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Q#X Q"P Q(p@ @ Q*p@ @  Q"p Q(p@  P"@ @ Q"  Q H,  Q"X, Q @, Q `@ @ , Q#0@ @ Q&p@@ Q&p @ a a  `  a  a @&  a H  a"X a @ a `@ @  ` @ @ a(p@ @  `#@ @ a"P)  a H,  a"X, a @, a `@ @ , a#0@ @ q q  p  q  q @&  q H  q"X q @ q(p@ @  p#@ @ q"P)  q @@ .  q  @ . q `@ @   q H,  q"X, q @, q `@ @ , q#0@ @ q#p@ @ , q&p@@ q&p @ 0     8   @& #P&   H  "X  @ "P  h@ @  #@ @  ` "P) p@ @   `@ @  #P   H,  "X,  @,  `@ @ , #0@ @ "P #P, #         @&   H  "X  @  `@ @   @ @  d@ @  (p@ @  #@ @ #@ @ "P)   H,  "X,  @,  `@ @ , #0@ @ .p@, .P, (p@ @ ,         @&   H  "X  @ (p@ @  #@ @ "P)  &x@@ . &p@ . &p @ .  @)  `@ @ "p@ @   `@  "@ @ "   H,  "X,  @,  `@ @ , #0@ @ .P, (p@ @ , #4@ @  #       @&   H  "X  @  `@ @   @ @ (p@ @  #@ @  #    .x@@ . .p@ .  .x @ . "P  (x@ @ *x@ @  *p@ @  "P) (p@  "@ @ #@ @ #@ @   H,  "X,  @,  `@ @ , #0@ @ #4@ @  d@ @ (p@ @ , *P, *t@ @ (P,  @ "P         @&   H  "X  @  `@ @   @ @  d@ @  "P (p@ @  #@ @ "P)   h@@ . # @ .  `  .x@@ . & @ .   H,  "X,  @,  `@ @ , #0@ @ (p@ @ ,         @&   H  "X  @ (p@ @  #@ @  `@ @    H,  "X,  @,  `@ @ , #0@ @  `, #0@ @ &p, &p@ @ &p @  #       @&   H  "X  @ (p@ @  #@ @ "P)  )x@@ .  )x @ . (p@  #@ @ #@  #     H,  "X,  @,  `@ @ , #0@ @ .p@, .P, (p@ @ ,         @&   H  "X  @ (p@ @  #@ @  `@ @    @@ . # @ . "P)   h@@ .  # @ .  .x@@ .  . @ .   H,  "X,  @,  `@ @ , #0@ @ .p,  `, (p@ @ ,         @&   H  "X  @  `@ @   @ @ "P) (p@ @  #@ @  p@ @  p@ @  +p@ @ P P  @ #P   H,  "X,  @,  `@ @ , #0@ @ (p@ @ , #P& 0     8  @&   H  "X  @  `@ @   @ @  d@ @  "P #@ @ "P) p@ @  (p@ @  #P   H,  "X,  @, #P,  `@ @ , #0@ @ (p@ @ , .p, p, # ! !    ! ! @&  ! H  !"X ! @ ! `@ @    @ @ ! d@ @  !#P !"P) !p@ @   #@ @  ! H,  !"X, ! @, !#P, ! `@ @ , !#0@ @ !(p@ @ , !# 1 1  0  1  1 @&  1 H  1"X 1 @ 1 `@ @  0 @ @ 1 d@ @  1(p@ @  0#@ @ 1"P) 0#@ @  1 H,  1"X, 1 @, 1 `@ @ , 1#0@ @ 1.p@, 1.P, A A  @  A A @&  A H  A"X A @ A `@ @  @ @ @ A d@ @  A#P Ap@ @  @#@ @  A H,  A"X, A @, A `@ @ , A#0@ @ A# Q Q  P  Q Q @&  Q H  Q"X Q @ Q `@ @  P @ @ Q"P) Qp@ @  P#@ @ QP Q#P  Q H,  Q"X, Q @, Q `@ @ , Q#0@ @ P#@ @  Comma_blood smear estimates'"Currency [0]_blood smear estimates#Currency_blood smear estimates(#Normal_arterial or venous infection!Normal_bloodstream infection&!Normal_breast abscess or mastitisNormal_burn infection Normal_CH1&!Normal_contact tracing gonorrhoea% Normal_decubitus ulcer infectionNormal_ear infections#Normal_empyema or lung abscessNormal_endocarditis*%Normal_enteric contact public animals Normal_eye infection)!$Normal_female reproduct tract infect("#Normal_gastroenteritis entercolitis)#$Normal_gastrointestinal infect other'$"Normal_infectious waste categories+%&Normal_intensive care TISS length stay$&Normal_intraabdominal infection"'Normal_intracranial infection$(Normal_joint or bursa infection()#Normal_listeria dietary precautions**%Normal_male reproductive tract infect+Normal_mediastinitis),$Normal_mediastinitis class El Oakley(-#Normal_meningitis and ventriculitis(.#Normal_myocarditis and pericarditis!/Normal_oral cavity infection0Normal_osteomyelitis+1&Normal_pediatric sibling visit OB unit(2#Normal_penetrating abdominal trauma&3!Normal_percutaneous catheter risk$4Normal_pet guide dog guidelines5Normal_pneumonia#6Normal_precautions by syndrome'7"Normal_reducing viral risk surgery(8#Normal_respiratory airway infection+9&Normal_salmonella raw undercooked eggs):$Normal_salmonella spread by reptiles;Normal_sinusitis%< Normal_skin infection in infants&=!Normal_skin infection nonsurgical)>$Normal_soft tissue infection nonsurg(?#Normal_spinal abscess wo meningitis)@$Normal_sternal fail surgical salvage)A$Normal_sternal wound radiology stage&B!Normal_sternal wound risk factors)C$Normal_surg site mediastinitis class#DNormal_surgical site infection)E$Normal_surgical site NNIS risk index+F&Normal_surgical wound abdominal hernia(G#Normal_surgical wound ASEPSIS score)H$Normal_surgical wound class and risk+I&Normal_surgical wound head neck cancer+J&Normal_surgical wound vascular surgery)K$Normal_swimming venue fecal accident$LNormal_TB discontinue isolation*M%Normal_TB HC facility risk assessment)N$Normal_TB risk child NYCDOH question'O"Normal_transplant donor exlude HIV*P%Normal_upper respiratory tract infect#QNormal_urinary tract infection)R$Normal_urinary tract infection other)S$Normal_vasc catheter patient factors*T%Normal_vertebral disk space infectionUNormal_viral hepatitisVWX`TOCInfo TOC!viral hepatitis&,vertebral disk space infection%$6vasc catheter patient factors%?Curinary tract infection otherM^urinary tract infection&ހupper respiratory tract infect#Ftransplant donor exlude HIV%TB risk child NYCDOH question&TB HC facility risk assessment = TB discontinue isolation%u;swimming venue fecal accident'Qsurgical wound vascular surgery'asurgical wound head neck cancer%msurgical wound class and risk$surgical wound ASEPSIS score'Ȩsurgical wound abdominal hernia%surgical site NNIS risk indexhsurgical site infection%Bsurg site mediastinitis class"sternal wound risk factors%Nsternal wound radiology stage% sternal fail surgical salvage$W,spinal abscess wo meningitis%>soft tissue infection nonsurg"Nskin infection nonsurgical![askin infection in infants߉ sinusitis%Qsalmonella spread by reptiles'(salmonella raw undercooked eggs$"respiratory airway infection#@reducing viral risk surgeryprecautions by syndrome pneumonia pet guide dog guidelines",percutaneous catheter risk$A?penetrating abdominal trauma'&Zpediatric sibling visit OB unitNs osteomyelitisnoral cavity infection$myocarditis and pericarditis$meningitis and ventriculitis%rmediastinitis class El Oakley mediastinitis&male reproductive tract infect$:listeria dietary precautions joint or bursa infectionmintracranial infection +<intraabdominal infection'ZMintensive care TISS length stay#7Tinfectious waste categories%kgastrointestinal infect other$gastroenteritis entercolitis%|female reproduct tract infectt eye infection&enteric contact public animals# endocarditisempyema or lung abscess"ear infections!s*decubitus ulcer infection"3contact tracing gonorrhoea/Oburn infection"yabreast abscess or mastitiszmbloodstream infection$arterial or venous infection77BYTDOCUME~1ccihCONFIG~1TempSriramcalculations_98030203 hematologyHematology.xlw# TOCojmedalInput Files01 performance and quality lifeSriramcalculations_98030203 hematologyHematology.xlw# TOC Module1.TOCTOC9TOC9`ibZ  3  @@   j +d *26.5.2 Bronchitis, Tracheobronchitis, Bronchiolitis, or Tracheitis without Pneumonia respiratory airway infectiond *26.5.3 Empyema or Lung Abscess empyema or lung abscessd26.6 Nosocomial Cardiovascular System Infection d *26.6.1 Arterial or Venous Infection arterial or venous infectiond *26.6.2 Endocarditis endocarditisd *26.6.3 Myocarditis or Pericarditis myocarditis and pericarditisd *26.6.4 Mediastinitis mediastinitisd26.7 Nosocomial Gastrointestinal System Infections d *26.7.1 Gastroenteritis gastroenteritis enterocolitisd *26.7.2 Infant Necrotizing Enterocolitis d *26.7.3 Hepatitis viral hepatitisd *26.7.4 Other Gastrointestinal Tract Infections gastrointestinal infect otherd *26.7.5 Intraabdominal Infections intraabdominal infectiond26.8 Nosocomial Infections of the Urinary Tract d *26.8.1 Symptomatic Urinary Tract Infection urinary tract infectiond *26.8.2 Asymptomatic Bacteriuria d *26.8.3 Other Infections of the Urinary Tract urinary tract infection otherd26.9 Nosocomial Female Reproductive Tract Infection d *26.9.1 Endometritis female reproduct tract infectd *26.9.2 Episiotomy Site Infection d *26.9.3 Vaginal Cuff Infection d *26.9.4 Other Infections of the Female Reproductive Tract d*26.1 Nosocomial Male Reproductive Tract Infection male reproductive tract infectd26.11 Nosocomial Skin and Soft Tissue Infection d *26.11.1 Skin Infection skin infection nonsurgicald *26.11.2 Soft Tissue Infection soft tissue infection nonsurgd *26.11.3 Breast Abscess or Mastitis breast abscess or mastitisd *26.11.4 Decubitus Ulcer Infection decubitus ulcer infectiond *26.11.5 Burn Infection burn infectiond *26.11.6 Omphalitis Infection in Newborn skin infection in infantsd *26.11.7 Pustulosis in Infant d *26.11.8 Circumcision Infection in Newborn d26.12 Surgical Wound Classification and Surgical Site Infections d *26.12.1 Classification of Surgical Wounds surgical wound class and riskd *26.12.2 Surgical Site Infection surgical site infectiond *26.12.3 Identifying Patients at High Risk for Surgical Site Infection (SENIC Risk Index) d *26.12.4 Risk Factors for Surgical Wound Infection After Repair of Abdominal Hernias surgical wound abdominal herniad *26.12.5 National Noscomial Infections Surveillance (NNIS) Risk Index for Surgical Site Infecsurgical site NNIS risk indexd *26.12.6 Risk Factors for Surgical Wound Infection after Vascular Surgery surgical wound vascular surgeryd *26.12.7 The ASEPSIS Scoring Method for Postoperative Wound Infections surgical wound ASEPSIS scored *26.12.8 Classification of El Oakley et al for Mediastinitis Following Cardiopulmonary Bypasssurg site mediastinitis classd *26.12.9 Identification of Patients Having Surgery for Head and Neck Cancer at High Risk for surgical wound head neck cancerd26.13 Nosocomial Bone and Joint Infections d *26.13.1 Osteomyelitis osteomyelitisd *26.13.2 Joint or Bursa Infection joint or bursa infectiond *26.13.3 Vertebral Disk Space Infection vertebral disk space infectiond26.14 Tuberculosis d *26.14.1 Tuberculosis Risk Assessment in a Health-Care Facility TB HC faciltiy risk assessmentd *26.14.2 Discontinuation of Tuberculosis Isolation TB discontinue isolationd *26.14.3 Identifying Children for Tuberculin Skin Testing Using the New York City Department TB risk child NYCDOH questiond26.15 Isolation Precautions in Health Care Facilities d *26.15.1 Isolation Precautions Based on Clinical Syndrome precautions by syndromed26.16 Transplantation of Human Tissue and Organs d *26.16.1 Donor Exclusionary Criteria to Prevent Transmission of HIV Infection transplant donor exlude HIVd26.17 Control for the Spread of