CRBSI surveillance

A catheter-related bloodstream infection (CRBSI) surveillance programme requires active, patient-based, prospective surveillance of CVC-associated infections and their corresponding denominator data. Below are some examples of forms for CRBSI surveillance. The forms represent a template that can be used to guide healthcare facilities in the design of their own forms. Individual healthcare facilities may wish to include additional questions to the template form so that local needs can be met. It is strongly recommended that forms are designed using form-recognition software (e.g., Teleform, Formic) to ensure high quality data. If there are existing IT systems within the healthcare facility that could be employed for surveillance, these could also be used for CRBSI surveillance rather than scanning, where feasible.

Form 1 - Collection of Denominator data for CRBSI surveillance

File Size: (137kB)
Data collected on this form is a daily count of all CVCs in the area under surveillance. Data should be collected at a specified time each day. This count will provide the denominator value when determining the number of catheter related infections per line days. The hospital code on this form refers to the EARSS code as supplied by the HPSC. Healthcare facilities may wish to adapt this form to collect more detailed denominator data such as CVC types and site of insertion.

Form 2 - CRBSI Clinical and laboratory data

File Size: (261kB)
This form is completed if a CRBSI is suspected. Healthcare facilities may wish to collect additional information such as isolates associated with CRBSI.

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