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Definitions of nosocomial infection

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Definitions of Nasocomial Infection

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犖犖犖迦犖迦 犢犖∇厳犖犖犢犖∇犖
Definitions of nosocomial infection
犢犖犖о犖迦犖犖迦牽犖о鹸犖犖巌犖犖園権犖犖迦牽犖犖巌犢犖犖劇犖犢犖犢犖犖犖犖∇顕犖犖迦献 Clinical signs and symptoms Laboratory test Diagnostic test No infection - inflammation - colonization - contamination Infection Community acquired infection Nosocomial infection
犖犖迦牽犖犖巌犢犖犖劇犖犢犖犢犖犖犖犖∇顕犖犖迦献 : 13 犖犖迦犖犖犢犖犖犖迦犖園 Urinary tract Surgical site Pneumonia Bloodstream Bone and joint CNS CVS ENT GI Lower respiratory tract, other than pneumonia Reproductive tract Skin & soft tissue Systemic
Definitions of healthcare-associated infection 1. Surveillance definitions 2. Site specific types of healthcare-associated infection -BSI -UTI -RTI
Surveillance definitions Infection criterion were not present the admission time period But all present on or after the 3rd calendar day of admission to facility Day 1, day of facility admission Symptom must be documented in the chart by a healthcare professional during POA (present on admission) Physician diagnosis can be accepted as evidence of an infection that is POA only
Healthcare-associated infection All elements of a CDC site specific infection criterion were not present during the POA (present on admission) But all present on or after the 3rd calendar day of admission to the facility The day of hospital admission is calendar day 1 All elements of infection criterion are present on the day of discharge or the next day, the infection is attributed to the discharging location
Definitions of nosocomial infection
Other important considerations: Clinical evidence may be derived from direct observation of the infection site or clinical records or Pts chart A physician or surgeon Dx.of infection from direct observation during an invasive procedure, endoscopic or other diagnostic studies may be accept for an HAI HAI, clinical information must be utilized to determine that original infection had resolved before reporting a second infection at the same site. if the original infection had not resolved before subsequent positive cultures are collected from the same site, add the pathogens recovered from the subsequent cultures to those reported for the first infection, if it was HAI.
