Description

The Centers for Disease Control and Prevention (CDC) has listed criteria for a bacteremia or fungemia shock event. This is a subset of adult patients detected by the eSOFA who have positive blood cultures (excluding skin contaminants. Administration of a vasopressor indicates a shock event.


Criteria for a bacteremia/fungemia shock event, with all of the following:

(1) one or more blood specimens positive by culture or positive molecular methods

(2) isolation of a presumed pathogen (exclusion of contaminants)

(3) new vasopressor (norepinephrine, dopamine, epinephrine, phenylephrine, vasopressin) started within a time window from 2 days before to 2 days after the positive blood specimen

 

A new vasopressor:

(1) does not include one given in the operating room or during a procedure

(2) should not have been administered within the 24 hours prior to first dose

 

The onset is classified as community- or hospital-onset.

(1) community onset: while in the community or less than 48 hours after hospital admission

(2) hospital onset: more than 48 hours after hospital admission


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