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Bloodstream Infection Event (Central Line-Associated ...

4-1 January 2018 Device-associated Module BSI Bloodstream Infection Event ( central Line-Associated Bloodstream Infection and Non- central line Associated Bloodstream Infection ) Table of Contents Bloodstream Infection Event ( central line and non- central Line-Associated BSI: Introduction and settings. 3 Key Terms and Abbreviations (universal) 3 Definitions specific to BSI / CLABSI surveillance: 3-5 Devices that are Not central Lines 6 Table 1: Laboratory Confirmed Bloodstream Infection Definitions: LCBI 1, LCBI 2, LCBI 3 7-9 Table 2: Mucosal Barrier Injury LCBI (MB-LCBI) Combined table 10 Comments and Reporting Instructions 11-14 Blood specimen collection 14 Making Determinations about Device Day Counts and Device Association: Examples for Table 3 15 Table 3: Associating the Use of central Lines to BSI Events (CLABSI) 16 Rationale for Table 3 17 Pathogen Exclusions and Reporting Considerations 17-18 Table 4: Reporting Speciated and Unspeciated Organisms from Blood Specimens 18 Table 5: Examples Illustrating the MBI-LCBI Criteria for Neutropenia: (Rationale) 19 Monthly Summary Data (numerator data, reporting instruction, denominator data, collection methods) 20-22 Table 6.)

Central line days: The number of days a central line is accessed to determine if an LCBI is a CLABSI. Denominator device days: The count of central lines on an inpatient unit that is recorded in the monthly denominator summary data. This count begins on the first day the central line is present, regardless of access.

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