Anexe metodologie supraveghere infectii nosocomiale in sistem sentinela.pdf

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Anexa 1. Tabel cu codurile microorganismelor Microorganism Coci Gram-positivi Staphylococcus aureus Coagulase-negative staphylococci (CNS) Enterococcus spp. Cod STAAUR STAEPI, STAHAE, STAOTH Cod (lista minimala) STAAUR STACNS ENCSPP STRSPP GPCOTH GNCOTH GPBTOT ESCCOL KLESPP ENBSPP PRTSPP CITSPP SERSPP ETBTOT

ENCFAE, ENCFAI, ENCOTH, ENCNSP Streptococcus spp. STRPNE, STRAGA, STRPYO, STRHCG, STROTH, STRNSP Alti coci Gram-positivi STANSP, GPCOTH Gram-negative cocci MORCAT, MOROTH, MORNSP, NEIMEN, NEIOTH, NEINSP, GNCOTH Bacili Gram-positivi CORSPP, BACSPP, LACSPP, LISMON, GPBOTH Bacili Gram-negativi, enterobacteriaceae Escherichia coli ESCCOL Klebsiella spp. KLEPNE, KLEOXY, KLEOTH, KLENSP Enterobacter spp. ENBCLO, ENBAER, ENBAGG, ENBSAK, ENBGER, ENBOTH, ENBNSP Proteus spp PRTMIR, PRTVUL, PRTOTH, PRTNSP Citrobacter spp. CITFRE, CITDIV, CITOTH, CITNSP Serratia spp/ SERMAR, SERLIQ, SEOTH, SERNSP Alte enterobacteriaceae HAFSPP, MOGSPP, PRVSPP, SALENT, SALTYP, SALTYM, SALOTH, SHISPP, YERSPP, ETBOTH, ETBNSP Bacili Gram-negativi, non-enterobact. Pseudomonas aeruginosa PSEAER Acinetobacter spp. ACIBAU, ACICAL, ACIHAE, ACILWO, ACIOTH, ACINSP Stenotrophomonas STEMAL maltophilia Other pseudomonaceae BURCEP, PSEOTH, PSENSP Haemophilus spp. HAEINF, HAEPAI, HAEOTH, HAENSP Alti bacili Gram-negativi LEGSPP, ACHSPP, AEMSPP, AGRSPP, ALCSPP, CAMSPP, FLASPP, GARSPP, HELPYL, PASSPP, GNBOTH Bacili Anaerobi Bacteroides spp. BATFRA, BATOTH Alti anaerobi CLODIF, CLOOTH, PROSPP, PRESPP, ANAOTH Alte bacterii MYCATY, MYCTUB, CHLSPP, MYPSPP, ACTSPP, NOCSPP,

PSEAER ACISPP STEMAL PSETOT HAESPP LEGSPP, GNBTOT

BATSPP ANATOT BCTTOT

BCTOTH Fungi/paraziti Candida spp. Aspergillus spp. Alte fungi/parazites CANALB, CANGLA, CANTRO, CANPAR, PANOTH, CANNSP ASPFUM, ASPNIG, ASPOTH, ASPNSP YEAOTH, FILOTH, PAROTH CANSPP ASPSPP 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 COLO Descriere 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 Colecistectomie Indepartarea vezicii biliare inclusiv procedura laparoscopica Artroplasia articulatiei soldului Artropatia articulatiei genunchiului Laminectomie Explorarea sau decompresia maduvei prin excizia sau inciziastructurilor vertebrale Operatie cesariana bypass coronarian nespecificat 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 Bypass cu grefa coronariana numai cu incizie toracica Procedura toracica de vascularizare directa a cordului utilizand de ex.artera mamara interna ICD-9 CM cod 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;45.6145.63;45.7-45.95;46.0;46.03,46.04; 46.1-46.14;46.2046.24;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;48.548.59; 48.6-48.69;48.74 51.0;51.04;51.13;51.2-51.24 00.70-00.73;81.51-81.53 00.80-00.84;81.54-81.55 03.003.09;80.50;80.51;80.53;80.54; 80.59;84.6-84.69;84.80-84.85 74.0-74.2;74.4;74.9-74.99 36.1-36.19 36.10-36.14;36.19

CHOL HPRO KPRO LAM

CSEC CABG CBGB

CBGC

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

Testerea susceptibiliatea la antibiotice:

NR.CRT.

ANTIBIOTIC

TESTAT DA/NU

SIR

VALOAREA ZONEI MIC

Testarea ESBL

Rezultat carbapenemase

Semnatura si parafa medicului

Data:__/__/_____