Salmonella and Other Enteric Pathogens d *26.17 .1 Prevention of Salmonella Transmission from Reptiles to Humans salmonella spread by reptilesd *26.17.2 Prevention of Salmonella Infections Associated with Eating Shell Eggs salmonella raw undercooked eggsd *26.17.3 Dietary Precautions to Prevent Foodborne Transmission of Listeria monocytogenes listeria dietary precautionsd *26.17.4 Precautions to Help Prevent Enteric Pathogen Spread When the General Public and Animenteric contact public animalsd26.18 Infection Control Practices Related to Children d *26.18.1 Sibling Visitation on Obstetrical Units pediatric sibling visit OB unitd26.19 Nosocomial Infection Risk in Intensive Care d *26.19.1 Risk of Nosocomial Infection Based on TISS and ICU Length of Stay intensive care TISS length stayd26.2 Risk of Infection After Trauma d *26.20.1 Risk of Infection After Penetratng Abdominal Trauma penetrating abdominal traumad26.21 Prevention of Person-to-Person Spread of Infection in Health Care Facilities d *26.21.1 Reducing the Risk of Viral Transmission in Surgery reducing viral risk surgeryd26.22 Infection Associated < with Intravascular Catheters and Vascular Access Devices d *26.22.1 Risk Factors for Infection Associated with a Percutaneous Catheter percutaneous catheter riskd *26.22.2 Underlying Conditions Increasing a Patient's Risk for Infection Associated with an Ivasc catheter patient factorsd26.23 Infection Control Practices Related to Pets and Animals in Health Care Facilities d *26.23.1 Guidelines for Use of Guide Dogs in Health Care Facilities pets guide dog guidelinesd26.24 Tracing Contacts in Contagious Diseases d *26.24.1 Standards for Contact Tracing in Gonorrhoea contact tracing gonorrhoead26.25 Sternal Wound Infections and Mediastinitis Following Sternotomy d *26.25.1 Classification of El Oakley and Wright for Postoperative Mediastinitis mediastinitis class El Oakleyd *26.25.2 Radiological Staging of Gur et al for Sternal Wound Infections sternal wound radiology staged *26.25.3 Risk Factors for Deep Sternal Wounds and Mediastinitis sternal wound risk factorsd *26.25.4 Risk Factors Identifying Patients Likely to Fail Surgical Salvage of Sternal Wound Isternal fail surgical salvaged26.26 Infectious Waste Handling d *26.26.1 Categories of Infectious Waste infectious waste categoriesd26.27 Infection Control in Pools and Playgrounds d *26.27.1 Handling a Fecal Accident in a Chlorinated Swimming Venue swimming venue fecal accident26: Infection Control VPurpose: To diagnose infection involving an artery or vein by using specific criteria.&Citations with documentation. 26.06.01Sriram & Svirbely 1997 conversionenterbody temperature in F F equals Cdataage of patient in yearsyearsmonthsbody temperature in CCNYSDoes the patient experience pain at the site of the involved blood vessel? (Y or N)DIs there erythema at the site of the involved blood vessel? (Y or N)OIs the site of the involved blood vessel warmer than uninvolved areas? (Y or N)CIs there purulent drainage from the involved blood vessel? (Y or N)UWas evidence of infection seen at the involved vascular site during surgery? (Y or N)eWas evidence of infection seen at the involved vascular site on histopathologic examination? (Y or N)PHave cultures been taken from the involved blood vessel during surgery? (Y or N)'Have blood cultures been done? (Y or N)OWas an intravenous catheter associated with the involved blood vessel? (Y or N) calculateresultdata complete?+Is an arterial or venous infection present?criteria 1 met?criteria 2 met?criteria 3 met?!criteria 4 met? (age > 12 months)"criteria 5 met? (age <= 12 months)TPurpose: To diagnose a bloodstream infections by using clinical and laboratory data.#Citations with documentation. 26.01Sriram and Svirbely 1998 systolic blood pressure in mm Hgmm Hgurine output in mL per hourmL/hr&Does the patient have chills? (Y or N)6Have blood cultures been drawn and finalized? (Y or N)]Is blood positive for antigen associated with a bacterial, viral or fungal pathogen? (Y or N)OHas the patient's physician started appropriate antimicrobial therapy? (Y or N)signs and symptoms of infection+Is a primary bloodstream infection present?-Is a secondary bloodstream infection present?Is clinical sepsis present?data complete subpart 1date complete subpart 2MPurpose: To diagnose a breast abscess or mastitis by using specific criteria.&Citations with documentation. 26.11.03patient's gender (enter M or F)F3Is there local inflammation of the breast? (Y or N)OWas breast abscess or other evidence of infection seen during surgery? (Y or N)_Was breast abscess or other evidence of infection seen on histopathologic examination? (Y or N)Has a pathogen been isolated on culture of affected breast tissue or fluid obtained by incision and drainage or at surgery? (Y or N)fHas a pathogen been isolated on culture of fluid obtained by needle aspiration of the breast? (Y or N)JHas the patient's physician diagnosed breast abscess or mastitis? (Y or N)gender appropriate?(Is a breast abscess or mastitis present?APurpose: To diagnose a burn infection by using specific criteria.&Citations with documentation. 26.11.05=Does the patient have a second or third degree burn? (Y or N)mL/hourZIs the patient hyperglycemic at previously tolerated dietary carbohydrate levels? (Y or N)6Is the patient experiencing mental confusion? (Y or N)Is there a change in the burn wound appearance or character, such as rapid eschar separation, discoloration of the eschar or edema at burn margin? (Y or N)vDoes histologic examination of a burn biopsy specimen show invasion of organisms into adjacent viable tissue? (Y or N)1Is a pathogen isolated on blood culture? (Y or N)^Is evidence of herpes simplex virus detected in biopsy specimens or lesion scrapings? (Y or N)Is a serious burn present?Is a burn infection present?rPurpose: To evaluate the ability of a health care facility to provide contact tracing in patients with gonorrhoea.&Citations with documentation. 26.24.01#Medal Project 2001. See disclaimer.vAre you evaluating a health care facility for its ability to trace the contacts of a patient with gonorrhoea? (Y or N)OAre private and soundproof rooms available to the health care adviser? (Y or N)jAre all patients diagnosed with gonorrhoea referred to a health adviser at the time of treatment? (Y or N)SIs a failure or refusal to see a health adviser by the patient documented? (Y or N)QIs there a protocol for recalling a patient with an untreated infection? (Y or N)`Is partner notification raised with a patient with gonorrhoea at the time of diagnosis? (Y or N)qIf the patient fails or refuses to see a health adviser, is partner notification undertaken by a doctor? (Y or N)OIs partner notification confirmed and documented at subsequent visits? (Y or N)~Is the patient's full sexual history obtained for the relevant period, including the types of contact and condom use? (Y or N)eenter an "x" in the appropriate column for each organizational parameter (give only 1 answer per row)nonelittlesome sufficient'amount of health adviser time availablexadequate#administrative support for advisersfew"protocols for health care advisersdocumentation in general(documentation of actions taken for each sexual contact insufficientpartial#method to confirm appointments keptevaluation appropriate?number of problems identifiednumber of areas for improvementOPurpose: To diagnose infection of a decubitus ulcer by using specific criteria.&Citations with documentation. 26.11.041Does the patient have a decubitus ulcer? (Y or N)6Is there erythema around the decubitus ulcer? (Y or N)8Is there tenderness around the decubitus ulcer? (Y or N)@Is there edema or swelling of the decubitus ulcer edge? (Y or N)yHas a pathogen been isolated from culture of fluid aspirated from the tissue at the edge of the decubitus ulcer? (Y or N)kHas a pathogen been isolated from culture of tissue biopsied from the edge of the decubitus ulcer? (Y or N)4Is a blood culture positive for a pathogen? (Y or N)'Is a decubitus ulcer infection present?FPurpose: To diagnose infections of the ear by using specific criteria.*Citations with documentation. 26.04.03-.06,Is the patient's ear canal painful? (Y or N)'Is the ear canal erythematous? (Y or N).Is there drainage from the ear canal? (Y or N)&Is there pain in the eardrum? (Y or N)!Is the eardrum inflamed? (Y or N),Is there retraction of the eardrum? (Y or N)4Is there decreased motility of the eardr< um? (Y or N)+Is there fluid behind the eardrum? (Y or N) Is the mastoid painful? (Y or N)Is the mastoid tender? (Y or N)%Is the mastoid erythematous? (Y or N)*Does the patient have a headache? (Y or N)0Does the patient have facial paralysis? (Y or N)[Has a pathogen been isolated from culture of purulent drainage from the ear canal? (Y or N)QAre organism seen in Gram stain of purulent drainage from the ear canal? (Y or N)kHas a pathogen been isolated in cultures of fluid from the middle ear obtained by tympanocentesis? (Y or N)^Has a pathogen been isolated in cultures of fluid from the middle ear during surgery? (Y or N)hHas a pathogen been isolated from culture of fluid collected from the inner ear during surgery? (Y or N)>Has the patient's physician diagnosed otitis interna? (Y or N)XHas a pathogen been isolated in cultures of purulent drainage from the mastoid? (Y or N)PAre organisms seen on Gram stain of purulent material from the mastoid? (Y or N).Is an antigen test positive on blood? (Y or N)Is otitis externa present?Is otitis media present?Is otitis interna present?Is mastoiditis present?otitis externa criteria 1 met?otitis externa criteria 2 met?otitis media criteria 1 met?otitis media criteria 2 met?otitis interna criteria 1 met?otitis interna criteria 2 met?mastoiditis criteria 1 met?mastoiditis criteria 2 met?ePurpose: To diagnose empyema or lung abscess based on clinical, laboratory and radiographic findings.&Citations with documentation. 