Fillable Form 3: Revised McGeer Criteria for Infection Surveillance (University of Maryland, Baltimore)

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Form 3: Revised McGeer Criteria for Infection Surveillance (University of Maryland, Baltimore)

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Revised McGeer Criteria for Infection Surveillance Checklist [Facility Logo]
Patient Name: MRN: Location:
Date of Infection: Date of Review: Reviewed by:
UTI: □ evaluated □ criteria met RTI: □ evaluated □ criteria met SSTI: □ evaluated □ criteria met GITI: □ evaluated □ criteria met
Table 1. Constitutional Criteria for Infection
Fever
Leukocytosis
Acute Mental Status Change
Acute Functional Decline
Single oral temp >37.8 ⁰C (100 ⁰F),
OR
Repeated oral temp >37.2 ⁰C (99 ⁰F),
OR
Repeated rectal temp >37.5 ⁰C (99.5 ⁰F),
OR
Single temp >1.1 ⁰C (2 ⁰F) from baseline
from any site
>14,000 WBC / mm
3
,
OR
>6% band,
OR
≥1,500 bands / mm
3
Acute onset,
AND
Fluctuating course,
AND
Inattention,
AND
Either disorganized thinking, OR
altered level of consciousness
3-point increase in baseline ADL score
according to the following items:
1. Bed mobility
2. Transfer
3. Locomotion within LTCF
4. Dressing
5. Toilet use
6. Personal hygiene
7. Eating
[Each scored from 0 (independent) to
4 (total dependence)]
Table 2. Urinary Tract Infection (UTI) Surveillance Definitions
Syndrome
Criteria
Selected Comments*
UTI without
indwelling
catheter
Must fulfill both 1 AND 2.
□ 1. At least one of the following sign or symptom
□ Acute dysuria or pain, swelling, or tenderness of testes,
epididymis, or prostate
□ Fever or leukocytosis, and ≥ 1 of the following:
□ Acute costovertebral angle pain or tenderness
□ Suprapubic pain
□ Gross hematuria
□ New or marked increase in incontinence
□ New or marked increase in urgency
□ New or marked increase in frequency
□ If no fever or leukocytosis, then ≥ 2 of the following:
□ Suprapubic pain
□ Gross hematuria
□ New or marked increase in incontinence
□ New or marked increase in urgency
□ New or marked increase in frequency
□ 2. At least one of the following microbiologic criteria
□ ≥ 10
5
cfu/mL of no more than 2 species of organisms in a voided
urine sample
□ ≥ 10
2
cfu/mL of any organism(s) in a specimen collected by an
in-and-out catheter
The following 2 comments apply to both UTI with or without catheter:
• UTI can be diagnosed without localizing symptoms if a blood isolate is
the same as the organism isolated from urine and there is no
alternate site of infection
• In the absence of a clear alternate source of infection, fever or rigors
with a positive urine culture result in the non-catheterized resident or
acute confusion in the catheterized resident will often be treated as
UTI. However, evidence suggests that most of these episodes are
likely not due to infection of a urinary source.
• Urine specimens for culture should be processed as soon as possible,
preferably within 1-2 h
• If urine specimens cannot be processed within 30 min of collection,
they should be refrigerated and used for culture within 24 h
UTI with
indwelling
catheter
Must fulfill both 1 AND 2.
□ 1. At least one of the following sign or symptom
□ Fever, rigors, or new-onset hypotension, with no alternate site
of infection
□ Either acute change in mental status or acute functional decline,
with no alternate diagnosis and leukocytosis
□ New-onset suprapubic pain or costovertebral angle pain or
tenderness
□ Purulent discharge from around the catheter or acute pain,
swelling, or tenderness of the testes, epididymis, or prostate
□ 2. Urinary catheter specimen culture with ≥ 10
5
cfu/mL of any
organism(s)
• Recent catheter trauma, catheter obstruction, or new onset
hematuria are useful localizing signs that are consistent with UTI but
are not necessary for diagnosis
• Urinary catheter specimens for culture should be collected after
replacement of the catheter if it has been in place >14 d
□ UTI criteria met □ UTI criteria NOT met
* Refer to original article (Stone ND, et al. Infect Control Hosp Epidemiol 2012;33:965-77) for full comments
Revised McGeer Criteria for Infection Surveillance Checklist [Facility Logo]
Table 3. Respiratory Tract Infection (RTI) Surveillance Definitions
Syndrome
Criteria
Selected Comments*
Common cold
syndrome or
pharyngitis
Must fulfill at least 2 criteria.
