2018年美国CDC NHSN监测方案2psc_identifyinghais_nhsncurrent.pdfVIP

Identifying Healthcare-associated Infections Identifying Healthcare-associated Infections (HAI) for NHSN Surveillance To standardize the classification of an infection as present on admission (POA) or a healthcare-associated infection (HAI), the following objective surveillance definitions and guidance are used for NHSN surveillance: • 7-day Infection Window Period (IWP) • Date of Event (DOE) • POA • HAI • 14-day Repeat Infection Timeframe (RIT) • Secondary BSI Attribution Period (SBAP) • Pathogen Assignment Guidance • Location of Attribution (LOA) The intention of this approach is to align criteria and definitions and decrease subjectivity while maintaining epidemiologic standardization and clinical relevance. A variety of scenarios to include repeat infections of the same type, concurrent infections of differing types, and pathogen assignment in multi-pathogen infections are addressed. See Appendix Flow Diagram for NHSN Event Determination. General Instructions 1. The guidance found in this Chapter is not applicable when performing SSI, VAE or LabID surveillance. Infection window period, Date of Event, POA, HAI, and RIT, Secondary BSI Attribution Period definitions as defined in this chapter do not apply to SSI, VAE, or LabID Events (Table 1). Please refer to Chapters 9, 10 and 12 respectively for guidance specific to these event determinations (Table 1). 2. Organisms belonging to the following genera are typically causes of community- associated infections and are rarely or are not known to be causes of healthcare- associated infections. They are excluded, and cannot be used to meet any NHSN definition: Blastomyces, Histoplasma, Coccidioides, Paracoccidioides, Cryptococcus and Pneumocystis. Additionally refer to individual event protocols for pathoge