Definition
Identifies whether the patient episode of Staphylococcus aureus bacteraemia (SAB) is healthcare associated or community-acquired, as represented by a code.
Components
Data Element (this item)
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Data Element ConceptPatient episode of Staphylococcus aureus bacteraemia—Staphylococcus aureus bacteraemia status
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Object ClassPatient episode of Staphylococcus aureus bacteraemia
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PropertyStaphylococcus aureus bacteraemia status
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Value DomainStaphylococcus aureus bacteraemia status, code N
Representation
This representation is based on the value domain for this data element, more information is available at " Staphylococcus aureus bacteraemia status, code N ".| Data Type | Number |
|---|---|
| Format | N |
| Maximum character length | 1 |
| Value | Meaning | Start Date | End Date | |
|---|---|---|---|---|
| Permissible Values | 1 | Healthcare associated | ||
| 2 | Community-acquired | |||
| Supplementary Values | 8 | Unknown | ||
| 9 | Not stated/inadequately described |
Comments
Guide for use:
A Staphylococcus aureus bacteraemia (SAB) will be considered to be a healthcare associated event if:
EITHER
The patient’s first SAB positive blood culture was collected more than 48 hours after hospital admission or less than 48 hours after discharge.
OR
The patient’s first positive SAB blood culture was collected less than or equal to 48 hours after hospital admission and one or more of the following key clinical criteria was met for the patient-episode of SAB:
- SAB is a complication of the presence of an indwelling medical device (e.g. intravascular line, haemodialysis vascular access, CSF shunt, urinary catheter)
- SAB occurs within 30 days of a surgical procedure where the SAB is related to the surgical site
- SAB was diagnosed within 48 hours of a related invasive instrumentation or incision
- SAB is associated with neutropenia (Neutrophils: less than 1 x 109/L) contributed to by cytotoxic therapy
Origin:
ACSQHC Healthcare Associated Infection Technical Working Group
Comments:
To identify whether SABs are healthcare associated or community-acquired, SABs should undergo a standard case review by a healthcare worker trained in Infectious Diseases/Infection Control.