DEPARTMENT OF HEALTH

HEALTHCARE ASSOCIACIATED INFECTIONS:

INFECTION RATE:

INFECTION RATE

A. DEVICE RELATED INFECTIONS:

1. VENTILATOR ACQUIRED PNEUMONIA (VAP)

2. BLOOD STREAM INFECTION (BSI)

3. URINARY TRACT INFECTION (UTI)

B. NON-DEVICE RELATED INFECTIONS

SURGICAL SITE INFECTIONS (SSI)*

NUMBER OF DISCHARGES:

NUMBER OF HEALTHCARE ASSOCIATED INFECTIONS:

(SUM OF DEVICE RELATED INFECTIONS AND NON-DEVICE RELATED INFECITONS FOR THE GIVEN MONTH)
NUMBER OF DISCHARGES:
(SUM OF DISCHARGES PER MONTH)
NUMBER OF PATIENTS WITH VAP:

TOTAL NUMBER OF VENTILATOR DAYS:

(NUMBER OF PATIENTS ON VENTILATOR * DAYS ON VENTILATOR)
NUMBER OF PATIENTS WITH BSI:

TOTAL NUMBER OF PATIENTS WITH CENTRAL LINE (PERIPHERAL LINES NOT INCLUDED):
(NUMBER OF PATIENTS WITH CENTRAL LINE * DAYS WITH CENTRAL LINE)
NUMBER OF PATIENTS (WITH CATHETER) WITH UTI:

TOTAL NUMBER OF CATHERTER DAYS:

(NUMBER OF PATIENTS WITH INDWELLING CATHETER * DAYS WITH CATHERTER)
NUMBER OF SURGICAL SITE INFECTIONS (CLEAN CASES):

TOTAL NUMBER OF CLEAN PROCEDURES DONE:

An uninfected operative wound in which no inflammation is encountered and the respiratory, alimentary, genital, or

CAUTI
Manual, sampled once/week:

Superficial incisional SSI

Deep incisional SSI
Organ/Space SSI
 NUMBER OF HEALTHCARE ASSOCIATED INFECTIONS 1000
NUMBER OF DISCHARGES

NUMBER OF PATIENTS WITH VAP 1000 NA

TOTAL NUMBER OF VENTILATOR DAYS

NUMBER OF PATIENTS WITH BSI 1000 NA

TOTAL NUMBER OF CENTRAL LINE (PERIPHERAL LINES NOT INCLUDED)

NUMBER OF PATIENTS (WITH CATHETER) WITH UTI 1000

TOTAL NUMBER OF CATHERTER DAYS

NUMBER OF SURGICAL SITE INFECTIONS (CLEAN CASES) 100

TOTAL NUMBER OF CLEAN PROCEDURES DONE

*EXCLUDE RUPTURED AP

ED INFECITONS FOR THE GIVEN MONTH)

L LINES NOT INCLUDED):

ITH CATHERTER)

ountered and the respiratory, alimentary, genital, or uninfected urinary tracts are not entered. In addition, clean wounds are primarily clos

The number of patients in the location (patient-days) and the number of patients with an indwelling urinary catheter (urinary c
n wounds are primarily closed and, if necessary, drained with closed drainage. Operative incisional wounds that follow nonpenetrating (blu

g urinary catheter (urinary catheter-days) is collected on a designated day each week (e.g., every Tuesday), at the same time during the mo
that follow nonpenetrating (blunt) trauma should be included in this category if they meet the criteria

at the same time during the month.