Anexe metodologie supraveghere infectii nosocomiale in sistem ...

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  • Anexa 1. Tabel cu codurile microorganismelor

    Microorganism Cod Cod (lista minimala)

    Coci Gram-positivi

    Staphylococcus aureus STAAUR STAAUR

    Coagulase-negative

    staphylococci (CNS)

    STAEPI, STAHAE, STAOTH STACNS

    Enterococcus spp. ENCFAE, ENCFAI, ENCOTH,

    ENCNSP

    ENCSPP

    Streptococcus spp. STRPNE, STRAGA, STRPYO,

    STRHCG, STROTH, STRNSP

    STRSPP

    Alti coci Gram-positivi STANSP, GPCOTH GPCOTH

    Gram-negative cocci MORCAT, MOROTH,

    MORNSP, NEIMEN, NEIOTH,

    NEINSP, GNCOTH

    GNCOTH

    Bacili Gram-positivi CORSPP, BACSPP, LACSPP,

    LISMON, GPBOTH

    GPBTOT

    Bacili Gram-negativi, enterobacteriaceae

    Escherichia coli ESCCOL ESCCOL

    Klebsiella spp. KLEPNE, KLEOXY, KLEOTH,

    KLENSP

    KLESPP

    Enterobacter spp. ENBCLO, ENBAER, ENBAGG,

    ENBSAK, ENBGER, ENBOTH,

    ENBNSP

    ENBSPP

    Proteus spp PRTMIR, PRTVUL, PRTOTH,

    PRTNSP

    PRTSPP

    Citrobacter spp. CITFRE, CITDIV, CITOTH,

    CITNSP

    CITSPP

    Serratia spp/ SERMAR, SERLIQ, SEOTH,

    SERNSP

    SERSPP

    Alte enterobacteriaceae HAFSPP, MOGSPP, PRVSPP,

    SALENT, SALTYP, SALTYM,

    SALOTH, SHISPP, YERSPP,

    ETBOTH, ETBNSP

    ETBTOT

    Bacili Gram-negativi, non-enterobact.

    Pseudomonas aeruginosa PSEAER PSEAER

    Acinetobacter spp. ACIBAU, ACICAL, ACIHAE,

    ACILWO, ACIOTH, ACINSP

    ACISPP

    Stenotrophomonas

    maltophilia

    STEMAL STEMAL

    Other pseudomonaceae BURCEP, PSEOTH, PSENSP PSETOT

    Haemophilus spp. HAEINF, HAEPAI, HAEOTH,

    HAENSP

    HAESPP

    Alti bacili Gram-negativi LEGSPP, ACHSPP, AEMSPP,

    AGRSPP, ALCSPP, CAMSPP,

    FLASPP, GARSPP, HELPYL,

    PASSPP, GNBOTH

    LEGSPP, GNBTOT

    Bacili Anaerobi

    Bacteroides spp. BATFRA, BATOTH BATSPP

    Alti anaerobi CLODIF, CLOOTH, PROSPP,

    PRESPP, ANAOTH

    ANATOT

    Alte bacterii MYCATY, MYCTUB, CHLSPP,

    MYPSPP, ACTSPP, NOCSPP,

    BCTTOT

  • BCTOTH

    Fungi/paraziti

    Candida spp. CANALB, CANGLA, CANTRO,

    CANPAR, PANOTH, CANNSP

    CANSPP

    Aspergillus spp. ASPFUM, ASPNIG, ASPOTH,

    ASPNSP

    ASPSPP

    Alte fungi/parazites YEAOTH, FILOTH, PAROTH PARTOT

  • Anexa 2 Lista antibioticelor utilizate pentru testarea sensibilitatii ( abrevieri)

    C1G = Cephalosporins, first generation (cefalotin/cefazolin)

    C2G = Cephalosporins, second generation (cefuroxim/cefamandole/cefoxitin)

    C3G = Cephalosporins, third generation (cefotaxime/ceftriaxone)

    C4G = Cephalosporins, fourth generation (cefepime/cefpirome)

    CAR = Carbapenems (imipenem, meropenem, doripenem)

    ESBL = ESBL (Extended beta - lactamase producer)

    GLY = Glycopeptides (vancomycin/teicoplanin)

