Description

The Centers for Disease Control and Prevention (CDC) and National Healthcare Safety Network (NHSN) have developed surveillance definitions for health care-associated infection (HCAI) and specific types of infections in health care settings. An infection of the abdomen not otherwise specified elsewhere can be diagnosed if certain findings are present.


 

Criteria for the diagnosis of infection of the abdomen not specified elsewhere – one or more of the following:

(1) pathogens cultured from from tissue or purulent fluid from the abdomen

(2) abscess or other sign of infection seen at surgery on the abdomen

(3) abscess or other sign of infection seen on histopathologic examination of tissue or fluid from the abdomen

(4) all of the following:

(4a) two or more of the following:

(4a1) fever (> 38°C)

(4a2) nausea

(4a3) vomiting

(4a4) abdominal pain

(4a5) jaundice

(4b) one or more of the following

(4b1) organism(s) culture from drain

(4b2) organisms seen on Gram stain of material collected from the abdomen

(4b3) organisms culture from blood AND radiological evidence of an intra-abdominal infection

(4c) no other explanation for the findings

 

Exclusions:

(1) pancreatitis not caused by an infection

(2) an infection specified elsewhere (cholecystitis, hepatitis, etc)

 


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