|Data Element ID:||DE237|
|Version:||Hospital Version 1.1, Hospital Version 1.2|
|Data Element ISO Name:||Patient_Primary bloodstream infection-Central line associated,CD|
|Definition:||Determination if the HAI being reported is a primary bloodstream infection that is central line-associated.|
|Question:||Was it central line-associated (CLABSI)?|
|Form Name:||Healthcare-associated Infection|
|Setting:||Hospitals, including outpatient pharmacies and outpatient departments located within the hospital|
|Comments:||None defined at this time|
|Description of Change:||N/A|
|Go-To Logic:||Refer to Common Formats Flow Charts|
|Guide For Use:||
A catheter-associated bloodstream infection (CLABSI) is a primary bloodstream infection (BSI) in a patient that had a line within the 48-hour period before the development of the BSI and that is not related to an infection at another site.
NOTE: There is no minimum period of time that the central line must be in place in order for the BSI to be considered central line-associated.
A central line is an intravascular catheter that terminates at or close to the heart or in one of the great vessels which is used for infusion, withdrawal of blood, or hemodynamic monitoring. The following are considered great vessels for the purpose of reporting central-line BSIs and counting central-line days in the NHSN system:
Aorta, pulmonary artery, superior vena cava, inferior vena cava, brachiocephalic veins, internal jugular veins, subclavian veins, external iliac veins, and common femoral veins.
NOTE: An introducer is considered an intravascular catheter
NOTE: In neonates, the umbilical artery/vein is considered a great vessel.
NOTE: Neither the insertion site nor the type of device may be used to determine if a line qualifies as a central line. The device must terminate in one of these vessels or in or near the heart to qualify as a central line.
NOTE: Pacemaker wires and other nonlumened devices inserted into central blood vessels or the heart are not considered central lines, because fluids are not infused, pushed, nor withdrawn through such devices.
A device-associated infection is an infection in a patient with a device (e.g., ventilator, central line or indwelling urinary catheter) that was used within the 48-hour period before onset of infection. If the interval is longer than 48 hours, there must be compelling evidence that the infection was associated with device use.
NOTE: There is no minimum period of time that the device must be in place in order for the infection to be considered device-associated.
|HL7 Data Type:||Concept Descriptor (CD)|
|Answer Code||Answer ID||Answer Value||Code System||Code System Name|
|A15||a||Yes||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|A18||b||No||2.16.840.1.113883.3.263.1.12||AHRQ Common Formats|
|Until Date:||- -|
|Update Date:||- -|
|Source:||Agency for Healthcare Research and Quality|
|Submitting Organization:||Agency for Healthcare Research and Quality (AHRQ)|
|Date of Submission:||- -|
|Responsible Organization:||Agency for Healthcare Research and Quality (AHRQ)|
|Creator:||Amy Helwig, MD, MS|
|Data Steward:||Agency for Healthcare Research and Quality (AHRQ)|
CDC NHSN Manual
|Rationale for Change:||N/A|
|Administrative Status Date:||04/03/2012|