26.05.03data on pleural fluid>Are micro-organisms seen on a smear of pleural fluid? (Y or N)ZAre cultures of pleural fluid positive for a pathogen capable of causing empyema? (Y or N)*Was empyema found during surgery? (Y or N)fWere findings compatible with empyema found on histopathologic examination of pleural tissue? (Y or N)data on lung cavityIAre micro-organisms seen on a smear of fluid from a lung cavity? (Y or N)eAre cultures of lung cavity fluid positive for a pathogen capable of causing a lung abscess? (Y or N)1Was a lung abscess found during surgery? (Y or N)nWere findings compatible with lung abscess found on histopathologic examination of lung cavity fluid? (Y or N)KIs an abscess cavity seen on radiographic examination of the lung? (Y or N)Is empyema present?Is a lung abscess present?=Purpose: To diagnose endocarditis by using specific criteria.&Citations with documentation. 26.06.024Does the patient have a new cardiac murmur? (Y or N)BDoes the patient show a new change in an existing murmur? (Y or N)tAre persons at high risk for serious infection informed of the risk and able to take increased precautions? (Y or N)bIs raw milk, cheese made from unpasteurized milk or similar foods served to the visitors? (Y or N)#number of areas needing improvement5potential risk of enteric pathogen spread at the siteHPurpose: To diagnose an infection of the eye by using specific criteria.*Citations with documentation. 26.03.01-.02=Does the patient experience pain in the conjunctiva? (Y or N)9Does the patient experience pain around the eye? (Y or N)5Does the patient experience pain in the eye? (Y or N)*Is the patient's conjunctiva red? (Y or N)3Is there redness around the patient's eye? (Y or N)7Does the patient complain of disturbed vision? (Y or N)Is hypopyon present? (Y or N)NAre there any other recognized cause present to explain the symptoms? (Y or N)nHas a pathogen been isolated from culture of purulent exudate from conjunctiva or contiguous tissues? (Y or N)8Is there a purulent exudate on the conjunctiva? (Y or N)WAre white blood cells or organisms seen on Gram stain of conjunctival exudate? (Y or N)WIs an antigen test positive on conjunctival exudate or conjunctival scrapings? (Y or N)mAre multinucleated giant cells seen on microscopic examination of conjunctival exudate or scrapings? (Y or N)=Is a viral culture on conjunctival exudate positive? (Y or N)@Is a diagnostic serum IgM titer for a pathogen present? (Y or N)GIs a fourfold increase in serum IgG titer for a pathogen seen? (Y or N)TIs a pathogen present in culture of fluid from the anterior ocular chamber? (Y or N)UIs a pathogen present in culture of fluid from the posterior ocular chamber? (Y or N)<Is a pathogen present in culture of vitreous fluid? (Y or N)ZHas the patient's physician diagnosed an eye infection other than conjunctivitis? (Y or N).Is an antigen test on serum positive? (Y or N):Has a pathogen been isolated from blood cultures? (Y or N)Is conjunctivitis present?6Is an eye infection other than conjunctivitis present?conjunctivitis criteria 1 met?conjunctivitis criteria 2 met?other infection criteria 1 met?other infection criteria 2 met?ePurpose: To diagnose an infection involving the female reproductive tract by using specific criteria.*Citations with documentation. 26.09.01-.044Does the patient have lower abdominal pain? (Y or N)2Does the patient have uterine tenderness? (Y or N)&Does the patient have nausea? (Y or N)!Is the patient vomiting? (Y or N)4Does the patient have abdominal tenderness? (Y or N)'Does the patient have dysuria? (Y or N)mIs a pathogen isolated from culture of fluid or tissue from the endometrium obtained during surgery? (Y or N)sIs a pathogen isolated from culture of fluid or tissue from the endometrium obtained by needle aspiration? (Y or N)nIs a pathogen isolated from culture of fluid or tissue from the endometrium obtained by brush biopsy? (Y or N)4Is there purulent drainage from the uterus? (Y or N)-Does the patient have an episiotomy? (Y or N).Does the patient have a vaginal cuff? (Y or N)rHas a pathogen been isolated from culture of tissue or fluid from the affected female reproductive organ? (Y or N)fIs an abscess or other evidence of a female reproductive organ infection seen during surgery? (Y or N)yIs an abscess or other evidence of infection seen in a female reproductive orgen on histopathologic examination? (Y or N)8Has a pathogen been isolated in blood cultures? (Y or N)[Has the patient's physician diagnosed infection of the female reproductive system? (Y or N)patient gender female?Is endometritis present?(Is an episiotomy site infection present?$Is a vaginal cuff infection present?>Is another infection of the female reproductive tract present?endometritis criteria 1 met?endometritis criteria 2 met?episiotomy criteria 1 met?episiotomy criteria 2 met?vaginal cuff criteria 1 met?vaginal cuff criteria 2 met?vaginal cuff criteria 3 met?other infection criteria 3 met?_Purpose: To gastroenteritis and infantile necrotizing enterocolitis by using specific criteria.*Citations with documentation. 26.07.01-.02patient's age in years'Is the patient feeling nausea? (Y or N)3Does the patient show abominal distension? (Y or N).Does the patient show abdominal pain? (Y or N))Is the patient having headaches? (Y or N)`Did the patient have acute onset of diarrhea with liquid stools for more than 12 hours? (Y or N)EIs there a possible explanation for the patient's symptoms ? (Y or N)THas an enteric pathogen been isolated from culture of stool or rectal swab? (Y or N)FHas an enteric pathogen been detected by routine examination? (Y or N)FHas an enteric pathogen been detected by electron microscopy? (Y or N)UHas an enteric pathogen been detected by antigen or antibody assay on feces? (Y or N)UHas an enteric pathogen been detected by antigen or antibody assay on blood? (Y or N)AIs there evidence of an enteric pathogen by toxin assay? (Y or N)>Is there a diagnostic serum IgM titer for a pathogen? (Y or N)HIs there a fourfold increase in serum IgG titer for a pathogen? (Y or N)FIs there persistent microscopic or gross blood in the stools? (Y or N)<Is there radiographic evidence of pneumoperitoneum? (Y or N)DIs there radiographic evidence of pneumotosis intestinalis? (Y or N)TIs there radiographic evidence of unchanging, "rigid" loops of small bowel? (Y or N)Is gastroenteritis present?,Is infant necrotizing enterocolitis present?gastroent< eritis criteria 1 met?gastroenteritis criteria 2 met?-infant necrotizing entercolitis criteria met?LPurpose: To diagnose gastrointestinal infections by using specific criteria.&Citations with documentation. 26.07.043Does the patient show abominal tenderness? (Y or N)pIs there another possible explanation for the patient's symptoms other than gastrointestinal infection? (Y or N)\Is infectious gastroenteritis the suspected explanation for the patient's symptoms? (Y or N)gIs the esophagus, stomach, small bowel, large bowel or rectum the suspected site of infection? (Y or N)9Is the appendix the suspected site of infection? (Y or N)fIs an abscess or other evidence of infection involving the affected site seen during surgery? (Y or N)vIs an abscess or other evidence of infection involving the affected site seen on histopathologic examination? (Y or N)aHas a pathogen been isolated from culture of drainage or tissue obtained during surgery? (Y or N)cHas a pathogen been isolated from culture of drainage or tissue obtained during endoscopy? (Y or N)\Has a pathogen been isolated from culture of drainage from surgically placed drain? (Y or N)rHave organisms been seen on Gram stain or KOH preparations of drainage or tissue obtained during surgery? (Y or N)tHave organisms been seen on Gram stain or KOH preparations of drainage or tissue obtained during endoscopy? (Y or N)oHave organisms been seen on Gram stain or KOH preparations of drainage from a surgically placed drain? (Y or N)vAre multinucleated giant cells seen on microscopic examination of drainage or tissue obtained during surgery? (Y or N)xAre multinucleated giant cells seen on microscopic examination of drainage or tissue obtained during endoscopy? (Y or N)Are multinucleated giant cells seen on microscopic examination of drainage or tissue obtained from a surgically placed drain? (Y or N)FIs there radiographic evidence of gastrointestinal infection? (Y or N)KAre diagnostic pathologic findings seen on endoscopic examination? (Y or N)%likely site of infection appropriate?&Is another GI tract infection present?(other GI tract infection criteria 1 met?(other GI tract infection criteria 2 met?Purpose: To identify waste from a health care facility that should be considered infectious and handled according to the established regulations.&Citations with documentation. 26.26.01iAre you evaluating a health facility's waste to determine if it should be considered infectious? (Y or N)(Is there laboratory waste consisting of?5" cultures and stocks of infectious agents? (Y or N) 6" wastes from the production of biologicals? (Y or N) 3" discarded live and attenuated vaccines? (Y or N) L" other laboratory wastes that likely contain an infectious agent? (Y or N) #Is there human waste consisting of?e" pathological wastes, body fluid and excreta likely contaminated with an infectious agent? (Y or N) R" waste material from the room of a patient with a communicable disease? (Y or N) /" blood specimens and blood products? (Y or N) D" sharps used in the treatment, diagnosis, or inoculation? (Y or N) $Is there animal waste consisting of?W" waste material from the enclosure of an animal with a communicable disease? (Y or N) s" contaminated carcasses, body parts and bedding of animals intentionally exposed to an infectious agent? (Y or N) "Is there any other waste material?G" identifed by the public health council as being infectious? (Y or N) <" identified by the generator as being infectious? (Y or N) Enumber of different types of infectious waste identified in the waste=Does the waste need to be disposed of as an infectious waste?pPurpose: To use the TISS and length of stay to predict the risk of nosocomial infection in a patient in the ICU.