SYMPTOMATIC UTI-CULTURE PLUS SIGN/SYMPTOM (40)    PERIOPERATIVE OCCURRENCE CATEGORY (136.5)

Name Value
OCCURRENCE CATEGORY SYMPTOMATIC UTI-CULTURE PLUS SIGN/SYMPTOM
DESCRIPTION
Definition Revised (2015):
 
b. UTI Signs/Symptoms: Fever
   Yes = Patient has a fever > 38C at the time of culture or onset 
         of symptoms
   No = Patient does not have a fever > 38C at the time of culture 
        or onset of signs or symptoms
 
c. UTI Signs/Symptoms: Tenderness
   Yes = Patient has suprapubic tenderness, costovertebral angle 
         pain or tenderness with no other recognized cause
SYMPTOMATIC UTI -  CULTURE plus SIGN/SYMPTOM within 1 calendar day of 
   No = Patient does not have suprapubic tenderness, costovertebral 
        angle pain or tenderness
 
d. UTI Culture: (must choose 1 or 2)
   1. Patient has a positive urine culture that is > 10^5 colony-
      forming units (CFU)/ml with no more than 2 species of 
      microorganisms
 
   2. A positive urine culture of >=10^3 and <10^5 colony-forming 
      units (CFU)/ml with no more than 2 species of microorganisms 
each other:
      plus one of the following three items: a) positive dipstick for
      leukocyte esterase and/or nitrate; b) Pyuria (urine specimen 
      with > 10 white blood cell [WBC]/mm3 of unspun urine or > 3 
      WBC high-power field of spun urine) or c) microorganisms seen 
      of Gram's stain of unspun urine
 
INDWELLING URETHRAL CATHETER
At the time of specimen collection for suspected urinary tract infection 
during the post-operative 30 day period, answer the following about 
indwelling urethral catheter:
 
 
I) IN PLACE > 2 calendar days on the day of UTI Signs/Symptoms and UTI 
Culture sample.
 
R) RECENTLY REMOVED, had been in place > 2 calendar days but removed the 
day of or the day before UTI Signs/Symptoms and UTI Culture sample.
 
S) SHORT DURATION, present at the time of UTI Signs/Symptoms and UTI 
Culture sample but had not been present  > 2 calendar days.
 
a. UTI Signs/Symptoms: Urg/Freq/Dys
D) DISTANT REMOVAL, placed in the perioperative period and present >2 
calendar days, but removed >2 calendar days prior to UTI Signs/Symptoms 
and UTI Culture sample.
 
N) NO CATHETER, did not have an indwelling urethral catheter > 2 calendar 
days
   Yes = Patient has urgency, frequency, or dysuria with no other
         recognized cause
   No = Patient does not complain of urgency, frequency or dysuria OR
        has a catheter in place