Type of infection |
Criteria |
Catheter colonisation |
A significant growth of a micro‐organism (> 15 CFU) from the catheter tip, subcutaneous segment or catheter hub in the absence of clinical signs of infection |
Exit‐site/insertion site infection |
Microbiologically documented: exudates at catheter exit site yield a micro‐organism with or without concomitant bloodstream infection. Clinically documented: erythema or induration within 2 cm of the catheter insertion site in the absence of associated bloodstream infection and without concomitant purulence |
Positive blood culture |
Micro‐organism, potentially pathogenic, cultured from one or more blood culture |
Bloodstream infection |
Positive blood culture with a clinical sepsis (see below) |
Primary bloodstream infection |
Laboratory‐confirmed bloodstream infection or clinical sepsis occurring without documented infection |
Secondary bloodstream infection |
Laboratory‐confirmed bloodstream infection secondary to another documented infection |
Clinical sepsis |
Requires one of the following with no other recognised cause: fever (> 38° C), hypotension (SBP < 90 mmHg), oliguria (< 20 ml/h); and all of the following: blood culture not performed or no organism detected in blood, no apparent infection at another body site and clinical response to therapy following catheter removal or change |
Catheter‐associated bloodstream infection |
Primary bloodstream infection or clinical sepsis in the presence of an intravascular device |
Catheter‐related bloodstream infection |
Laboratory‐confirmed bloodstream infection in the presence of an intravascular access: at least 1 positive blood culture obtained from a peripheral vein, clinical manifestation of infection and no apparent source of the bloodstream infection except the vascular access, and with 1 of the microbiological methods: a positive result of semi‐quantitative (> 15 CFUs per catheter segment) or quantitative culture (> 103 CFU/catheter segment) with the same organism, paired quantitative blood cultures with a > 5:1 ratio device versus peripheral, differential time to positivity (blood culture obtained from a CVC is positive at least 2 h earlier than a peripheral blood culture) |
CFU: colony‐forming units; CVC: central venous catheter; S BP: systolic blood pressure. |