&Citations with documentation. 26.19.01Sriram & Svirbely 2000RAre you evaluating a patient in the ICU for risk of nosocomial infection? (Y or N)TISS on first day of admissionfirst day TISSnumber of days in the ICUdays%relative risk of nosocomial infectionLPurpose: To diagnose an intraabdominal infection by using specific criteria.&Citations with documentation. 26.07.05~Is the suspected infection intra-abdominal and not a gastrointestinal infection, viral hepatitis, or gastroenteritis? (Y or N)"Is the patient nauseated? (Y or N).Does the patient have abdominal pain? (Y or N)"Is the patient jaundiced? (Y or N)qIs there another recognized cause other than intraabdominal infection to explain the patient's symptoms? (Y or N)ZIs an abscess or other evidence of intraabdominal infection seen during surgery? (Y or N)jIs an abscess or other evidence of intraabdominal infection seen on histopathologic examination? (Y or N)XIs a pathogen isolated from culture of drainage from a surgically placed drain? (Y or N)YIs an organism seen on Gram stain of drainage or tissue obtained during surgery? (Y or N)_Is an organism seen on Gram stain of drainage or tissue obtained by needle aspiration? (Y or N)1Is a pathogen present in blood cultures? (Y or N)DIs there radiographic evidence of intraabdominal infection? (Y or N){Has an organism been isolated from culture of purulent material from intraabdominal space obtained during surgery? (Y or N)Has an organism been isolated from culture of purulent material from intraabdominal space obtained by needle aspiration? (Y or N)'Is an intraabdominal infection present?JPurpose: To diagnose an intracranial infection by using specific criteria.&Citations with documentation. 26.02.01;Does the patient have localizing neurologic signs? (Y or N)ADoes the patient have a changing level of consciousness? (Y or N)!Is the patient confused? (Y or N)bIs there a reasonable explanation for the new symptoms other than intracranial infection? (Y or N)MAre pathogenic organisms present in culture of brain tissue or dura? (Y or N)NIs an abscess or evidence of intracranial infection seen at surgery? (Y or N)aIs an abscess or evidence of intracranial infection seen on histopathologic examination? (Y or N)q Are organisms seen on microscopic examination of brain or abscess tissue obtained by needle aspiration? (Y or N)t Are organisms seen on microscopic examination of brain or abscess tissue obtained by by biopsy at surgery? (Y or N)QIs an antigen test for a pathogenic organism positive on blood or urine? (Y or N)BIs there radiographic evidence of intracranial infection? (Y or N)SIs there a diagnostic single IgM antibody titer for a pathogenic organism? (Y or N)tIs there a fourfold increase in titer for IgG antibodies in paired serum samples for a pathogenic organism? (Y or N)#Is an intracranial abscess present?!criteria 3 met? (age > 12 months)"criteria 4 met? (age <= 12 months)bPurpose: To diagnose a joint or bursa infection based on clinical, laboratory and radiologic data.&Citations with documentation. 26.13.02MIs there swelling of the joint or bursa suspected of being infected? (Y or N)OIs there tenderness of the joint or bursa suspected of being infected? (Y or N)KIs there heat over the joint or bursa suspected of being infected? (Y or N)PIs there pain involving the joint or bursa suspected of being infected? (Y or N)YIs there limitation of motion in the j< oint or bursa suspected of being infected? (Y or N)`Is there evidence of effusion involving the joint or bursa suspected of being infected? (Y or N)PIs there radiographic evidence of infection involving a joint or bursa? (Y or N)EIs evidence of joint or bursa infection seen during surgery? (Y or N)^Is there histolopathologic evidence of joint or bursa infection in a tissue specimen? (Y or N)xIs a culture of fluid or biopsy from joint or bursa positive for a pathogen known capable of causing infection? (Y or N)TAre neutrophils and organisms seen on a Gram stain of joint or bursa fluid? (Y or N)Is an antigen test done on blood, urine or joint fluid positive for a pathogen known capable of causing bursa or joint infection? (Y or N)ZAre the cellular and chemistry profiles of joint fluid compatible with infection? (Y or N)oAre changes in the cellular and chemistry profiles explained by an underlying rheumatologic condition? (Y or N)'Is infection of joint or bursa present?WPurpose: To identify steps to prevent foodborne transmission of Listeria monocytogenes.&Citations with documentation. 26.17.03#Medal Project 2000. See disclaimer.UAre you trying to minimize foodborne transmission of Listeria monocytogenes? (Y or N)[Will elderly, pregnant or immuno-compromised patients be eating the prepared food? (Y or N)AAre all animal products thoroughly cooked before eating? (Y or N)2Are raw, uncooked eggs eaten in any form? (Y or N)<Are raw vegetables thoroughly washed before eating? (Y or N)?Are uncooked meats kept separate from all other foods? (Y or N)<Is unpasteurized milk used for drinking or cooking? (Y or N)<Are foods prepared from unpasteurized milk avoided? (Y or N)NAre utensils and cutting boards washed after handling uncooked foods? (Y or N)8Are hands washed after handling uncooked foods? (Y or N)Are high risk patients present? risk of foodborne listeriosis is\Purpose: To diagnose an infection of the male reproductive tract by using specific criteria.#Citations with documentation. 26.10 gender of patient (enter M or F)M)Does the patient feel nauseated? (Y or N)0Has the patiented experienced vomiting? (Y or N)+Is the affected area the prostate? (Y or N))Is the affected area the testis? (Y or N)-Is the affected area the epididymis? (Y or N)*Is the affected area the scrotum? (Y or N)(Is the affected area the penis? (Y or N)9Does the patient feel pain in the affected area? (Y or N)%Is the affected area tender? (Y or N)WWas evidence of abscess or infection seen at the affected site during surgery? (Y or N)gWas evidence of abscess or infection seen at the affected site on histopathologic examination? (Y or N)cWas a pathogen isolated from cultured of tissue or fluid collected from the affected site? (Y or N)MDid the patient's physician diagnose infection of the affected site? (Y or N)/Is a male reproductive tract infection present?WPurpose: To diagnose an infection involving the mediastinum by using specific criteria.&Citations with documentation. 26.06.041Does the patient have chest instability? (Y or N)9Is there purulent drainage from the mediastinum? (Y or N)IIs evidence of infection seen in the mediastinum during surgery? (Y or N)eIs evidence of infection seen in tissue from the mediastinum on histopathologic examination? (Y or N)vWas a pathogenic organism isolated from culture of mediastinal tissue or fluid obtained by needle aspiration? (Y or N)pWas a pathogenic organism isolated from culture of mediastinal tissue or fluid obtained during surgery? (Y or N)6Was a pathogen isolated from a blood culture? (Y or N)QWas a pathogen isolated from a culture of drainage from the mediastinum? (Y or N);Is mediastinal widening seen on X-ray examination? (Y or N)Is mediastinitis present?!criteria 4 met? (age < 12 months)|Purpose: To classify a patient with mediastinitis following cardiopulmonary bypass using the scheme of El Oakley and Wright.&Citations with documentation. 26.25.01gAre you evaluating a patient who has developed mediastinitis following cardiopulmonary bypass? (Y or N)Itime in weeks after surgery when the patient presented with the infectionweeks!Is the patient diabetic? (Y or N)Is the patient obese? (Y or N))Is the patient immunosuppressed? (Y or N)CHas the patient been previously treated for the infection? (Y or N)therapeutic attempts(number of risk factors for mediastinitis)classification after El Oakley and WrightLPurpose: To diagnose meningitis or ventriculitis by using specific criteria.&Citations with documentation. 26.02.02,Does the patient show a stiff neck? (Y or N)/Does the patient have meningeal signs? (Y or N)3Does the patient have cranial nerve signs? (Y or N),Does the patient show irritability? (Y or N)gIs there a reasonable explanation for the new symptoms other than meningitis or ventriculitis? (Y or N)OIs a pathogenic organism isolated from culture of cerebrospinal fluid? (Y or N)vDoes examination of CSF show an increased white blood cell count, elevated protein, and/or decreased glucose? (Y or N)EAre organisms seen in the Gram stain of cerebrospinal fluid? (Y or N)EHas a pathogenic organism been isolated from blood cultures? (Y or N)<Is an antigen test positive on CSF, blood or urine? (Y or N)HIs there a diagnostic single IgM antibody titer for a pathogen? (Y or N)ZIs there a fourfold increase in IgG titer in paired serum samples for a pathogen? (Y or N)'Is meningitis or ventriculitis present?LPurpose: To diagnose myocarditis or pericarditis by using specific criteria.&Citations with documentation. 26.06.033Does the patient have a paradoxical pulse? (Y or N)9Does the patient show an increase in heart size? (Y or N)gIs there a reasonable explanation for the new symptoms other than myocarditis or pericarditis? (Y or N)WAre cultures of pericardial fluid or tissue positive for pathogenic organisms? (Y or N)WIs the patient's ECG abnormal and consistent with myocarditis or pericarditis? (Y or N)7Is a microbial antigen test on blood positive? (Y or N)dDoes histologic examination of cardiac tissue show evidence of myocarditis or pericarditis? (Y or N)<Is there a fourfold rise in type specific antibody? (Y or N)mIs a pericardial effusion identified on imaging studies (echocardiogram, CT scan, MRI, angiography)? (Y or N)'Is myocarditis or pericarditis present?ZPurpose: To diagnose an infection of the oral cavity infection by using specific criteria.&Citations with documentation. 