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MRSA Surveillance in NHSN

MRSA Surveillance in NHSN Metric 1 Nosocomial MRSA Infection Rate . Infection surveillance for all NHSN-defined healthcare-associated infections caused by MRSA in the defined location?e.g BRON, CAUTI, CLABSI, DECU, PNEU, SINU, etc. you review and make the determination if this is a Nosocomial

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MRSA Surveillance in NHSN

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    1. MRSA Surveillance in NHSN OBJECTIVES Review MRSA Metric 1: Nosocomial MRSA Infection Rate 2. Review MRSA Metric 2: Incidence Rate of Hospital-Onset MRSA Based on Clinical Cultures

    2. MRSA Surveillance in NHSN Metric 1 Nosocomial MRSA Infection Rate Infection surveillance for all NHSN-defined healthcare-associated infections caused by MRSA in the defined location…e.g BRON, CAUTI, CLABSI, DECU, PNEU, SINU, etc. you review and make the determination if this is a Nosocomial MRSA infection

    3. MRSA Surveillance in NHSN Metric 1 Nosocomial MRSA Infection Rate Source: Chapter 17 in NHSN Patient Safety Component Manual: Surveillance Definition of Healthcare-Associated Infection and Criteria for Specific Types of Infections in the Acute Care Setting   [PDF - 1.67MB] July 2010.    

    4. MRSA Surveillance in NHSN Metric 1 Nosocomial MRSA Infection Rate

    5. MRSA Surveillance in NHSN Metric 2 Incidence Rate of Hospital-Onset MRSA Based on Clinical Cultures LabID Event Proxy Rates calculated by NHSN

    6. MRSA Surveillance in NHSN Metric 2 Incidence Rate of Hospital-Onset MRSA Based on Clinical Cultures

    8. MRSA Surveillance in NHSN Case Study 9/29/10 Admit to ICU w/ abscess on back, has been worsening over past 2 weeks prior to admission Temp 101.9, wbc 21.3, induration, erythema and warmth over entire left scapular area, with pustule in mid area, lactic acid ?2.6, “severe sepsis” HX MRSA 2009 (skin infection) 9/29/10 Nares PCR + MRSA (screening test) 9/29/10 Back abscess I & D at bedside : culture = MRSA. Vanco started.

    9. MRSA Surveillance in NHSN Case Study 9/30 Transfer to floor 10/2 Witnessed cardiac arrest, resuscitated. Transfer back to ICU, intubated. CXR post intubation: patchy airspace opacities perihilar, right base and retrocardiac, most consistent with pneumonia. Nares PCR + MRSA 10/3 CXR correlates with changes of congestive heart failure. Breathing well on PS, extubated 10/4 breathing easily on 4L nc. Cardiac arrest, bradycardic, coded, resuscitated. CXR worsening pulmonary vascular congestion

    10. MRSA Surveillance in NHSN Case Study 10/5 CXR bil airspace opacities, worsening pulmonary vascular congestion. On CVVH, wbc?13.6, rales documented 10/6 T. 99.7, wbc?21.6, Diag: Pulm edema vs ARDS vs pneumonia, Cefepime started. Cardiac Cath = severe 3vessel disease, needs CABG 10/7 CXR continued hazy opacity right base, ?respiratory secretions mod.thick tan yellow, coarse bronchial breath sounds. Induced sputum: >25PMN, <25 epith., culture = few MRSA, rare NF. .

    11. MRSA Surveillance in NHSN Case Study

    12. MRSA Surveillance in NHSN Case Study

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