□ Runny nose or sneezing
□ Stuffy nose or nasal congestion
□ Sore throat, hoarseness, or difficulty in swallowing
□ Dry cough
□ Swollen or tender glands in the neck (cervical lymphadenopathy)
• Fever may or may not be present
• Symptoms must be new and not attributable to allergies
Influenza-like
illness
Must fulfill both 1 AND 2.
□ 1. Fever
□ 2. At least three of the following criteria
□ Chills
□ New headache or eye pain
□ Myalgias or body aches
□ Malaise or loss of appetite
□ Sore throat
□ New or increased dry cough
• If both criteria for influenza-like illness and another upper or lower
RTI are met, only record diagnosis of influenza-like illness
Pneumonia
Must fulfill 1, 2, AND 3.
□ 1. Chest X-ray with pneumonia or a new infiltrate
□ 2. At least one of the following criteria
□ New or increased cough
□ New or increased sputum production
□ O
2
sat <94% on room air, or >3% decrease from baseline O
2
sat
□ New or changed lung exam abnormalities
□ Pleuritic chest pain
□ Respiratory rate ≥25 breaths/min
□ 3. At least one of the following criteria
□ Fever
□ Leukocytosis
□ Acute mental status change
□ Acute functional decline
• Conditions mimicking the presentation of RTI (e.g., congestive heart
failure or interstitial lung diseases) should be excluded
Bronchitis or
Tracheo-
bronchitis
Must fulfill 1, 2, AND 3.
□ 1. Chest X-ray not performed, or negative for pneumonia or
a new infiltrate
□ 2. At least two of the following criteria
□ New or increased cough
□ New or increased sputum production
□ O
2
sat <94% on room air, or >3% decrease from baseline O
2
sat
□ New or changed lung exam abnormalities
□ Pleuritic chest pain
□ Respiratory rate >25 breaths/min
□ 3. At least one of the following criteria
□ Fever
□ Leukocytosis
□ Acute mental status change
□ Acute functional decline
• Conditions mimicking the presentation of RTI (e.g., congestive heart
failure or interstitial lung diseases) should be excluded
□ RTI criteria met □ RTI criteria NOT met
* Refer to original article (Stone ND, et al. Infect Control Hosp Epidemiol 2012;33:965-77) for full comments
Revised McGeer Criteria for Infection Surveillance Checklist [Facility Logo]
Table 4. Skin and Soft Tissue Infection (SSTI) Surveillance Definitions
Syndrome
Criteria
Selected Comments*
Cellulitis, soft
tissue, or wound
infection
Must fulfill at least 1 criteria.
□ Pus at wound, skin, or soft tissue site
□ At least four of the following new or increasing sign or symptom
□ Heat (warmth) at affected site
□ Redness (erythema) at affected site
□ Swelling at affected site
□ Tenderness or pain at affected site
□ Serous drainage at the affected site
□ At least one of the following
□ Fever
□ Leukocytosis
□ Acute changed in mental status
□ Acute functional decline
• More than 1 resident with streptococcal skin infection from the same
serogroup (e.g., A, B, C, G) may indicate an outbreak
• Positive superficial wound swab culture is not sufficient evidence to
establish a wound infection
Scabies
Must fulfill both 1 AND 2.
□ 1. Maculopapular and/or itching rash
□ 2. At least one of the following criteria
□ Physician diagnosis
□ Lab confirmation (scraping or biopsy)
□ Epidemiologic linkage to a case of scabies with lab confirmation
• Must rule out rashes due to skin irritation, allergic reactions, eczema,
and other non-infectious skin conditions
• Epidemiologic linkage refers to geographic proximity, temporal
relationship to symptom onset, or evidence of common source of
exposure
Oral candidiasis
Must fulfill 1 AND 2.