26.04.02cHas a pathogen been isolated from culture of purulent material from tissue or oral cavity? (Y or N)pIs an abscess or other evidence of oral cavity infection seen on direct examination of the oral cavity? (Y or N)VIs an abscess or other evidence of oral cavity infection seen during surgery? (Y or N)fIs an abscess or other evidence of oral cavity infection seen on histopathologic examination? (Y or N)0Is an ulcer present in the oral cavity? (Y or N)NAre there raised white patches on inflamed mucosa in the oral cavity? (Y or N)/Are there plaques seen on oral mucosa? (Y or N)RAre organism seen on Gram stain of purlent material from the oral cavity? (Y or N)LAre fungi seen on KOH preparation of material from the oral cavity? (Y or N)8Is an antigen test on oral secretions positive? (Y or N)]Are multinulceated giant cells seen on microscopic examination of mucosal scrapings? (Y or N)RIs there a diagnostic IgM antibody titer for a pathogen in serum testing? (Y or N)SIs there a fourfold increase in IgG titer for a pathogen in serum testing? (Y or N)`Has the physician diagnosed an oral cavity infection and initiated appropriate therapy? (Y or N)$Is an oral cavity infection present?bPurpose: To make the diagnosis of osteomyelitis based on clinical, laboratory and radiologic data.&Citations with documentation. 26.13.01KIs there swelling at a site of suspected infection involving bone? (Y or N)MIs there tenderness at a site of suspected infection involving bone? (Y or N)GIs there heat at a site of suspected infection involving bone? (Y or N)KIs there drai< nage at a site of suspected infection involving bone? (Y or N)9Is there radiographic evidence of osteomyelitis? (Y or N):Is evidence of osteomyelitis seen during surgery? (Y or N)OIs there histolopathologic evidence of osteomyelitis in a bone sample? (Y or N)dIs a culture of bone sample positive for a pathogen known capable of causing osteomyelitis? (Y or N)[Are blood cultures positive for a pathogen known capable of causing osteomyelitis? (Y or N)`Is a blood antigen test positive for a pathogen known capable of causing osteomyelitis? (Y or N)Is osteomyelitis present?[Purpose: To ensure that a sibling visit to the obstetrical ward and nursery is appropriate.&Citations with documentation. 26.18.01temperature in C C equalsFTAre you judging the suitability of a sibling visit to the obstetrical ward? (Y or N)age of the child in yearsFHas the visit been allowed by the physician or nurse manager? (Y or N)Aenter an "x" to indicate potential recent exposures for the child chickenpoxGerman measlesmeasles%exposure to infection in last 4 weeksmumps hepatitis common coldother infection fever > 99Fcough or sneezingvomiting or diarrhea#signs of infection in past 48 hours sore throat skin rashearache other signpolioMMRother live virus vaccine vaccinations in the past 4 weeksnumber of potential problems$Can the sibling be allowed to visit?pPurpose: To estimate the risk of infection after penetrating abdominal trauma using the models of Nichols et al.&Citations with documentation. 26.20.01QAre you evaluating a patient who has had a penetrating abdominal trauma? (Y or N)age of the patient in yearsnumber of organs injured7number of units of blood products transfused at surgery)Was an ostomy formed at surgery? (Y or N)Penter an "x" in the appropriate column for each question (only 1 answer per row) no injury mild injurymild-to-moderatemoderatemoderate to severeseverelife threateningfatalrespiratory injurycardiovascular injuryabdominal injury#skin and subcutaneous tissue injuryscore using risk factors%risk of infections using risk factorsmodified trauma index score!score using modified trauma index-risk of infection using modified trauma indexfPurpose: To identify risk factors for infection associated with a percutaneous intravascular catheter.&Citations with documentation. 26.22.01iAre you evaluating the risk of infection associated with a percutaneous intra-vascular catheter? (Y or N)3number of hours that the catheter has been in placehoursVenter an "x" in the appropriate column for each parameter (give only 1 answer per row) emergencyurgentelectivetimeliness of insertion percutaneouscutdowninsertion methodshort intemediate central linelength of the catheter peripheral subclavianjugularfemoralsite of insertionmedical studentresident or fellowexperienced clinician"specialized nurse on catheter teamperson inserting the catheter'number of relative risk points assigned out of 12KThe risk of infection associated with the current intravascular catheter isRPurpose: To determine if a guide dog should have access to a health care facility.&Citations with documentation. 26.23.01MAre you evaluating a patient or visitor with a seeing-eye guide dog? (Y or N)>Has the dog been specifically trained as a guide dog? (Y or N)-Is the dog healthy and well-groomed? (Y or N);Is the animal to be brought into contact with patients who?5" are immunocompromised or immunosuppressed? (Y or N)#" have phobias about dogs? (Y or N)8" have severe allergy to dog-related allergens? (Y or N)*" are psychotic or hallucinating? (Y or N)8Is the animal to be taken to any of the following areas?0" areas not open to the general public? (Y or N)" a burn unit? (Y or N)" intensive care unit? (Y or N)" surgical suite? (Y or N)" obstetrical ward? (Y or N)" sterile supply? (Y or N)PIs defecation by the dog only done outside of the health care facility? (Y or N)2Is the dog to be fed within the facility? (Y or N)pDo all persons coming in direct contact with the animal wash their hands carefully with soap and water? (Y or N)FIs it reasonable to permit the dog access to the health care facility?\Purpose: To diagnose pneumonia by considering clinical, chest X-ray and laboratory findings.&Citations with documentation. 26.05.01CDoes the chest X-ray show a new or progressive infiltrate? (Y or N)1Does the chest X-ray show consolidation? (Y or N).Does the chest X-ray show cavitation? (Y or N)6Does the chest X-ray show a pleural effusion? (Y or N)1Is there a new onset of purulent sputum? (Y or N)2Is there a change in character of sputum? (Y or N)3Is a pathogen isolated from blood culture? (Y or N)_Is a pathogen isolated from transtracheal aspirate, bronchial brushing or lung biopsy? (Y or N)9Is a virus isolated from respiratory secretions? (Y or N)AAre viral antigens identified in respiratory secretions? (Y or N)2Is there a diagnostic IgM antibody titer? (Y or N)<Is there a fourfold increase in IgG antibody titer? (Y or N)8Is there histopathologic evidence of pneumonia? (Y or N)Is pneumonia present?Purpose: To determine if isolation precautions are warranted in patients presenting with certain syndromes pending identification of the etiologic agent.&Citations with documentation. 26.15.01Sriram & Svirbely 1999%Is the patient HIV-positive? (Y or N)2Which of the following are present in the patient?D" infectious diarrhea with patient incontinent or diapered? (Y or N)@" diarrhea with a history of recent antibiotic therapy? (Y or N)" meningitis? (Y or N):" generalized petechiae or ecchymoses with fever? (Y or N)" vesicular rash? (Y or N)@" maculopapular rash or exanthem with coryza and fever? (Y or N)W" paroxysmal or severe persistent cough during a period of pertussis activity? (Y or N)," possible drug resistant organism? (Y or N)" abscess? (Y or N)3" a draining wound that cannot be covered? (Y or N))Recommended Precautions Pending Diagnosisstandard precautionscontact precautionsdroplet precautionsairborne precautionsoPurpose: To identify ways to reduce the risk of transmitting viral pathogens in surgical health care personnel.&Citations with documentation. 26.21.01nAre you trying to reduce the risk of viral infection transmission for surgical health care personnel? (Y or N)3Is recapping of hollow needles prohibited? (Y or N)2Are blunt needles used where appropriate? (Y or N)FAre needleless devices or procedures performed when possible? (Y or N)tAre knives, scissors and other sharp instruments used according to a protocol to prevent accidental injury? (Y or N)@Is the use of wire sutures avoided as much as possible? (Y or N)5Do personnel double glove during procedures? (Y or N)|Are additional impermeable barriers used for procedures with high expected blood loss or lasting more than 2 hours? (Y or N)^Are face, mouth and eye covers used which are appropriate for the surgical procedure? (Y or N)xDo health care workers with chronic viral infections take steps to prevent exposure to co-workers and patients? (Y or N)< cAre health care workers offered all appropriate vaccinations to prevent viral infections? (Y or N)WDo health care workers minimize working when physically or mentally exhausted? (Y or N)number of potential risk areasOrisk of viral transmission involving surgical health care workers appears to beTable of ContentsDClick on a starred item below to go to the corresponding spreadsheet Algorithm Spreadsheetd*26.1 Nosocomial Bloodstream Infection bloodstream infectiond26.2 Nosocomial Central Nervous System Infection d *26.2.1 Intracranial Infection intracranial infectiond *26.2.2 Meningitis or Ventriculitis meningitis and ventriculitisd *26.2.3 Spinal Abscess Without Meningitis spinal abscess wo meningitisd26.3 Nosocomial Eye Infections d *26.3.1 Conjunctivitis eye infectiond *26.3.2 Eye Infections Other than Conjunctivitis d26.4 Nosocomial Ear, Nose and Throat Infections d *26.4.1 Sinusitis sinusitisd *26.4.2 Oral Cavity Infection oral cavity infectiond *26.4.3 Otitis Externa ear infectiond *26.4.4 Otitis Media d *26.4.5 Otitis Interna d *26.4.6 Mastoiditis d *26.4.7 Upper Respiratory Tract Infection upper respiratory tract infectd26.5 Nosocomial Respiratory Infections d *26.5.1 Pneumonia pneumonia{Purpose: To diagnose infection of the lower respiratory tract by considering clinical, chest X-ray and laboratory findings.&Citations with documentation. 