TABLE 1.
Dichotomous Rules Used in Computer Algorithms for Electronic Surveillance of Central Line-Associated Bloodstream Infection in Adult Patients in Intensive Care Units at Barnes-Jewish Hospital
Rule | Description |
---|---|
Nosocomial | Culture samples collected >48 hours after admission |
CVC | CVC present ≤48 hours before collection of culture samples |
Non-CSC | Organism is not a CSCa |
Fever | Feverb present ≤48 hours before or after collection of culture samples |
Repeat (+) | Organism confirmed by another positive culture result in ≤5 days |
Vancomycin | Treatment with vancomycin |
Wound | Organism grown from culture of a wound sample |
Urine | Organism grown from urine culture |
Respiratory | Organism grown from culture of a respiratory- tract sample |
Sterile other | Organism grown from culture of other sterile-site sample |
Nonsterile other | Organism grown from culture of other nonsterile site sample |
NOTE. CSC, common skin contaminant; CVC, central venous catheter.
Common skin contaminants included diphtheroids, Bacillus species, Propionibacterium species, coagulase-negative staphylococci, and micrococci.
Temperature of >38°C.