NHSN Logo Evidence of Infection (Dialysis) Report

Patient Ned Nuclear
Date of birth November 25, 1954 Sex Male
Race White Ethnicity Not Hispanic or Latino
Contact info address not available
Telecom information not available
Patient IDs 12345 (2.16.840.1.113883.19.5)
Document Id 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.2)
Document Created August 7, 2018
Author anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2)
Encounter Date  From ,
Encounter Location 9W (2.16.840.1.113883.3.117.1.1.5.1.1) (Outpatient Hemodialysis Clinic)
Document maintained by 2.16.840.1.114222.4.3.2.11
Legal authenticator aLegalAuthenticatorID (2.16.840.1.113883.3.117.1.1.5.1.1.2)
signed date/time: August 7, 2018

Table of Contents


Risk Factors

End stage renal failure on dialysis (disorder) Yes
Transient patient Yes
Vascular Access Types
...Surgically constructed arteriovenous fistula Yes. Placed on August , 2007
Buttonhole cannulation: Yes
...Surgically constructed arteriovenous graft (finding) No
...Tunneled (dialysis) Yes. Placed on August , 2006
...Non-tunneled (dialysis) No
...Catheter-graft hybrid No
...Other No

Event Details

Infection (dialysis event) began on or after the date the patient was admitted to the clinic.
Infection Indicators
Date of earliest indicator April 4, 2018
...Pus, redness, or increased swelling Yes
Vascular access site(s):
Site of non-tunneled central line, dialysis
...Intravenous antibiotic therapy Yes
....Antibiotic started vancomycin
....Type of Antimicrobial Start New antibiotic start
....Blood sample collected for culture Yes
...Intravenous injection of antifungal substance Yes
...Positive blood culture Yes
......Suspected source of pathogen Vascular access
Where was the positive blood culture collected Dialysis Clinic
Criteria of diagnosis Infectious disease of lung (disorder): Yes
Loss of vascular access Yes
Hospital Admission Yes
Dead (finding) No Information

Findings

Microorganism identified Clostridium symbiosum (organism)
Pathogen Ranking 1
Clarithromycin [Susceptibility] Not Applicable Resistant

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