26.05.02'Does the patient have a cough? (Y or N)BDoes the patient have new or increased sputum production? (Y or N)?Does the patient have rhonchi on physical examination? (Y or N)@Does the patient have wheezing on physical examination? (Y or N)9Does the chest X-ray show evidence of pneumonia? (Y or N)NIs a pathogen isolated from deep tracheal aspiration or bronchoscopy? (Y or N)EAre microbial antigens identified in respiratory secretions? (Y or N)FIs an infection of lower respiratory airway without pneumonia present?_Purpose: To assess risk for spread of Salmonella enteritidis via raw or undercooked shell eggs.&Citations with documentation. 26.27.02temperature in FxAre you evaluating the risk for spread of Salmonella enteritidis associated with raw or undercooked shell eggs? (Y or N)Uenter an "x" in the appropriate column for each question (give only 1 answer per row)alwaysusually sometimesnever1Is the eating of raw or undercooked eggs avoided?#In commercial or institutionalized always or not applicablewkitchens are pasteurized eggs products used in recipes using pooled eggs or in which eggs may not be completely cooked?.Are eggs cooked at >= 145F for >= 15 seconds?:Are casseroles and other dishes with eggs cooked to 160F?PAre dishes containing eggs eaten promptly after cooking or else stored properly?Are hands, utensils and food preparation surfaces washed with hot water and soap after contact with raw eggs or food containng raw eggs?Are eggs stored at <= 45C?number of high risk behaviorsnumber of low risk behaviors>risk of Salmonella enteritidis infection spread via shell eggsOPurpose: To identify the risk for spread of salmonella from reptiles to humans.&Citations with documentation. 26.17.01WAre you evaluating the risk of spreading salmonella from a reptile to a human? (Y or N)aHas information about the risk of transmission been made available to the reptile owner? (Y or N)TAre children under the age of 5 allowed to be in contact with the reptiles? (Y or N)RAre immunocompromised persons allowed to be in contact with the reptiles? (Y or N)JAre reptiles removed before any newborn infants are brought home? (Y or N)JAre the reptiles kept in day care center or health care facility? (Y or N)MAre the reptiles allowed to roam freely throughout the living space? (Y or N)^Does everyone who handles the reptiles promptly wash their hands with soap and water? (Y or N)dIs the kitchen sink or food preparation area used for cleaning the reptiles or their cages? (Y or N)cAre areas used for washing the reptiles promptly cleaned and then disinfected with bleach? (Y or N)6number of risk factors for salmonella spread to humansThe risk of spread to humans is7Purpose: To diagnose sinusitis using specific criteria.&Citations with documentation. 26.04.01PDoes the patient experience pain or tenderness over the involved sinus? (Y or N))Does the patient have headaches? (Y or N)5Is there purulent drainage from the sinuses? (Y or N)8Does the patient complain of nasal obstruction? (Y or N)hHas a pathogen been isolated from culture of purulent material collected from the sinus cavity? (Y or N)CIs there positive transillumination of the affected sinus? (Y or N)RIs there radiographic evidence of infection involving the affected sinus? (Y or N)Is sinusitis present?LPurpose: To diagnose skin infections in children by using specific criteria.*Citations with documentation. 26.11.06-.089Does the patient have erythema of the umbilicus? (Y or N)BDoes the patient have serous drainage from the umbilicus? (Y or N)DDoes the patient have purulent drainage from the umbilicus? (Y or N)1Does the infant have cutaneous pustules? (Y or N)age appropriate?Is omphalitis present?Is pustulosis present?$Is a circumcision infection present?omphalitis criteria 1 met?omphalitis criteria 2 met?pustulosis criteria 1 met?pustulosis criteria 2 met?circumcision criteria 1 met?circumcision criteria 2 met?circumcision criteria 3 met?HPurpose: To diagnose nonsurgical skin infection using specific criteria.&Citations with documentation. 26.11.01>Is the affected skin part of a recent operative site? (Y or N)IIs there localized tenderness or pain at the affected skin site? (Y or N)+Is the affected skin site swollen? (Y or N)0Is the affected skin site erythematous? (Y or N)IIs the affected skin site warmer to touch than surrounding skin? (Y or N)@Is there a purulent drainage at the affected skin site? (Y or N)IAre there pustules, vesicles or boils at the affected skin site? (Y or N)9Has a pathogen been isolated from blood culture? (Y or N)]Is there a positive antigen test for a pathogen on testing infected tissue or blood? (Y or N)YAre multinucleated giant cells seen on microscopic examination of affected skin? (Y or N)ZIs there a diagnostic titer of IgM antibody for a pathogen seen on serum testing? (Y or N)pIs there a fourfold increase in IgG antibody titer for a pathogen seen in testing paired serum samples? (Y or N)hHas an organism been isolated from culture of aspirate or drainage from the affected skin site? (Y or N)$Is a nonsurgical skin site involved?(Is a nonsurgical skin infection present?SPurpose: To diagnose nonsurgical soft tissue infections by using specific criteria.&Citations with documentation. 26.11.02EIs the affected soft tissue part of a recent operative site? (Y or N)PIs there localized tenderness or pa< in at the affected soft tissue site? (Y or N)2Is the affected soft tissue site swollen? (Y or N)7Is the affected soft tissue site erythematous? (Y or N)OIs the affected soft tissue site warmer to touch than adjacent tissue? (Y or N)GIs there a purulent drainage at the affected soft tissue site? (Y or N)`Is an abscess or other evidence of infection involving soft tissue seen during surgery? (Y or N)pIs an abscess or other evidence of infection involving soft tissue seen on histopathologic examination? (Y or N)SIs there a positive antigen test for a pathogen on testing urine or blood? (Y or N)fHas an organism been isolated from culture of tissue or drainage from the affected skin site? (Y or N)/Is a nonsurgical soft tissue infection present?criteria 4 met?QPurpose: To diagnose a spinal abscess without meningitis using specific criteria.&Citations with documentation. 26.02.03)Does the patient have back pain? (Y or N)?Does the patient have focal tenderness over the spine? (Y or N)+Does the patient have radiculitis? (Y or N)+Does the patient have paraparesis? (Y or N)*Does the patient have paraplegia? (Y or N)\Is there a reasonable explanation for the new symptoms other than a spinal abscess? (Y or N)wWas a pathogen isolated from culture of abscess material collected from the spinal epidural or subdural space? (Y or N)HHave any blood cultures been positive for pathogenic organisms? (Y or N)QWas an abscess seen in the spinal epidural or subdural space at surgery? (Y or N)qWas an abscess seen in tissue from the spinal epidural or subdural space on histopathologic examination? (Y or N)<Is there radiographic evidence of a spinal abscess? (Y or N)/Is a spinal abscess without meningitis present?criteria 3 met? Purpose: To evaluate a patient with a sternal wound infection to determine if a conservative surgical approach is likely to fail.&Citations with documentation. 26.25.04fAre you evaluating a patient who has a sternal wound infection following a medial sternotomy? (Y or N)CDid the patient undergo a coronary artery bypass grafting? (Y or N)VAre wound cultures of the sternotomy site positive for a pathogenic organism? (Y or N)?Are blood cultures positive for a pathogenic organism? (Y or N)Rnumber of risk factors associated with failure of a conservative surgical approach?Should closure with a muscle flap be used rather than rewiring?xPurpose: To evaluate a patient with a sternal wound infection using the clinical-radiologic staging system of Gur et al.&Citations with documentation. 26.25.02qAre you evaluating a patient with a sternal wound infection based on clinical and radiological findings? (Y or N)2Is there a sinus tract to a foreign body? (Y or N)qenter an "x" in the appropriate column(s) to indicate the extent of the infection give 1 or more answers per row)presternal soft tissue costochondralinfection adjacent to sternumsinus to medullainvolving external plateinvolving internal platealong paramedian incisioninfection involving sternum Stage of sternal wound infection$recommended treatment based on stageconservative treatment I1conservative treatment or soft tissue debridementII$sinusectomy and foreign body removalIII#resection of sternal external plateIVAsemitotal or total sternectomyIVBresection of ribs or clavicleVdebridement and irrigationPurpose: To identify a patient who is at increased risk for deep sternal wound infection or mediastinitis after median sternotomy.&Citations with documentation. 26.25.03FAre you evaluating a patient who has had a median sternotomy? (Y or N)JDid the patient undergo a coronary artery bypass graft procedure? (Y or N)$gender of the patient (enter M or F)1Does the patient have diabetes mellitus? (Y or N)<units of blood transfused in the early postoperative period.units;Was a re-sternotomy performed because of bleeding? (Y or N)*Was the operative time prolonged? (Y or N)>number of risk factors for serious infection following surgeryIIs the patient at risk for deep sternal wound infection or mediastinitis?Purpose: To classify a patient with postoperative mediastinitis following cariopulmonary bypass using the scheme of El Oakley et al.&Citations with documentation. 26.12.08pAre you evaluating a patient who has developed mediastinitis after a cardio-pulmonary bypass operation? (Y or N)9number of days after surgery that the infection presenteddays postoperative1Is the patient have significant obesity? (Y or N)<Is the patient receiving immunosuppressive therapy? (Y or N)<Have any attempts been made to treat the infection? (Y or N)number of risk factors present+classification of post-bypass mediastinitis < 2 weeks 2-6 weeksHPurpose: To diagnose a surgical wound infection using specific criteria.&Citations with documentation. 