Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS Metadata Online Registry (METeOR)
Health sector data set specifications from METeOR, Australia's repository for national metadata standards, developed by the Australian Institute of Health and Welfare (http://meteor.aihw.gov.au/content/index.phtml/itemId/345165)
Surveillance of healthcare associated infection: Staphylococcus aureus bacteraemia DSS
The purpose of this data set specification (DSS) is to support a comprehensive surveillance program of healthcare associated infections (HAI). HAIs are those infections that are not present or incubating at the time of admission to a healthcare program or facility, develop within a healthcare organisation or are produced by micro-organisms acquired during admission.
This DSS is intended to support Staphylococcus aureus bacteraemia (SAB) surveillance in Australian hospitals. It is designed for the purposes of HAI surveillance, not diagnosis. The value of surveillance as part of a hospital infection control program is supported by high-grade international and national evidence.
This DSS supports development of local forms and systems for surveillance of HAIs and associated data collection. This DSS applies to patient episodes of SAB in Australian hospitals.
Case Definition – Healthcare associated Staphylococcus aureus bacteraemia (SAB)
A patient-episode of Staphylococcus aureus bacteraemia (SAB) is a positive blood culture for Staphylococcus aureus.
For surveillance purposes, only the first isolate per patient is counted, unless at least 14 days has passed without a positive culture, after which an additional episode is recorded.
A SAB will be considered to be a healthcare-associated event if:
EITHER
• CRITERION A. 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
• CRITERION B. 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:
1. SAB is a complication of the presence of an indwelling medical device (e.g. intravascular line, haemodialysis vascular access, CSF shunt, urinary catheter)
2. SAB occurs within 30 days of a surgical procedure where the SAB is related to the surgical site
3. SAB was diagnosed within 48 hours of a related invasive instrumentation or incision
4. SAB is associated with neutropenia (Neutrophils: less than 1 x 109/L) contributed to by cytotoxic therapy
In order for jurisdictions and private hospital ownership groups to accurately report and monitor Healthcare Associated Infections, the data elements listed should be collected at hospital level for each patient-episode of Staphylococcus aureus bacteraemia. HAI patient episode data elements for SAB, by short name
Data elements to be collected for each patient episode Data elements used for calculation of SAB rates
Person identifier Patient days
Family name Patient episodes of healthcare associated SAB
Given name(s)
Indigenous status
Date of birth
Sex
Address line (person)
Suburb/town/locality name (person)
Australian state/territory identifier
Australian postcode (address)
Admission date
Separation date
Ward/clinical area
Specimen collection date
Specimen collection time
Laboratory number
Specimen identifier
Laboratory result identifier
Healthcare associated SAB clinical criteria
Staphylococcus aureus bacteraemia status
SAB methicillin susceptibility
Antibiotic susceptibility (MRSA isolate)
Antibiotic susceptibility indicator (MRSA isolate)
Establishment number
© Australian Institute of Health and Welfare 2015
Metadata and Classifications Unit
Australian Institute of Health and Welfare
GPO Box 570
Canberra ACT 2601
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2016-07-24 by Sarah Hunekamp
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