□ 1. Presence of raised white patches on inflamed mucosa or
plaques on oral mucosa
□ 2. Medical or dental diagnosis
Fungal skin
infection
Must fulfill 1 AND 2.
□ 1. Characteristic rash or lesions
□ 2. Physician diagnosis or lab confirmation of fungal pathogen from
skin scraping or biopsy)
Herpes simplex
or Herpes zoster
infection
Must fulfill 1 AND 2.
□ 1. A vesicular rash
□ 2. Physician diagnosis or lab confirmation
• Reactivation of herpes simplex (cold sore) or herpes zoster (shingles)
is not considered a healthcare-associated infection
Conjunctivitis
Must fulfill at least 1 criteria.
□ Pus from one or both eyes for ≥ 24 h
□ New or increased conjunctival erythema +/- itching
□ New or increased conjunctival pain for ≥ 24 h
• Conjunctivitis symptoms (pink eye) should not be due to allergy or
trauma
□ SSTI criteria met □ SSTI criteria NOT met
* Refer to original article (Stone ND, et al. Infect Control Hosp Epidemiol 2012;33:965-77) for full comments
Revised McGeer Criteria for Infection Surveillance Checklist [Facility Logo]
Table 5. Gastrointestinal Tract Infection (GITI) Surveillance Definitions
Syndrome
Criteria
Selected Comments*
Gastroenteritis
Must fulfill at least 1 criteria.
□ Diarrhea: ≥ 3 liquid or watery stools above what is normal for the
resident within 24 h
□ Vomiting: ≥ 2 episodes in 24 h
□ Both of the following sign or symptom
□ Stool specimen positive for a pathogen (e.g., Salmonella,
Shigella,
E coli O157:H7, Campylobacter species, rotavirus)
□ At least one of the following criteria
□ Nausea
□ Vomiting
□ Abdominal pain or tenderness
□ Diarrhea
• Exclude non-infectious causes of symptoms such as new medications
causing diarrhea, nausea, or vomiting or diarrhea resulting from
initiation of new enteral feeding
• Presence of new GI symptoms in a single resident may prompt
enhanced surveillance for additional cases
• In the presence of an outbreak, stool specimens should be sent to
confirm the presence of norovirus or other pathogens (e.g., rotavirus,
E coli O157:H7)
Norovirus
gastroenteritis
Must fulfill both 1 AND 2.
□ 1. At least one of the following criteria
□ Diarrhea: ≥ 3 liquid or watery stools above what is normal for the
resident within 24 h
□ Vomiting: ≥ 2 episodes in 24 h
□ 2. A stool specimen positive for norovirus detected by electron
microscopy, enzyme immunoassay, or molecular diagnostic testing
• In the absence of lab confirmation, a norovirus gastroenteritis
outbreak (≥ 2 cases in a LTCF) may be assumed if all of the Kaplan
Criteria are present
o Vomiting in >50% of affected persons
o A mean or median incubation period of 24-48 h
o A mean or median duration of illness of 12-60 h, and
o No bacterial pathogen is identified in stool culture
Clostridium
difficile infection
Must fulfill 1 AND 2.
□ 1. At least one of the following criteria
□ Diarrhea: ≥ 3 liquid or watery stools above what is normal for the
resident within 24 h
□ Presence of toxic megacolon (radiologic finding of abnormal large
bowel dilatation)
□ 2. At least one of the following diagnostic criteria
□ Stool sample positive for C difficile toxin A or B, or detection of
toxin-producing C difficile by culture or PCR in stool sample
□ Pseudomembranous colitis identified in endoscopic exam,
surgery, or histopathologic exam of biopsy specimen
• Individual previously infected with C difficile may continue to be
colonized even after symptoms resolve
• In the setting of an outbreak of GI infection, individuals could be C
difficile toxin positive because of ongoing colonization and also be
co-infected with another pathogen. Other surveill
ance criteria should
be used to differentiate between infections in this scenario
□ GITI criteria met □ GITI criteria NOT met
* Refer to original article (Stone ND, et al. Infect Control Hosp Epidemiol 2012;33:965-77) for full comments
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