26.12.01SISSIDISSIO/S SSISIs infection suspected at or adjacent to the site of a surgical operation? (Y or N)EHow many days after surgery was the onset of the suspected infection?iWas an implant (nonhuman foreign body) permanently placed in the patient at the time of surgery? (Y or N)@Does infection involve skin and/or subcutaneous tissue? (Y or N)^Does the infection involve fascia, muscle or other deep soft tissue of the incision? (Y or N)\Does the infection involve an organ or space associated with the surgical operation (Y or N)2Is the operative site an episiotomy site? (Y or N)<Is the operative site a neonatal circumcision site? (Y or N)~Is the suspected site a stitch abscess (minimal inflammation with discharge limited to points of suture penetration)? (Y or N),Is the suspected site a burn wound? (Y or N)QIs there purulent drainage from the superficial portion of the incision? (Y or N)JIs there purulent drainage from the deep portion of the incision? (Y or N)\Is there purulent drainage from the organ or space component of the operative site? (Y or N)nIs there purulent draingage from a drain placed through a stab wound into an organ or visceral space? (Y or N)mAre cultures taken from a fluid draining from the superficial incision positive for micro-organisms? (Y or N)=Did the surgeon deliberately open the incision site? (Y or N)iDid the patient note pain, tenderness, localized swelling, redness or heat at the incision site? (Y or N)uDid the patient complain of fever (> 38C) or localize pain or experience tenderness at the incisional site? (Y or N)6Did the surgical wound spontaneously dehisce? (Y or N)Is an abscess or other evidence for infection seen in the deep incision on direct examination of the wound externally or at surgery? (Y or N)}Is an abscess or other evidence of infection seen in tissue from the deep incision on histopathological examination? (Y or N)jIs an abscess or other evidence of infection in the deep incision seen on radiologic examination? (Y or N)uIs an abscess or other evidence for infection seen in an organ or space on direct examination or at surgery? (Y or N)Is an abscess or other evidence of infection seen in tissue from an organ or wall of a space on histopathological examination? (Y or N)jIs an abscess or other evidence of infection in an organ or space seen on radiologic examination? (Y or N)bHas the surgeon or attending physician diagnosed a superficial incisional site infection? (Y or N)YHas the surgeon or attending physician diagnosed a deep surgical site infection? (Y or N)dHas the surgeon or attending physician diagnosed an organ or space surgical site infection? (Y or N)results1Is an incisional surgical site infection present?5Is an organ or space surgical site infection present?Purpose: To estimate the risk of a surgical site infection using the National Nosocomial Infections Surveillance (NNIS) Risk Index .&Citations with documentation. 26.12.05Sriram & Svirbely 1998(duration of operative procedure in hours_number of hours representing the 75th percentile for operative duration in this kind of surgerycleanclean-contaminated contaminateddirtysurgical wound classASA preoperative assess< mentNNIS risk index)estimated risk of surgical site infection^Purpose: To identify the risk of surgical wound infection after repair of an abdominal hernia.&Citations with documentation. 26.12.04serum creatinine in mg/dL mg/dL equalsmol/Lserum HDL cholesterol in mg/dLmmol/L;Has the patient had repair of an abdominal hernia? (Y or N)duration of surgery in hoursDDoes the surgeon have a high surgical wound infection rate? (Y or N)&Does the patient have cancer? (Y or N)(Is the patient extremely obese? (Y or N)serum creatinine in mol/Lserum HDL cholesterol in mmol/L risk of surgical wound infection[Purpose: To use the ASEPSIS scoring system to evaluate a surgical site for wound infection.&Citations with documentation. 26.12.07CAre you evaluating a surgical site for possible infection? (Y or N)]Have antbiotics been prescribed to treat an apparent infection of the surgical site? (Y or N)>Has pus been manually drained from the surgical site? (Y or N)0Has the wound been surgically debrided? (Y or N)GHave pathogenic bacteria been isolated from the surgical site? (Y or N):Has the patient's hospitalization been prolonged? (Y or N)percent of wound showing(" a serous exudate (enter from 0 to 100)percent " erythema (enter from 0 to 100)*" a purulent exudate (enter from 0 to 100)2" separation of deep tissues (enter from 0 to 100) ASEPSIS scorewhich indicatessPurpose: To predict the risk of surgical site infection based on the class of surgical operation and other factors.*Citations with documentation. 26.12.01&.03"Was the surgery elective? (Y or N)8number of major diagnoses for patient prior to operation#Did surgery follow trauma? (Y or N)$Was the oropharynx entered? (Y or N)+Was the respiratory tract entered? (Y or N)3Was the case an intra-abdominal operation? (Y or N)'Was the urinary tract entered? (Y or N) Was the vagina entered? (Y or N)8Did the surgical field involve inflamed tissue? (Y or N)DWas a viscus found to be perforated or ruptured at surgery? (Y or N)length of operation in hours0Was there a break in sterile technique? (Y or N)operative classificationsimplifed risk indexrisk of surgical site infectionsPurpose: To identify patients having head and neck cancer surgery who are at high risk for surgical site infection.&Citations with documentation. 26.12.09platelet count in 10^9/L*10^9/L equalsper LJAre you evaluating a patient having head and neck cancer surgery? (Y or N)"preoperative platelet count per L7Has the patient had a prolonged hospital stay? (Y or N)3Was there surgical entry into the pharynx? (Y or N)-Was a flap reconstruction performed? (Y or N)2number of risk factors for surgical site infectionOIs the patient at increased risk for a surgical site infection postoperatively?hPurpose: To identify risk factors for surgical wound infection in a patient undergoing vascular surgery.&Citations with documentation. 26.12.06IAre you evaluating a patient who is undergoing vascular surgery? (Y or N):Will the operation involve the lower extremities? (Y or N)FDoes the patient have a history of previous vascular surgery? (Y or N)Genter an "x" to indicate the surgical circumstances (give only 1 entry)delayedsurgical circumstanceslongantibiotic prophylaxis planned3number of risk factors for surgical wound infection*predicted risk of surgical wound infectionMWould a short antibiotic prophylactic regimen be appropriate for the patient?qPurpose: To respond to a fecal accident at a swimming pool or park with proper disinfection of enteric pathogens.&Citations with documentation. 26.27.01volume in gallonsgallons equalsliterstime in minutesminutes equalsiAre you responding to a fecal accident in a swimming pool or park that is treated with chlorine? (Y or N)Yenter an "x" in the appropriate column to indicate the type of stool (give only 1 answer) nonliquidliquid type of stool.current concentration of free chlorine in mg/Lmg/L-target concentration of free chlorine in mg/LpH of the watersize of the pool in litersEfree chlorine as percent of disinfectant weight (enter from 0 to 100)duration of pool closure minutes, orMminimal amount of free chlorine in grams needed to reach target concentrationgrams free chlorine, orgrams of disinfectantManagement Steps^" Direct everyone to leave the pool immediately and keep them out until disinfection complete.[" Remove as much stool as possible with a net or scoop and dispose of in a sanitary manner.C" Sample free chlorine from 3 sites remote from the return outlets.=" Make sure that the filtration system is operating properly.;" Record the accident and response in a fecal accident log.NApPurpose: To determine if tuberculosis isolation procedures can be discontinued once a patient is not contagious.&Citations with documentation. 26.14.02:Is the patient known to have active tuberculosis? (Y or N)WWas the patient receiving antituberculous therapy at the time of presentation? (Y or N)Did the patient present with:'" a chronic, productive cough? (Y or N)8" a need to undergo a cough inducing procedure? (Y or N)-" a laryngeal focus of tuberculosis? (Y or N)*" cavitary lesion on chest X-ray? (Y or N)I" an extrapulmonary tuberculous abscess with extensive drainage? (Y or N)HHave acid fast bacilli been seen in sputum or abscess drainage? (Y or N)6Has M. tuberculosis been isolated on culture? (Y or N)>number of consecutive specimens negative for acid fast bacilli'number of days specimens collected over4Was there clinical evidence to suspect tuberculosis?'Was the patient potentially infectious?0Was placing the patient in isolation reasonable?)Is there evidence of response to therapy?)Is multi-drug resistance a consideration?Can isolation be discontinued?|Purpose:To perform a risk assessment for tuberculosis at a health facility to aid in planning its infection control program.&Citations with documentation. 26.14.01XHave there been any cases of active or untreated tuberculosis in the community? (Y or N)cHave there been any cases of active or untreated tuberculosis in the health care facility? (Y or N)Are all cases of active tuberculosis presenting to the facility that require inpatient care referred to a collaborating health care facility? (Y or N)'evidence of possible spread in facilityinitial risk level for facilityneed for re-evaluation Purpose: To use a modified New York City Department of Health (NYCDOH) questionnaire to identify a child who should be screened using a tuberculin skin test.&Citations with documentation. 26.14.03YAre you screening a child to determine if he or she is at risk for tuberculosis? (Y or N)JHas your child had any contact with a known case of tuberculosis? (Y or N)+Does you child have HIV infection? (Y or N)5Has any household member been born in or traveled to?" Africa? (Y or N)" Asia? (Y or N)" Caribbean? (Y or N)" Latin America? (Y or N)HDoes your child have regular (e.g., daily) contact with an adult who is?" HIV infected? (Y or N)" homeless? (Y or N)" incarcerated? (Y or< N) " an illicit drug user? (Y or N)!number of risk factors identified1Is further evaluation for tuberculosis indicated?qPurpose: To minimize the risk of HIV transmission through tissue or organ donation using the 1994 CDC guidelines.