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:__/__/_____