Patient selection: long-term care facility
Categories:
(1) primary bloodstream infection
(2) unexplained febrile episode
Criteria for primary bloodstream infection - one of the following:
(1) >= 2 blood cultures positive for the same organism
(2) all of the following:
(2a) 1 blood culture positive for an organism not thought to be a contaminant
(2b) symptomatic (drop in systolic blood pressure > 30 mm from baseline; body temperature >= 38°C; new hypothermia (< 34.5°C); worsening mental or functional status.
If the patient has a known site of infection (pneumonia, urinary tract, etc) then a bloodstream infection is considered secondary and the infection is designed based on the known site.
Criteria for unexplained febrile episode - both of the following:
(1) documented body temperature >= 38°C >= 2 times >= 12 hours apart over a 3 day period
(2) exclusion of infectious and noninfectious causes (no explanation)
