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Late sepsis or meningitis in neonates (risk-adjusted)

CBE ID
0303
1.4 Project
Perinatal and Reproductive Health Endorsement Maintenance
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Full Year 2012
Is Under Review
No
1.3 Measure Description

Standardized rate and standardized morbidity ratio for nosocomial bacterial infection after day 3 of life for very low birth weight infants, other infants who are admitted to a neonatal intensive care unit within 28 days of birth and other infants who die in a hospital within 28 days of birth.

    • 1.14 Numerator

      Eligible infants with one or more of the following criteria:
      Criterion 1: Bacterial Pathogen. A bacterial pathogen is recovered from a blood and/or cerebral spinal fluid culture obtained after Day 3 of life.
      OR
      Criterion 2: Coagulase Negative Staphylococcus. The infant has all 3 of the following:
      1. Coagulase negative staphylococcus is recovered from a blood culture
      obtained from either a central line, or peripheral blood sample and/or is
      recovered from cerebrospinal fluid obtained by lumbar puncture,
      ventricular tap or ventricular drain.
      2. One or more signs of generalized infection (such as apnea, temperature
      instability, feeding intolerance, worsening respiratory distress or
      hemodynamic instability).
      3. Teatment with 5 or more days of intravenous antibiotics after the above
      cultures were obtained. If the infant died, was discharged, or transferred
      prior to the completion of 5 days of intravenous antibiotics, this
      condition would still be met if the intention were to treat for 5 or more
      days.

    • 1.15 Denominator

      Eligible infants who are in the reporting hospital after day 3 of life.

    • Exclusions

      Exclude patients who do not meet eligibility criteria for birth weight, gestational age or NICU admission. Exclude infants who are discharged home, transferred or die prior to day 3 of life.

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Perinatal and Reproductive Health Endorsement Maintenance Project
      Initial Endorsement
      Last Updated
      Removal Date