Rule category | Most common algorithm rules | Studies in which the algorithm rule is used |
---|---|---|
Hospital acquisition | Blood culture collected > 48 h after hospital admission | Woeltje et al. [22], Woeltje et al. [25], Hota et al. [24], Snyders et al. [26], Bouam et al. [20] |
Blood culture collected ≥ 3 days after hospital admission | ||
Infection | ≥ 1 blood culture with non-CSC organism(s) | Lin et al. [27], Trick et al. [21], Woeltje et al. [25], Woeltje et al. [22], Hota et al. [24], Bellini et al. [19], Bouam et al. [20] |
≥ 1 blood culture with CSC organisms and appropriate antimicrobial therapy | Trick et al. [21], Hota et al. [24], Woeltje et al. [22], Bouam et al. [20] | |
≥ 2 blood cultures with CSC organisms (same species) | Lin et al. [27], Trick et al. [21], Hota et al. [24], Woeltje et al. [25], Woeltje et al. [22], Snyders et al. [26], Bouam et al. [20] | |
≥ 1 of the following signs or symptoms: fever (> 38.0 °C), chills, or hypotension | Woeltje et al. [22], Woeltje et al. [25], Snyders et al. [26], Bouam et al. [20], Kaiser et al. [23] | |
Duplication | Blood cultures yield the same organism within 7 h are considered as duplicates | Bellini et al. [19] |
Keep only first unique isolate scored as an infection within a 30-day period | ||
Any other positive blood culture within 7 days of the CLABSI culture | ||
Any positive culture with the same organism as the first positive CLABSI culture within the 14 days of the initial culture | ||
Any positive culture with the same organism as the CLABSI culture within 7 days of the initial culture | Woeltje et al. [22] | |
Secondary BSI | Positive culture of the same organism identified in blood from another body site | |
Identical organisms seen in both a non-blood specimen and a blood culture, where the non-blood specimen was collected − 21 days and + 7 days after the blood culture | Snyders et al. [26] | |
Organism recovered from blood, also recovered from a non-blood culture: 3–7 days after the blood culture or during the entire length of stay | Trick et al. [21] | |
Identical CSC species that are isolated from wound culture during day − 3 to + 7 of positive blood isolate or entire admission | ||
Identical Non-CSC species that are isolated from any non-blood culture during day − 3 to + 7 of positive blood isolate or entire admission | ||
Catheter associated/related | Central line present ≤ 48 h before collection of culture samples | |
Central venous catheter in situ at the time of positive blood culture or discontinued within 48 h before positive blood culture | ||
Same organism cultured from a catheter tip at the time of positive culture ± 72 h interval | Bellini et al. [19] | |
Patient with a positive quantitative tip culture growing at least 103 CFU/mL | Bouam et al. [20] |