Kathy Pierce BSN, CIC I-APIC September 9/27/2019 UTI Surveillance Kathy Pierce BSN, CIC I-APIC September 9/27/2019 Took information from NHSN 2019 training Wanted to do both Acute and Long term care, but it is a lot of information and not sure I can get to all of it in time allotted. High overview

UTI Prevention Begins With Surveillance Current users should already know the changes that came out for 2019.

Infection Window Period

Hosp day Infection window period RIT 1   2 3 4 urine culture 10x5 E. coli 5 fever > 38.0 6 7 8 9 urine culture no growth 10 11 12 urine culture 10x5 S. aureus 13 14 15 16 17 18 19 SUTI-HAI DOE = 4 E. coli, S. Aureus

Infection window period   Hosp day Infection window period date of event RIT -1 (POA) -2 (POA) 5/5/2017 1 (POA) frequency 1 5/6/2017 2 (POA) 2 5/7/2017 3 5/8/2017 4 urine culture 10x5 5/9/2017 5 fever > 38.0 (39.7) FC inserted 5/10/2017 6 5/11/2017 7 5/12/2017 8 5/13/2017 9 fever > 38.0 urine culture 10x5 E. coli Blood culture E. coli FC dc'd 5/14/2017 10 ED to 3E DTV? 5/15/2017 11 5/16/2017 12 5/17/2017 13 5/18/2017 14

Urine Culture Clarification

Urine Culture Clarification

Urine Culture Clarification

CAUTI Indwelling Urinary Catheter (IUC)

Epidemiology & Prevention of UTI NHSN 2018 Training Theresa Rowe, DO, MS July 17, 2018 also presented in 2019 at LTC NHSN training

NHSN vs McGeer