# Commission Implementing Decision (EU) 2018/945 of 22 June 2018 on the communicable diseases and related special health issues to be covered by epidemiological surveillance as well as relevant case definitions (Text with EEA relevance), Division: BSI: Laboratory-confirmed bloodstream infection

Extent: E+W+S+N.I.

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 2 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

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Source: https://www.legislation.gov.uk/eudn/2018/945/annex/II/division/4/division/4.1/division/4.1.2/division/1 (the official version)
Page: https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.2/division-1
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.