Healthcare-associated infection The infection has resolved includes signs and symptom results from diagnostic testing completion of antimicrobial therapy
犖犖迦牽犖犖巌犢犖犖劇犖 犢犖犖犖萎犖犖犖迦犢犖犖巌犖犖園肩犖犖迦硯犖
Definitions of nosocomial infection
Definitions of nosocomial infection
Definitions of nosocomial infection
Definitions of nosocomial infection
Uropathogenic microorganisms are: Gram-negative Staphylococus spp. yeasts beta-hemolytic streptococus Enterococcus spp. Gardnerella vaginalis Corynebacterium Aerococcusurinae.
VAP (Ventilator-associated pneumonia)
Ventilator-associated pneumonia: a pneumonia where the Pt is on mechanical ventilator for 2 days on the date of event, with day of ventilator placement being Day 1 Definition of pneumonia Chest x-ray Signs and symptoms Laboratory
Chest x-ray for pneumonia 1. New or progressive and persistent infiltration 2. Consolidation 3. Cavitation 4. Pneumatoceles, in 1 yr Patients with underlying disease 2 or more abnormal CXR Patients without underlying disease 1 or more abnormal CXR
Signs, symptoms, and laboratory FOR ANY PATIENT, at least one of the following: 1. Fever (38属C) with no other recognized cause 2. Leukopenia(4,000 WBC/mm3) or leukocytosis(12,000 WBC/mm3) 3. For adults 70 years old, altered mental status with no other recognized cause And at least two of the following:
Signs, symptoms, and laboratory 1. New onset of purulent sputum, or change in character of sputum, or increased respiratory secretions, or increased suctioning requirements 2. New onset or worsening cough, or dyspnea, or tachypnea 3. Rales or bronchial breath sounds 4. Worsening gas exchange, increased oxygen requirements, or increased ventilation demand
Hospital-acquired pneumonia Reporting multiple episodes of HAP in a single patient: evidence of resolution of the initial infection. new signs and symptoms and radiographic evidence The addition of or change in pathogen alone is not indicative of a new episode of pneumonia
comments Physician diagnosis 犢犖÷犢犖犢犢犖犖犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犖犖朽犖犖朽犖 犖犢犖迦犖項犖犢犖о権犖÷元犢犖犖犖犖園硯犢犖 犢犖犖犖犖犖 犖犖犖劇賢 ARDS 犖犖萎犢犖犖犖÷元 犖犖о顕犖÷牽犖萎検犖園犖犖萎硯犖園犢犖犢犖犖犖巌犖犖犢犖犖犖迦牽犖о鹸犖犖巌犖犖園権 犢犖犖犖迦権犖犖朽犖÷元犖犖園犖犖迦犖犖犖迦牽犖о鹸犖犖巌犖犖園権 犖犖迦牽犢犖犖犖朽権犖犢犖犖朽権犖 CXR 3 犖о険犖犖犢犖犖犖犖迦牽犖о鹸犖犖巌犖犖園権 犖о険犖犖犖朽犖о鹸犖犖巌犖犖園権 犢犖ム鍵 2-7 犖о険犖 犖犖ム険犖犖犖迦犢犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犢犖犖劇犖犖犢犖о権犢犖犖犖迦牽犖о鹸犖犖巌犖犖園権犢犖犢
Definitions of nosocomial infection
CLABSI (Central line-associated Blood stream Infection)
Central line Central line : an intravascular catheter that terminates at or closes to the heart or in one of the great vessels which is used for infusion, withdrawal of blood, or hemodynamic monitoring; Aota, pulmonary artery, SVC, IVC, ITJ, SCV, FV etc In neonates, the UVC, UAC
A central line was place for > 2 calendar days on the date of event, with day of device placement being day 1. If CVC was in place for > 2 calendar days and the removed, the LBCI criteria must be fully met on the day of remove or the next day. CLABSI
LCBI 1 Pt has a recognized pathogen cultured from one or more blood cultures And organism cultured is not related to an infection at another site. Laboratory-confirmed BSI criteria (LCBI) LCBI 2 Pt has at least one of the following signs and symptoms: fever > 38oC, chill or hypotension and Positive blood culture are not related to an infection at another site and The same common commensal is cultured from 2 cultures drawn on separate occasions LCBI 3 Pt 1 yr has at least one of the followings signs and symptoms: fever (> 38oC core), hypothermia (< 36oC core), apnea, or bradycardia and Positive blood culture are not related to an infection at another site and The same common commensal is cultured from 2 cultures drawn on separate occasions
separate occasions separate occasions 犖犖劇賢 2 specimens 犢犖犖о険犖犢犖犖朽権犖о犖園 犖о険犖犖犖朽犖犖巌犖犖園 犖犖迦犖犖犢犖犖犢犖迦犖犖園
Comments Specimens collection considerations: although blood cultures drawn through central lines can have a higher rate of contamination than blood cultures collected through peripheral veinupucture all positive blood culture , Catheter tip cultures are not used to determine whether a pts has a primary BSI When there is a positive blood culture and clinical signs or symptoms of localized infection at a vascular access site, but no other infection can be found, the infection is considered a primary BSI
犖犖迦牽犖犖巌犢仰犖犖劇犖犖犖朽犢犖犖ム犢犖迦犖園
犖犖犖巌犖犖犖犢犖犖ム犢犖迦犖園 犢犖犖ム犢犖迦犖園犖犖萎賢犖迦 (Clean wound) 犢犖犖ム犢犖迦犖園犖犖朽犢犖犖犖朽権犖÷犖迦牽犖犢犖迦犖園 犖ム犖о犖犖犢犖 犢犖∇犖犖犖巌犖犖ム険犖犖犢犖迦犖園 犢犖ム鍵犢犖÷犢犖犢犢犖犢犖犢犖犖犖萎犖迦権犖犖犖劇賢 犖犖萎犖迦権犢犖犖犢犖犖巌 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犢犖犖劇犖犢犖∇厳犢犖犖犖朽 犢犖÷犖÷元犖犖迦牽犖犖園犢犖犖犖犖犖劇賢犖犖迦牽犖犖巌 犢犖犖劇犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犖÷犖犢犖迦 犖犖迦犢犖犖巌犖犖迦権犢犖 犖犖迦犢犖犖巌 犖犖迦見犖迦牽 犖犖迦犢犖犖巌犖犖園肩犖犖迦硯犖 犢犖ム鍵犖犖萎犖犖犖劇犖犖園犖犖伍 犖犖萎見犖о犖迦犖犢犖迦犖園 犢犖÷犖÷元 犢犖犖犖伍犖迦牽犖犢犖犖朽犖犖萎献犖萎犖÷鹸犖 犖÷顕犖犖犖犖迦牽犖犖ム賢犖犢犖犖劇犖 犢犖犖ム犢犖迦犖園犖犖萎賢犖迦犖犖犢犖犖劇犖犖 (Clean contaminated wound) 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犖迦権犢犖 犖犖迦犢犖犖巌犖犖迦見犖迦牽 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犖園肩犖犖迦硯犖 犢犖ム鍵犖犖萎犖犖犖劇犖犖園犖犖伍 犢犖犖∇犖朽犢犖÷犖犖犢犖犖劇犖犖犖迦犖犖迦牽 犢犖犖迦鍵犢犖犖劇犖犖犖犖犖犢犖迦犖園肩犖犖迦硯犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犢犖迦犖朽犖犖∇犖朽犢犖÷犖÷元犖犖迦牽犖犖巌犢犖犖劇犖犢犖 犖犢犖迦犖 犖犖萎見犖о犖迦犖犢犖迦犖園 犢犖÷犖÷元 犢犖犖犖伍犖迦牽犖犢犖犖朽犖犖萎献犖萎犖÷鹸犖 犖÷顕犖犖犖犖迦牽犖犖ム賢犖犢犖犖劇犖 犢犖犖ム犢犖迦犖園犖犖犢犖犖劇犖犖 (Contaminated wound) 犢犖犖ム犢犖迦犖園犖犢犖迦犢犖犖ム犖∇険犖犖犖犖迦権 犖犖朽犢犖犢犖犢犖犖ム犖犖巌犢犖ム鍵犢犖犖巌犖犖謹犖 犢犖犖÷犢 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犖迦見犖迦牽犖犖朽犖÷元犖犖迦牽犖犖園犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犖園肩犖犖迦硯犖 犖犖萎犖犖犖劇犖犖園犖犖伍 犖犖犖劇賢 犖犖迦犢犖犖巌犖犢犖迦犖 犖犖朽犖÷元犖犖迦牽犖犖巌犢犖犖劇犖 犖犖犖犖犢犖迦犖園肩犖犖迦硯犖萎見犖犖劇賢犖犢犖迦犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犢犖犖劇犖犢犖∇厳犢犖犖犖朽 犖÷元犖犖迦牽犖犖園犢犖犖犢犖犢犖∇険犖犢犖÷犖÷元犖犖犖犖 犖犖萎見犖о犖迦犖犢犖迦犖園 犢犖÷犖÷元犢犖犖犖伍犖迦牽犖犢 犖犖朽犖犖萎献犖萎犖÷鹸犖犖÷顕犖犖犖犖迦牽犖犖ム賢犖 犢犖犖劇犖 犢犖犖ム犢犖迦犖園犖犖犖犖犖 (Dirty wound) 犢犖犖ム犢犖迦犖園犖犢犖迦犢犖犖 犖犖∇険犖犖犖犖迦権犖犖朽犖÷元犢犖犖劇犖犢犖∇厳犢犖犖犖朽 犖犖迦権 犖÷元犖犖巌犖犢犖犖ム犖犖ム賢犖 犖÷元犖犖迦牽犖犖犢犖犖劇犖犖犖犖犖 犖犖伍犖犖迦牽犖 犖犖犖劇賢犖犖朽犖÷元犖犖迦牽 犖ム犖迦犢犖迦犖犖犖迦牽犖犖園犖犖 犢犖犖ム犢犖迦犖園犖犢犖犖犖犢犖犖犢犖 犖犖犖犖朽犖朽犖犖о険犖∇硯犖萎犖迦権犢犖 犖犖萎献犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦 犢犖犖劇犖犢犖∇厳犢犖犖犖朽犢犖犢犖犖犖犖犖
犖犖迦犖犖犢犖犖犖犖犖犖迦牽犖犖巌犢仰犖犖劇犖犖犖朽犢犖犖ム犢犖迦犖園 Superficial incisional surgical site infection skin + subcutaneous tissue Deep incisional surgical site infection fascia + muscle Organ/space surgical site infection
Superficial incisional SSI 犖÷元犖犖迦犖迦牽犖犖∇犖迦犖犢犖犖 1 犖犢犖 犖犢犖犢犖犖犖朽 ∇検犖朽見犖犖犖犖犖犖犖犖迦犢犖犖ム犢犖迦犖園 ∇犖∇犢犖犖迦鍵犢犖犖劇犖犢犖犢犖犖迦 犖犖犖犢犖犖ム硯/犢犖犖劇犖犢犖∇厳犢犖犖犖迦犢犖犖 犖犢犖迦犖園 ∇犖項犖犢犖о権犖÷元犖犖迦犖迦牽犢犖犖犖犖犖迦 犖犖ム鹸犖犖巌犖犖∇犖迦犖犢犖犖 1 犖犢犖犖犢犖犢犖犖犖朽 ∇犖о 犖犖犢犖犢犖 犖犖犖巌犖о犢犖犖ム犖о検 犖犖犖巌犖о犢犖犖ム犖犖/犖犢犖犖 ∇絹犖園献犖∇犖犖犖∇犢犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犖о犖迦検犖 犖犖迦牽犖犖巌犢犖犖劇犖 犖犖迦牽犖о鹸犖犖巌犖犖園権犖犖迦牽犖犖巌犢仰犖犖劇犖犖犖朽犢犖犖ム犢犖迦犖園 Deep incisional SSI 犖÷元犖犖迦犖迦牽犖犖∇犖迦犖犢犖犖 1 犖犢犖 犖犢犖犢犖犖犖朽 ∇検犖朽見犖犖犖犖犖犖犖犖迦犢犖犖ム犢犖迦犖園犖犖園犖犢犖犢 犖犖巌硯犖犖犖園 ∇犖項犖犢犖о権犖÷元犖犖迦犖迦牽犢犖犖犖犖犖迦犖犖ム鹸犖犖巌 犖犖∇犖迦犖犢犖犖 1 犖犢犖犖犢犖犢犖犖犖朽 ∇検犖朽犖犢> 38 犢C 犖犖о犖犖犖巌犖о犢犖犖 犖犖犢犖犢犖 犢犖犖ム犖∇犢犖犖犖犢犖о検犖犖園犢犖犖迦鍵犢犖犖劇犖犖犖謹犖犖犖迦犢犖犖 ∇犖犖犖犖犖犖犖犖劇賢犖犖ム険犖犖犖迦犖犖迦牽犖犖巌犢犖犖劇犖 犖犖朽 deep incision 犢犖犖犖萎見犖о犖迦犖犖迦牽 犖犢犖迦犖園犖犢犖 犖犖迦犖犖ム犖∇顕犖犖巌見犖犖劇賢 犖犖迦犖犖園犖犖 ∇絹犖園献犖∇犖犖犖∇犢犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犖о犖迦検犖朽犖迦牽 犖犖巌犢犖犖劇犖 Organ/space SSI 犖÷元犖犖迦犖迦牽犖犖∇犖迦犖犢犖犖 1 犖犢犖 犖犢犖犢犖犖犖朽 ∇検犖朽見犖犖犖犖犖犖犖犖迦犖犢犖犖犖朽犢犖犢犢犖о 犢犖犖ム犢犖迦犖園犖犖迦権犢犖犖犖о険犖∇硯犖/犖犢犖犖 犢犖犖犖 ∇犖∇犢犖犖迦鍵犢犖犖劇犖犢犖犢犖犖迦犖犖犖犢犖犖ム硯/ 犢犖犖劇犖犢犖∇厳犢犖犖犖迦犢犖犖ム犢犖迦犖園 ∇犖犖犖犖犖犖犖犖劇賢犖犖ム険犖犖犖迦犖犖迦牽犖犖巌 犢犖犖劇犖犖犖朽 deep incision 犢犖 犖犖萎見犖о犖迦犖犖迦牽犖犢犖迦犖園犖犢犖 犖犖迦犖犖 犖犖∇顕犖犖巌見犖犖劇賢犖犖迦犖犖園犖犖 ∇絹犖園献犖∇犖犖犖∇犢犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犖о犖迦検犖 犖犖迦牽犖犖巌犢犖犖劇犖
SSI-surgical site infection infection occurs within 30-90 days after the NHSN operative procedure (day 1 = the procedure date)
Definitions of nosocomial infection
Definitions of nosocomial infection
Definitions of nosocomial infection
Definitions of nosocomial infection

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Definitions of nosocomial infection

  • 3. 犢犖犖о犖迦犖犖迦牽犖о鹸犖犖巌犖犖園権犖犖迦牽犖犖巌犢犖犖劇犖犢犖犢犖犖犖犖∇顕犖犖迦献 Clinical signs and symptoms Laboratory test Diagnostic test No infection - inflammation - colonization - contamination Infection Community acquired infection Nosocomial infection
  • 4. 犖犖迦牽犖犖巌犢犖犖劇犖犢犖犢犖犖犖犖∇顕犖犖迦献 : 13 犖犖迦犖犖犢犖犖犖迦犖園 Urinary tract Surgical site Pneumonia Bloodstream Bone and joint CNS CVS ENT GI Lower respiratory tract, other than pneumonia Reproductive tract Skin & soft tissue Systemic
  • 5. Definitions of healthcare-associated infection 1. Surveillance definitions 2. Site specific types of healthcare-associated infection -BSI -UTI -RTI
  • 6. Surveillance definitions Infection criterion were not present the admission time period But all present on or after the 3rd calendar day of admission to facility Day 1, day of facility admission Symptom must be documented in the chart by a healthcare professional during POA (present on admission) Physician diagnosis can be accepted as evidence of an infection that is POA only
  • 7. Healthcare-associated infection All elements of a CDC site specific infection criterion were not present during the POA (present on admission) But all present on or after the 3rd calendar day of admission to the facility The day of hospital admission is calendar day 1 All elements of infection criterion are present on the day of discharge or the next day, the infection is attributed to the discharging location
  • 9. Other important considerations: Clinical evidence may be derived from direct observation of the infection site or clinical records or Pts chart A physician or surgeon Dx.of infection from direct observation during an invasive procedure, endoscopic or other diagnostic studies may be accept for an HAI HAI, clinical information must be utilized to determine that original infection had resolved before reporting a second infection at the same site. if the original infection had not resolved before subsequent positive cultures are collected from the same site, add the pathogens recovered from the subsequent cultures to those reported for the first infection, if it was HAI.
  • 10. Healthcare-associated infection The infection has resolved includes signs and symptom results from diagnostic testing completion of antimicrobial therapy
  • 16. Uropathogenic microorganisms are: Gram-negative Staphylococus spp. yeasts beta-hemolytic streptococus Enterococcus spp. Gardnerella vaginalis Corynebacterium Aerococcusurinae.
  • 18. Ventilator-associated pneumonia: a pneumonia where the Pt is on mechanical ventilator for 2 days on the date of event, with day of ventilator placement being Day 1 Definition of pneumonia Chest x-ray Signs and symptoms Laboratory
  • 19. Chest x-ray for pneumonia 1. New or progressive and persistent infiltration 2. Consolidation 3. Cavitation 4. Pneumatoceles, in 1 yr Patients with underlying disease 2 or more abnormal CXR Patients without underlying disease 1 or more abnormal CXR
  • 20. Signs, symptoms, and laboratory FOR ANY PATIENT, at least one of the following: 1. Fever (38属C) with no other recognized cause 2. Leukopenia(4,000 WBC/mm3) or leukocytosis(12,000 WBC/mm3) 3. For adults 70 years old, altered mental status with no other recognized cause And at least two of the following:
  • 21. Signs, symptoms, and laboratory 1. New onset of purulent sputum, or change in character of sputum, or increased respiratory secretions, or increased suctioning requirements 2. New onset or worsening cough, or dyspnea, or tachypnea 3. Rales or bronchial breath sounds 4. Worsening gas exchange, increased oxygen requirements, or increased ventilation demand
  • 22. Hospital-acquired pneumonia Reporting multiple episodes of HAP in a single patient: evidence of resolution of the initial infection. new signs and symptoms and radiographic evidence The addition of or change in pathogen alone is not indicative of a new episode of pneumonia
  • 23. comments Physician diagnosis 犢犖÷犢犖犢犢犖犖犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犖犖朽犖犖朽犖 犖犢犖迦犖項犖犢犖о権犖÷元犢犖犖犖犖園硯犢犖 犢犖犖犖犖犖 犖犖犖劇賢 ARDS 犖犖萎犢犖犖犖÷元 犖犖о顕犖÷牽犖萎検犖園犖犖萎硯犖園犢犖犢犖犖犖巌犖犖犢犖犖犖迦牽犖о鹸犖犖巌犖犖園権 犢犖犖犖迦権犖犖朽犖÷元犖犖園犖犖迦犖犖犖迦牽犖о鹸犖犖巌犖犖園権 犖犖迦牽犢犖犖犖朽権犖犢犖犖朽権犖 CXR 3 犖о険犖犖犢犖犖犖犖迦牽犖о鹸犖犖巌犖犖園権 犖о険犖犖犖朽犖о鹸犖犖巌犖犖園権 犢犖ム鍵 2-7 犖о険犖 犖犖ム険犖犖犖迦犢犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犢犖犖劇犖犖犢犖о権犢犖犖犖迦牽犖о鹸犖犖巌犖犖園権犢犖犢
  • 26. Central line Central line : an intravascular catheter that terminates at or closes to the heart or in one of the great vessels which is used for infusion, withdrawal of blood, or hemodynamic monitoring; Aota, pulmonary artery, SVC, IVC, ITJ, SCV, FV etc In neonates, the UVC, UAC
  • 27. A central line was place for > 2 calendar days on the date of event, with day of device placement being day 1. If CVC was in place for > 2 calendar days and the removed, the LBCI criteria must be fully met on the day of remove or the next day. CLABSI
  • 28. LCBI 1 Pt has a recognized pathogen cultured from one or more blood cultures And organism cultured is not related to an infection at another site. Laboratory-confirmed BSI criteria (LCBI) LCBI 2 Pt has at least one of the following signs and symptoms: fever > 38oC, chill or hypotension and Positive blood culture are not related to an infection at another site and The same common commensal is cultured from 2 cultures drawn on separate occasions LCBI 3 Pt 1 yr has at least one of the followings signs and symptoms: fever (> 38oC core), hypothermia (< 36oC core), apnea, or bradycardia and Positive blood culture are not related to an infection at another site and The same common commensal is cultured from 2 cultures drawn on separate occasions
  • 29. separate occasions separate occasions 犖犖劇賢 2 specimens 犢犖犖о険犖犢犖犖朽権犖о犖園 犖о険犖犖犖朽犖犖巌犖犖園 犖犖迦犖犖犢犖犖犢犖迦犖犖園
  • 30. Comments Specimens collection considerations: although blood cultures drawn through central lines can have a higher rate of contamination than blood cultures collected through peripheral veinupucture all positive blood culture , Catheter tip cultures are not used to determine whether a pts has a primary BSI When there is a positive blood culture and clinical signs or symptoms of localized infection at a vascular access site, but no other infection can be found, the infection is considered a primary BSI
  • 32. 犖犖犖巌犖犖犖犢犖犖ム犢犖迦犖園 犢犖犖ム犢犖迦犖園犖犖萎賢犖迦 (Clean wound) 犢犖犖ム犢犖迦犖園犖犖朽犢犖犖犖朽権犖÷犖迦牽犖犢犖迦犖園 犖ム犖о犖犖犢犖 犢犖∇犖犖犖巌犖犖ム険犖犖犢犖迦犖園 犢犖ム鍵犢犖÷犢犖犢犢犖犢犖犢犖犖犖萎犖迦権犖犖犖劇賢 犖犖萎犖迦権犢犖犖犢犖犖巌 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犢犖犖劇犖犢犖∇厳犢犖犖犖朽 犢犖÷犖÷元犖犖迦牽犖犖園犢犖犖犖犖犖劇賢犖犖迦牽犖犖巌 犢犖犖劇犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犖÷犖犢犖迦 犖犖迦犢犖犖巌犖犖迦権犢犖 犖犖迦犢犖犖巌 犖犖迦見犖迦牽 犖犖迦犢犖犖巌犖犖園肩犖犖迦硯犖 犢犖ム鍵犖犖萎犖犖犖劇犖犖園犖犖伍 犖犖萎見犖о犖迦犖犢犖迦犖園 犢犖÷犖÷元 犢犖犖犖伍犖迦牽犖犢犖犖朽犖犖萎献犖萎犖÷鹸犖 犖÷顕犖犖犖犖迦牽犖犖ム賢犖犢犖犖劇犖 犢犖犖ム犢犖迦犖園犖犖萎賢犖迦犖犖犢犖犖劇犖犖 (Clean contaminated wound) 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犖迦権犢犖 犖犖迦犢犖犖巌犖犖迦見犖迦牽 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犖園肩犖犖迦硯犖 犢犖ム鍵犖犖萎犖犖犖劇犖犖園犖犖伍 犢犖犖∇犖朽犢犖÷犖犖犢犖犖劇犖犖犖迦犖犖迦牽 犢犖犖迦鍵犢犖犖劇犖犖犖犖犖犢犖迦犖園肩犖犖迦硯犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犢犖迦犖朽犖犖∇犖朽犢犖÷犖÷元犖犖迦牽犖犖巌犢犖犖劇犖犢犖 犖犢犖迦犖 犖犖萎見犖о犖迦犖犢犖迦犖園 犢犖÷犖÷元 犢犖犖犖伍犖迦牽犖犢犖犖朽犖犖萎献犖萎犖÷鹸犖 犖÷顕犖犖犖犖迦牽犖犖ム賢犖犢犖犖劇犖 犢犖犖ム犢犖迦犖園犖犖犢犖犖劇犖犖 (Contaminated wound) 犢犖犖ム犢犖迦犖園犖犢犖迦犢犖犖ム犖∇険犖犖犖犖迦権 犖犖朽犢犖犢犖犢犖犖ム犖犖巌犢犖ム鍵犢犖犖巌犖犖謹犖 犢犖犖÷犢 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犖迦見犖迦牽犖犖朽犖÷元犖犖迦牽犖犖園犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犖犖迦犢犖犖巌 犖犖園肩犖犖迦硯犖 犖犖萎犖犖犖劇犖犖園犖犖伍 犖犖犖劇賢 犖犖迦犢犖犖巌犖犢犖迦犖 犖犖朽犖÷元犖犖迦牽犖犖巌犢犖犖劇犖 犖犖犖犖犢犖迦犖園肩犖犖迦硯犖萎見犖犖劇賢犖犢犖迦犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦犢犖迦犢犖犖劇犖犢犖∇厳犢犖犖犖朽 犖÷元犖犖迦牽犖犖園犢犖犖犢犖犢犖∇険犖犢犖÷犖÷元犖犖犖犖 犖犖萎見犖о犖迦犖犢犖迦犖園 犢犖÷犖÷元犢犖犖犖伍犖迦牽犖犢 犖犖朽犖犖萎献犖萎犖÷鹸犖犖÷顕犖犖犖犖迦牽犖犖ム賢犖 犢犖犖劇犖 犢犖犖ム犢犖迦犖園犖犖犖犖犖 (Dirty wound) 犢犖犖ム犢犖迦犖園犖犢犖迦犢犖犖 犖犖∇険犖犖犖犖迦権犖犖朽犖÷元犢犖犖劇犖犢犖∇厳犢犖犖犖朽 犖犖迦権 犖÷元犖犖巌犖犢犖犖ム犖犖ム賢犖 犖÷元犖犖迦牽犖犖犢犖犖劇犖犖犖犖犖 犖犖伍犖犖迦牽犖 犖犖犖劇賢犖犖朽犖÷元犖犖迦牽 犖ム犖迦犢犖迦犖犖犖迦牽犖犖園犖犖 犢犖犖ム犢犖迦犖園犖犢犖犖犖犢犖犖犢犖 犖犖犖犖朽犖朽犖犖о険犖∇硯犖萎犖迦権犢犖 犖犖萎献犖 犢犖犖ム犢犖迦犖園犖犖朽犖犢犖迦 犢犖犖劇犖犢犖∇厳犢犖犖犖朽犢犖犢犖犖犖犖犖
  • 33. 犖犖迦犖犖犢犖犖犖犖犖犖迦牽犖犖巌犢仰犖犖劇犖犖犖朽犢犖犖ム犢犖迦犖園 Superficial incisional surgical site infection skin + subcutaneous tissue Deep incisional surgical site infection fascia + muscle Organ/space surgical site infection
  • 34. Superficial incisional SSI 犖÷元犖犖迦犖迦牽犖犖∇犖迦犖犢犖犖 1 犖犢犖 犖犢犖犢犖犖犖朽 ∇検犖朽見犖犖犖犖犖犖犖犖迦犢犖犖ム犢犖迦犖園 ∇犖∇犢犖犖迦鍵犢犖犖劇犖犢犖犢犖犖迦 犖犖犖犢犖犖ム硯/犢犖犖劇犖犢犖∇厳犢犖犖犖迦犢犖犖 犖犢犖迦犖園 ∇犖項犖犢犖о権犖÷元犖犖迦犖迦牽犢犖犖犖犖犖迦 犖犖ム鹸犖犖巌犖犖∇犖迦犖犢犖犖 1 犖犢犖犖犢犖犢犖犖犖朽 ∇犖о 犖犖犢犖犢犖 犖犖犖巌犖о犢犖犖ム犖о検 犖犖犖巌犖о犢犖犖ム犖犖/犖犢犖犖 ∇絹犖園献犖∇犖犖犖∇犢犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犖о犖迦検犖 犖犖迦牽犖犖巌犢犖犖劇犖 犖犖迦牽犖о鹸犖犖巌犖犖園権犖犖迦牽犖犖巌犢仰犖犖劇犖犖犖朽犢犖犖ム犢犖迦犖園 Deep incisional SSI 犖÷元犖犖迦犖迦牽犖犖∇犖迦犖犢犖犖 1 犖犢犖 犖犢犖犢犖犖犖朽 ∇検犖朽見犖犖犖犖犖犖犖犖迦犢犖犖ム犢犖迦犖園犖犖園犖犢犖犢 犖犖巌硯犖犖犖園 ∇犖項犖犢犖о権犖÷元犖犖迦犖迦牽犢犖犖犖犖犖迦犖犖ム鹸犖犖巌 犖犖∇犖迦犖犢犖犖 1 犖犢犖犖犢犖犢犖犖犖朽 ∇検犖朽犖犢> 38 犢C 犖犖о犖犖犖巌犖о犢犖犖 犖犖犢犖犢犖 犢犖犖ム犖∇犢犖犖犖犢犖о検犖犖園犢犖犖迦鍵犢犖犖劇犖犖犖謹犖犖犖迦犢犖犖 ∇犖犖犖犖犖犖犖犖劇賢犖犖ム険犖犖犖迦犖犖迦牽犖犖巌犢犖犖劇犖 犖犖朽 deep incision 犢犖犖犖萎見犖о犖迦犖犖迦牽 犖犢犖迦犖園犖犢犖 犖犖迦犖犖ム犖∇顕犖犖巌見犖犖劇賢 犖犖迦犖犖園犖犖 ∇絹犖園献犖∇犖犖犖∇犢犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犖о犖迦検犖朽犖迦牽 犖犖巌犢犖犖劇犖 Organ/space SSI 犖÷元犖犖迦犖迦牽犖犖∇犖迦犖犢犖犖 1 犖犢犖 犖犢犖犢犖犖犖朽 ∇検犖朽見犖犖犖犖犖犖犖犖迦犖犢犖犖犖朽犢犖犢犢犖о 犢犖犖ム犢犖迦犖園犖犖迦権犢犖犖犖о険犖∇硯犖/犖犢犖犖 犢犖犖犖 ∇犖∇犢犖犖迦鍵犢犖犖劇犖犢犖犢犖犖迦犖犖犖犢犖犖ム硯/ 犢犖犖劇犖犢犖∇厳犢犖犖犖迦犢犖犖ム犢犖迦犖園 ∇犖犖犖犖犖犖犖犖劇賢犖犖ム険犖犖犖迦犖犖迦牽犖犖巌 犢犖犖劇犖犖犖朽 deep incision 犢犖 犖犖萎見犖о犖迦犖犖迦牽犖犢犖迦犖園犖犢犖 犖犖迦犖犖 犖犖∇顕犖犖巌見犖犖劇賢犖犖迦犖犖園犖犖 ∇絹犖園献犖∇犖犖犖∇犢犖犢犖犖迦牽犖о鹸犖犖巌犖犖園権犖о犖迦検犖 犖犖迦牽犖犖巌犢犖犖劇犖
  • 35. SSI-surgical site infection infection occurs within 30-90 days after the NHSN operative procedure (day 1 = the procedure date)