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:__/__/_____