NHSN Logo Surgical Site Infection Report (SSI)

Patient Ned Nuclear
Admission Date August 5, 2020
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 123456 (2.16.840.1.113883.3.117.1.1.5.1.1.1)
987654321 (2.16.840.1.113883.3.117.1.1.5.1.1.1)
Document Id 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.1.2)
Document Created August 6, 2020, 12:19
Author anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2)
Encounter Date  From August 5, 2020
Encounter Location 9W (2.16.840.1.113883.3.117.1.1.5.1.1) (Medical/Surgical Critical Care)
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 6, 2020

Table of Contents


COVID-19 Section

COVID-19 Yes - COVID-19

Event Details

Infection type Surgical site infection (disorder)
Date of infection August 6, 2020
Criteria of diagnosis Abscess (disorder): No
Apnea (finding): No
Blood culture not done or no organisms detected in blood: No
Bradycardia (finding): No
Cough (finding): No
Dysuria (finding): No
Fever (finding): No
Hypothermia (finding): No
Incision deliberately opened or drained: No
Heat: Yes
Lethargy (finding): Yes
Nausea (finding): Yes
Not cultured: No
Other evidence of infection found: No
Other positive laboratory tests: No
Other signs and symptoms: No
Pain or tenderness: No
Physician diagnosis of this event type: No
Physician institutes appropriate antimicrobial therapy: No
Positive blood culture: Yes
Positive culture: No
Positive Gram stain when culture is negative or not done: No
Infection - suppurative (disorder): Yes
Imaging test evidence of infection: No
Red color (finding): No
Localized swelling: No
Vomiting (disorder): No
Wound dehiscence (finding): No
Occasion of HAI Detection Admission (during the stay in which the surgery was performed)
Infection condition Myocarditis or pericarditis
Secondary BSI Yes
Type of procedure Appendix surgery
Procedure date August 5, 2020
Infection present at the time of surgery Yes
SSI detected using the NHSN ICD-Code based Admit and Readmit SSI Surveillance Toolkit Yes
Dead (finding) No
Infection Contributed to Death No

Findings

Microorganism identified Staphylococcus, coagulase negative (organism)
Pathogen Ranking 1
Vancomycin [Susceptibility] Not Applicable Susceptible
Amikacin [Susceptibility] Not Applicable Resistant
Microorganism identified No pathogen identified
MDRO Organism or C.difficile Infection Yes

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