Professional Documents
Culture Documents
SL.NO SCENARIO
I RADIOLOGIC EXAMINATION
a) New or progressive and persistent infiltrate
b) Consolidation
c) Cavitation
d) Pneumatoceles , in ≤ 1 year
II A OTHER SYMPTOMS (FOR INFANTS)
b) Temperature Instability
c) Leukopenia ( < 4, 000 ) or Leucocytosis ( ≥ 15 ,000 )
New onset of purulent sputum or change in the character of the sputum or Increased
d) respiratory secretions
g) Cough
COMMENTS :
-Patient should have atleast one symptom in the category I and three symptoms in the
category II A or II B
-In patients without underlying pulmonary or cardiac disease, one definitive chest x-ray is acceptable
-Confirm VAP with the Treating Consultant and Intensivist
Signature of the Doctor :
_______________________ _______________
Infection Control Officer Head, HPCC
______________________ _______________
Head, HICC
INCLUSION CRITERIA - CAUTI
Patient name : Age/ Sex: Reg.No
Bed/ Ward No : Date of culture sent: consultant:
Date & time of catheter insertion : Date & time of catheter removal:
Diagnosis :
I If patient had indwelling catheter at the time of specimen collection
Signs and Symptoms Yes No
a) Temperature > 38˚ C/ 100.4 F
b) Suprapubic tenderness
c) Costovertebral angle pain /tenderness
Urine Analysis Positive Negative
a) Dipstick for leukocyte esterase / nitrite
b) Pyuria
c) Gram`s stain of unspun urine
Culture Evaluation :
a) Urine culture : cfu/ml
b) Organism isolated : Resistance if any :
c) Sensitive To :
d) Treated with :
II If urine sample collected 48 hrs after catheter removal
Signs and Symptoms Yes No
a) Temperature > 38˚ C/ 100.4 F
b) Suprapubic tenderness
c) Costovertebral angle pain /tenderness
d) Urgency
e) Frequency
f) Dysuria
Urine Analysis Positive Negative
a) Dipstick for leukocyte esterase / nitrite
b) Pyuria
c) Gram`s stain of unspun urine
Culture Evaluation :
a) Urine culture : cfu/ml
b) Organism isolated : Resistance if any :
c) Sensitive To :
III If patient is < 1 year of age with indwelling catheter
Signs and Symptoms Yes No
a) Temperature > 38˚ C (core)
b) Hypothermia < 36˚ C (core)
c) Apnea
d) Bradycardia
e) Dysuria
f) Lethargy
g) Vomiting
Urine Analysis Positive Negative
a) Dipstick for leukocyte esterase / nitrite
b) Pyuria
c) Gram`s stain of unspun urine
Culture Evaluation :
a) Urine culture : cfu/ml
b) Organism isolated : Resistance if any :
c) Sensitive To :
Analysis :
Primary Consultant :
Infection Control Officer : Head -HIPC :