    AMB = Amphotericin B

    AMC = Amoxicillin/Clavulanic Acid

    AMK = Amikacin

    AMP = Ampicillin

    AMX = Amoxicillin

    AZM = Azithromycin

    CAS = Caspofungin

    CAZ = Ceftazidime

    CIP = Ciprofloxacin

    CLI = Clindamycin

    CLO = Cloxacillin

    CLR = Clarithromycin

    COL = Colistin

    CRO = Ceftriaxone

    CTX = Cefotaxime

    DIC = Dicloxacillin

    ERY = Erythromycin

    FCT = Flucytosine (5 - fluorocytosine)

    FLC = Flucloxacillin

  • FLU = Fluconazole

    FOS = Fosfomycin

    FOX = Cefoxitin

    FUS = Fusidic acid

    GEH = Gentamicin-High

    GEN = Gentamicin

    IPM = Imipenem

    ITR = Itraconazole

    KET = Ketoconazole

    LNZ = Linezolid

    LVX = Levofloxacin

    MEM = Meropenem

    MET = Methicillin

    MFX = Moxifloxacin

    NAL = Nalidic acid

    NET = Netilmicin

    NOR = Norfloxacin

    OFX = Ofloxacin

    OXA = Oxacillin

    PEN = Penicillin

    PIP = Piperacillin

    PIT = Piperacillin or ticarcillin

    QDA = Quinupristin/Dalfopristin

    RIF = Rifampin SUL = Sulbactam SXT = Trimethoprim/Sulfamethoxazole (cotrimoxazole)

  • Anexa 3. Anexa 3.Tabel codul interventiilor chirurgicale selectate pentru

    supravegherea in sistem sentinela:

    Tipul

    operatiei

    Descriere ICD-9 CM cod

    COLO Chirurgia colon

    Incizie,rezectie sau anastomoza o

    intestinului gros; include si

    anastomozele (mici si mari) colonului

    Excizia laparoscopica a intestinului

    gros

    Enteromie

    Anastomoze intestinale

    Rezectia abdomino-peritoneala a

    rectului

    Rectosigmiodectomie transsacrala

    17.3-17.39

    45.00-45.03;45.15;45.26;45.31-34;

    45.4;45.41;45.49;45.5-45.52;45.61-

    45.63;45.7-45.95;46.0;46.03,46.04;

    46.1-46.14;46.20-

    46.24;46.31;46.39

    46.4;46.41;46.43;45.5;46.51;46.52;

    46.7-46.76;46.9-46.94;48.25;48.35;

    48.40;48.42;48.43;48.49;48.5-

    48.59;

    48.6-48.69;48.74

    CHOL Colecistectomie

    Indepartarea vezicii biliare inclusiv

    procedura laparoscopica

    51.0;51.04;51.13;51.2-51.24

    HPRO Artroplasia articulatiei soldului 00.70-00.73;81.51-81.53

    KPRO Artropatia articulatiei genunchiului 00.80-00.84;81.54-81.55

    LAM Laminectomie

    Explorarea sau decompresia maduvei

    prin excizia sau inciziastructurilor

    vertebrale

    03.0-

    03.09;80.50;80.51;80.53;80.54;

    80.59;84.6-84.69;84.80-84.85

    CSEC Operatie cesariana 74.0-74.2;74.4;74.9-74.99

    CABG bypass coronarian nespecificat 36.1-36.19

    CBGB Bypass coronarian cu grefa si cu

    dubla incizie a donatorului (totacica si

    locala)

    Procedura toracica de revascularizare

    directa a cordului ;include si

    obtinerea unei vene potrivite pentru

    grefa din situsul donator

    36.10-36.14;36.19

    CBGC Bypass cu grefa coronariana numai

    cu incizie toracica

    Procedura toracica de vascularizare

    directa a cordului utilizand de

    ex.artera mamara interna

    36.15-36.17;36.2

  • Anexa 4.

    BULETIN DE INSOTIRE PROBE,infectii nosocomiale depistate in sistem sentinela

    DSP..Unitatea sanitara ( cod). Sectia........... Nr.proba.........

    Data sosirii in IC- Lab referinta Noso

    Nume......................Prenume............ Varsta....... / data nasterii...........sex M/F

    Data colectarii probei:../...../...................... Recoltat din..............

    Diagnosticul clinic: .......

    Data internarii:/./

    Patogen:................. Data recoltarii.../..../....... Data testarii susceptibilitatii la

    AB:../.../......

    Testerea susceptibiliatea la antibiotice:

    NR.CRT. ANTIBIOTIC TESTAT

    DA/NU

    SIR VALOAREA ZONEI

    MIC

    Testarea ESBL

    Rezultat carbapenemase

    Semnatura si parafa medicului

    Data:__/__/_____