Page 213 - policy and procedure infection control

Policies and Procedures on Infection Control
Appendix A

b. Common skin contaminant (e.g., diphtheroids, Bacillus sp., Propionibacterium sp.,
coagulase-nagetive staphylococci, or micrococci) is cultured from at least one blood
culture from a peripheral specimen of a patient with an intravascular line, and physician
institutes appropriate antimicrobial therapy and signs and symptoms and positive
laboratory results are not related to an infection at another site.

INFECTION SITE: Clinical sepsis
CODE: CSEP
DEFINITION: Clinical sepsis must meet at least one of the following criteria:

Criterion 1:
Patient has at least one of the following clinical signs or symptoms with no other recognized cause:
fever, hypotension (systolic pressure <90mm), or oliguria (<20 cm /hr) and blood culture not done or
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no organisms detected in blood and no apparent infection at another site and physician institutes
treatment for sepsis.

Criterion 2:
Patient < or = 1 year of age has at least one of the following clinical signs or symptoms with no other
recognized cause: fever (>38°C), hypothermia (<37°C) apnea or bradycardia and blood culture not
done or no organisms detected in blood and no apparent infection at another site and physician
institutes treatment for sepsis

INFECTION SITE: Others
CODE: OTHERS (Describe the best you can the nature of the infection. Consult the doctor or
microbiologist if in doubt)

202 Ministry of Health Malaysia