NHSN Logo Late Onset Sepsis/Meningitis Event (LOS) Report

Patient Ned Nuclear
Admission Date January 1, 2018
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)
5556667 (2.16.840.1.113883.4.1)
959595 (2.16.840.1.113883.10.20.5.9.28)
Document Id 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.1.2)
Document Created January 30, 2018
Author anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2)
Encounter Date  From January 1, 2018 to January 12, 2018
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: January 30, 2018

Table of Contents


Details Section

Infection type Late-onset neonatal sepsis (disorder)
Date of infection January 2, 2018
Infection condition Neonatal Laboratory Confirmed Bloodstream Infection 2 (NLCBI 2)
Criteria of diagnosis Recognized pathogen from one or more blood cultures: Yes
Inborn/Outborn Inborn
Dead (finding) Yes
Infection Contributed to Death No

Risk Factors

Central line including umbilical catheter Yes
Birth weight 700 g
Gestational age at birth 276 d

Findings

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

NHSN Social History Section

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