Skip to main content

Late sepsis or meningitis in neonates (risk-adjusted)

CBE ID
0303
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
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
        • Steward
          Vermont Oxford Network
          Steward Organization POC Email
          Steward Organization Copyright

          Copyright © 2011 Vermont Oxford Network, Inc.