blood cultures from a patient with an intravascular line. (e.g.  diphtheriods, Bacillus sp., Propionibacterium sp., coagulase-negative staphylococci, or micrococci).
    '''AND'''
physician institutes appropriate antimicrobial therapy.
 
==DISCUSSION==
{{Discussion}}
 
#need to attached or link the rest of the teaching package for this project. [[User:TOstryzniuk|TOstryzniuk]] 18:48, 2 July 2008 (CDT)
 
 
 
 
 
{{stub}}
[[User:TOstryzniuk|TOstryzniuk]] 19:42, 26 June 2008 (CDT)
[[Category: Data Collection Guide]]
[[Category: Diagnosis Coding]]
[[Category: Questions]]
[[Category:Special_Projects]]

Latest revision as of 21:33, 2018 December 30


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System:
Category:Infection (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Central Line Related Blood stream Infections
Sub Diagnosis: See: UPL (Universal Pathogen List)
Diagnosis Code: 8600 - Central Line Related Blood stream Infections
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected
Start Date: Code added Jan 1996

Criteria

Have been moved to Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) in prep for ICD10, please see there.

Related Articles

Related articles: