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Division BSI: Laboratory-confirmed bloodstream infection

United Kingdom

Original text. Later amendments are not shown.

One positive blood culture for a recognised pathogen

OR

Patient has at least one of the following signs or symptoms: fever (> 38 °C), chills, or hypotension

AND Two positive blood cultures for a common skin contaminant (from two separate blood samples, usually within 48 hours)

Skin contaminants = coagulase-negative staphylococci, Micrococcus spp., Propionibacterium acnes, Bacillus spp., Corynebacterium spp.

Source of bloodstream infection:

— Catheter-related

  • the same micro-organism was cultured from the catheter or symptoms improve within 48 hours after removal of the catheter (C-PVC: peripheral catheter, C-CVC: central venous catheter (note: report C-CVC or C-PVC BSI as CRI3-CVC or CRI3-PVC respectively if microbiologically confirmed, see CRI3 definition)).

    • — Secondary to another infection

  • the same micro-organism was isolated from another infection site or strong clinical evidence exists that bloodstream infection was secondary to another infection site, invasive diagnostic procedure or foreign body

    • Pulmonary (S-PUL)

    • Urinary tract infection (S-UTI)

    • Digestive tract infection (S-DIG)

    • SSI (S-SSI): surgical site infection

    • Skin and soft tissue (S-SST)

    • Other (S-OTH)

    • — Unknown origin (UO)

  • None of the above, bloodstream infection of unknown origin (verified during survey and no source found)

    • — Unknown (UNK)

  • No information available about the source of the bloodstream infection or information missing