Volume 7, Number 2—April 2001
4th Decennial International Conference on Nosocomial and Healthcare-Associated Infections
Prevention is Primary
Infection Control in Home Care
|Site of infection||Clinical data||Laboratory data|
|Catheter-related UTIb||Change in characteristics of urine||Elevated serum leukocytes|
|Fever||Evidence of UTI in urinalysis|
|Pain||Evidence of leukocytes in urine dipstick test|
|Positive urine culture (>105 CFU of a single organism per mL urine)|
|Postoperative pneumonia||Change in character of sputum||Elevated serum leukocytes|
|Decreased breath sounds||Sputum Gram-stained smear with|
|Increase in rales and rhonchi||evidence of respiratory infection|
|Fever||Positive sputum culture|
|Shortness of breath||Positive chest X ray|
|Catheter-related bloodstream infection||Fever with chills and rigors||Elevated serum leukocytes|
|Redness, tenderness, or pain at insertion site||Positive blood culture|
|Purulent drainage at site||Positive catheter culture (after catheter removal)|
|Skin and soft tissue infection||Pain, swelling, tenderness at site||Gram-stain smear with leukocytes and organisms|
|Inflammation and warmth||Positive culture|
|Purulent drainage||Elevated serum leukocytes|
|Endometritis in postpartum patients||Uterine tenderness and abdominal pain||Positive Gram-stain smear of lochia|
|Purulent vaginal drainage (lochia)||Positive culture of lochia|
|Foul-smelling lochia||Remarkably elevated serum leukocytes|
aSource: Rhinehart E, Friedman M. Infection control in home care. Gaithersburg (MD): Aspen Publishing, Inc.;1999 (22). bUTI = urinary tract infection.
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