NHSN Logo Blood Stream Infection Report (BSI)

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 12345 (2.16.840.1.113883.19.5)
Document Id 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.1.2)
Document Created August 7, 2020
Author anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2)
Encounter Date  From August 5, 2020 to August 6, 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 7, 2020

Table of Contents


COVID-19 Section

COVID-19 Yes - COVID-19

Risk Factors

Central line Yes
Type of procedure Insertion procedure
Procedure date August 8, 2012
Location of the patient when device was inserted Facility 123456 of type Medical-Surgical Critical Care
Birth weight 700 g
Hemodialysis catheter Yes
Extracorporeal membrane oxygenation circuit Yes
Ventricular assist device Yes

Details

Infection type Infection of bloodstream (disorder)
Date of infection August 7, 2020
Criteria of diagnosis Apnea (finding): Yes
Blood culture not done or no organisms detected in blood: No
Bradycardia (finding): Yes
Chill (finding): Yes
Common commensal from >=2 blood cultures: No
Fever (finding): No
Hypothermia (finding): No
Physician institutes appropriate antimicrobial therapy: Yes
Recognized pathogen from one or more blood cultures: No
Low blood pressure (disorder): No
Bloodstream infection evidence type Laboratory-confirmed bloodstream infection
Dead (finding) Yes
Infection Contributed to Death No
Infection occurred post-procedure Yes
Type of procedure Appendix surgery
Procedure date August 5, 2020

Findings

Microorganism identified Clostridium symbiosum (organism)
Pathogen Ranking 1
Clarithromycin [Susceptibility] Not Applicable Resistant
MDRO Infection or C.difficile infection Yes

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