Name | Value |
---|---|
OCCURRENCE CATEGORY | PNEUMONIA |
DESCRIPTION | Definition Revised (2007): Rales or dullness to percussion on physical examination of chest AND any of the following: a. New onset of purulent sputum or change in character of sputum b. Organism isolate from blood culture c. Isolation of pathogen from specimen obtained by transtracheal aspirate, bronchial brushing, or biopsy OR Criterion 2. Inflammation of the lungs caused primarily by bacteria, viruses, and/or Chest radiographic examination shows new or progressive infiltrate, consolidation, cavitation, or pleural effusion AND any of the following: a. New onset of purulent sputum or change in character of sputum b. Organism isolated from blood culture c. Isolation of pathogen from specimen obtained by transtracheal aspirate, bronchial brushing, or biopsy d. Isolation of virus or detection of viral antigen in respiratory secretions e. Diagnostic single antibody titer (IgM) or fourfold increase in chemical irritants, usually manifested by chills, fever, pain in the paired serum samples (IgG) for pathogen f. Histopathologic evidence of pneumonia *If pneumonia was present preoperatively and resolved postoperatively and a new pneumonia is identified within 30 days after surgery, the following criteria must be met in order to report as a postoperative pneumonia occurrence: - Patient must have completed the antibiotic course for the previous pneumonia. - Patient must have evidence of a clear chest x-ray after the chest, cough, purulent, bloody sputum. Report as an occurrence if the previous pneumonia and prior to the new pneumonia. - There must be evidence of a new isolate of micro-organism on culture. patient has pneumonia meeting the definition of pneumonia below AND pneumonia not present preoperatively. Pneumonia must meet one of the following TWO criteria: Criterion 1. |