2008美国CDC/NHSN对医院感染的监测定义及特定类型感染的判断标准

David

American Journal of Infection Control
Volume 36, Issue 5, June 2008, Pages 309-332

Major article
CDC/NHSN surveillance definition of health care–associated infection and criteria for specific types of infections in the acute care setting
美国CDC/NHSN对医院感染的监测定义及特定类型感染的判断标准
Teresa C. Horan MPH, a, , Mary Andrus RN, BA, CICa and Margaret A. Dudeck MPHa

aNational Healthcare Safety Network, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA


Available online 5 June 2008.

Article Outline
Background
CDC/NHSN surveillance definition of health care–associated infection
Criteria for specific types of infection
Use of these criteria for publicly reported HAI data
UTI-Urinary tract infection
SUTI-Symptomatic urinary tract infection
ASB-Asymptomatic bacteriuria
Comments
OUTI-Other infections of the urinary tract (kidney, ureter, bladder, urethra, or tissue surrounding the retroperitoneal or perinephric space)
Reporting instruction
SSI-Surgical site infection
SIP/SIS-Superficial incisional surgical site infection
Reporting instructions
DIP/DIS-Deep incisional surgical site infection
Reporting instruction
Organ/space-Organ/space surgical site infection
Reporting instructions
BSI-Bloodstream infection
LCBI-Laboratory-confirmed bloodstream infection
Notes
Specimen collection considerations
Reporting instructions
CSEP-Clinical sepsis
Reporting instruction
PNEU-Pneumonia
BJ–Bone and joint infection
BONE-Osteomyelitis
Reporting instruction
JNT-Joint or bursa
DISC-Disc space infection
CNS-Central nervous system infection
IC-Intracranial infection (brain abscess, subdural or epidural infection, encephalitis)
Reporting instruction
MEN-Meningitis or ventriculitis
Reporting instructions
SA-Spinal abscess without meningitis
Reporting instruction
CVS-Cardiovascular system infection
VASC-Arterial or venous infection
Reporting instructions
ENDO-Endocarditis
CARD-Myocarditis or pericarditis
Comment
MED-Mediastinitis
Reporting instruction
EENT-Eye, ear, nose, throat, OR mouth infection
CONJ-Conjunctivitis
Reporting instructions
EYE-Eye, other than conjunctivitis
EAR-Ear mastoid
ORAL-Oral cavity (mouth, tongue, or gums)
Reporting instruction
SINU-Sinusitis
UR-Upper respiratory tract, pharyngitis, laryngitis, epiglottitis
GI-Gastrointestinal system infection
GE-Gastroenteritis
GIT-Gastrointestinal tract (esophagus, stomach, small and large bowel, and rectum) excluding gastroenteritis and appendicitis
HEP-Hepatitis
Reporting instructions
IAB-Intraabdominal, not specified elsewhere including gallbladder, bile ducts, liver (excluding viral hepatitis), spleen, pancreas, peritoneum, subphrenic or subdiaphragmatic space, or other intraabdominal tissue or area not specified elsewhere
Reporting instruction
NEC-Necrotizing enterocolitis
LRI-Lower respiratory tract infection, other than pneumonia
BRON-Bronchitis, tracheobronchitis, bronchiolitis, tracheitis, without evidence of pneumonia
Reporting instruction
LUNG-Other infections of the lower respiratory tract
Reporting instructions
REPR-Reproductive tract infection
EMET-Endometritis
Reporting instruction
EPIS-Episiotomy
Comment
VCUF-Vaginal cuff
Reporting instruction
OREP-Other infections of the male or female reproductive tract (epididymis, testes, prostate, vagina, ovaries, uterus, or other deep pelvic tissues, excluding endometritis or vaginal cuff infections)
Reporting instructions
SST-Skin and soft tissue infection
SKIN-Skin
Reporting instructions
ST-Soft tissue (necrotizing fascitis, infectious gangrene, necrotizing cellulitis, infectious myositis, lymphadenitis, or lymphangitis)
Reporting instructions
DECU-Decubitus ulcer, including both superficial and deep infections
Comments
BURN-Burn
Comments
BRST-Breast abscess or mastitis
Comment
UMB-Oomphalitis
Reporting instructions
PUST-Infant pustulosis
Reporting instructions
CIRC-Newborn circumcision
SYS-Systemic infection
DI-Disseminated infection
Reporting instructions
Appendix. PNEU-Pneumonia
General comments
Abbreviations
Reporting instructions
References