&Citations with documentation. 26.16.01lAre you evaluating a potential tissue or organ donor for risk of transmitting HIV to the recipient? (Y or N)age of the donor in years"gender of the donor (enter M or F)Has or is the donor??" received human-derived clotting factor concentrates? (Y or N)" been exposed in the last year to known or suspected HIV-infected blood through percutaneous inoculation or through contact with an open wound, nonintact skin, or mucous membranes? (Y or N)KIs the donor unable to be tested for HIV infection for any reason? (Y or N)]Has the donor had a repeatedly positive screening assay for HIV-1 or HIV-2 antibody? (Y or N)eDoes the donor's history, physical examination, medical records or autopsy show any of the following?" diagnosis of AIDS? (Y or N)#" unexplained weight loss? (Y or N)" night sweats? (Y or N)\" blue or purple spots on the skin or mucous membranes suggesting Kaposi's sarcoma? (Y or N)9" unexplained lymphadenopathy lasting > 1 month? (Y or N)D" unexplained temperature > 100.5F (38.6C) for > 10 days? (Y or N)@" unexplained persistent cough and shortness of breath?       !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{}~(Y or N)$" opportunistic infections? (Y or N)/" unexplained and persistent diarrhea? (Y or N)(" sexually transmitted disease? (Y or N)A" needle tracks or other signs of parenteral drug abuse? (Y or N)G" other evidence of HIV infection or other high risk behavior? (Y or N)sIs the recipient's risk of not receiving the organ greater than the risk of HIV transmission and disease? (Y or N) 'number of exclusionary criteria present/Can the tissue or organ from the donor be used?YPurpose: To diagnose an Infection of the upper respiratory tract using specific criteria.&Citations with documentation. 26.04.07?Is there a purulent discharge in the patient's throat? (Y or N)qWas an abscess or other evidence of infection seen in the upper respiratory tract on direct examination? (Y or N)jWas an abscess or other evidence of infection seen in the upper respiratory tract during surgery? (Y or N)zWas an abscess or other evidence of infection seen in the upper respiratory tract on histopathologic examination? (Y or N)bWas a pathogen isolated from culture of the affected site in the upper respiratory tract? (Y or N)7Has a pathogen been isolated on blood culture? (Y or N)HIs an antigen test positive on blood or respiratory secretions? (Y or N)JIs there a diagnostic IgM antibody titer in serum for a pathogen? (Y or N)cIs there a fourfold increase in IgG antibody titer in paired serum samples for a pathogen? (Y or N)THas the patient's physician diagnosed an upper respiratory tract infection? (Y or N)0Is an upper respiratory tract infection present?Purpose: To diagnose symptomatic urinary tract infections and assymptomatic bacteriuria based on clinical and laboratory findings.*Citations with documentation. 26.08.01&.02'Does the patient have urgency? (Y or N))Does the patient have frequency? (Y or N)5Does the patient have suprapubic tenderness? (Y or N)Is teh patient apneic? (Y or N)+Does the patient have bradycardia? (Y or N)"Is the patient lethargic? (Y or N)+Has the the patient been vomiting? (Y or N)Onumber of bacterial colonies per mL of urine on culture of first urine specimen colonies/mL<number of different species of organisms isolated on culture9Is the dipstick for leukocyte esterase positive? (Y or N).Is the dipstick for nitrate positive? (Y or N)]Does the urine microscopically show >= 3 WBC per high powered field of unspun urine? (Y or N);Are bacteria seen on a Gram stain of unspun urine? (Y or N)MIs the patient being treated with appropriate antimicrobial therapy? (Y or N)IHas the patient's physician diagnosed a urinary tract infection? (Y or N)oDid the patient's physician institute appropriate antimicrobial therapy for a urinary tract infection? (Y or N)1Is a symptomatic urinary tract infection present?$Is asymptomatic bacteriuria present?SPurpose: To diagnose nonurine infections affecting the organs of the urinary tract.&Citations with documentation. 26.08.03Is the affected site the kidney, ureter, urinary bladder, tissue in the retroperitoneal space or tissue in the perinephric space? (Y or N)vHave organisms been isolated from culture of (1) fluid other than urine or (2) tissue from the affected site? (Y or N)hHas an abscess or other evidence of infection been seen on direct examination of affected site? (Y or N)eHas an abscess or other evidence of infection been seen during surgery on the affected site? (Y or N)uHas an abscess or other evidence of infection been seen on histopathologic examination of the affected site? (Y or N)<Is there a purlent drainage from the affected site? (Y or N)4Is an organism isolated from blood culture? (Y or N)5Is there radiographic evidence of infection? (Y or N)QHas the patient's physician diagnosed an infection of the affected site? (Y or N)RDid the patient's physician institute appropriate antimicrobial therapy ? (Y or N)1Is an "other" infection of urinary tract present?zPurpose: To identify risk factors associated with a patient that increase her or his risk for catheter-related infections.&Citations with documentation. 26.22.02WBC count in 10^9/LvAre you evaluating a patient for underlying conditions that increase the risk for catheter-related infection? (Y or N)WBC count per LJpercent neutrophils in the differnential blood count (enter from 0 to 100)LIs the patient immunosuppressed from therapy or underlying disease? (Y or N)ZDoes the patient have a diffuse loss of skin integrity from burns or other cause? (Y or N)$number of severe comorbid conditionscomorbid conditionsoDoes the patient have an ongoing deep bacterial or fungal infection at the time of catheter insertion? (Y or N)$number of risk factors for infection)The risk of catheter-related infection isePurpose: To diagnose a vertebral disk space infection using clinical, laboratory and radiologic data.&Citations with documentation. 26.13.03Sriram and Svirbely 1997OIs there pain at the suspected site of vertebral disk space infection? (Y or N)JIs there radiographic evidence of vertebral disk space infection? (Y or N)KIs evidence of vertebral disk space infection seen during surgery? (Y or N)`Is there histolopathologic evidence of infection in a sample from vertebral disk space? (Y or N)Is a culture of a sample from the involved site obtained during surgery or needle aspirate positive for micro-organisms? (Y or N)rIs a blood or urine antigen test positive for a pathogen known capable of causing a disk space infection? (Y or N),Is a vertebral disk space infection present?@Purpose: To diagnose viral hepatitis by using specific criteria.&Citations with documentation. 26.07.03!Is the patient anorexic? (Y or N).Is the patient complaining of nausea? (Y or N)'Has the patient been vomiting? (Y or N)5Does the patient complain of abdominal pain? (Y or N)< [Has the patient been transfused with a blood product within the previous 3 months? (Y or N)bIs there another recognized cause to explain the patient's symptoms other than hepatitis? (Y or N)ZIs there a positive antigen test for hepatitis A, hepatitis B or delta hepatitis? (Y or N)hIs there a positive antibody test for hepatitis A, hepatitis B, hepatitis C or delta hepatitis? (Y or N)AAre liver function tests (AST, ALT, bilirubin) abnormal? (Y or N)CIs CMV detectable (urine, oropharyngeal secretions, etc.)? (Y or N)Is viral hepatitis present?6Does the patient have any embolic phenomenon? (Y or N)_Does the patient have petechiae, splinter hemorrhages or painful subcutaneous nodules? (Y or N)4Is the patient in congestive heart failure? (Y or N)DDoes the patient show a new cardiac conduction abnormality? (Y or N)XIs there a reasonable explanation for the new symptoms other than endocarditis? (Y or N)oWas a culture done on material collected from an affected valve or from a vegetation on a heart valve? (Y or N)bWere organisms seen on Gram stain of material from an affected heart valve or vegetation? (Y or N);number of blood cultures positive for a pathogenic organism;Was a vegetation seen on a heart valve at surgery? (Y or N)VIs there evidence of a new vegetation on a cardiac valve on echocardiography? (Y or N)Has the patient died? (Y or N)Is endocarditis present?!criteria 2 met? (age > 12 months)"criteria 3 met? (age <= 12 months)Purpose: To evaluate an environment where people and animals are in contact in order to minimize the risk for becoming infected with enteric pathogens.&Citations with documentation. 26.17.04kAre you evaluating an environment where people are brought to interact with farm or other animals? (Y or N)rIs information about the risks from animal contact and preventive measures available to all participants? (Y or N)NHave the staff members at the facility been trained to minimize risk? (Y or N)>Have the contact area been designed to minimize risk? (Y or N)xHave special precautions been taken with animals associated with a high risk of transmitting enteric pathogens? (Y or N)hAre handwashing facilities adequate and available for use immediately after the animal contact? (Y or N)VAre all activities with hand-to-mouth contact forbidden in the contact areas? (Y or N)XAre food preparation and serving areas separated from animal interaction areas? (Y or N)qAre toilets and infant care settings separated from animal areas and provided with handwashing stations? (Y or N) ʶ /3u  A K1O $ \zRp  ~ x tnB<ztu ! %*,03U6Z:S=H?o`B E`+HIJMIPWT WCkZ[b\z^_ a b ?c ehMk1|n lrtTvx {y5~[ v "p+QR5 ș?şb 2} ,w  r70|ոb)uNu i  >e Biko  KO)-PT?CgkU7x @  fR  dMbP?_*+%MHP DeskJet 690C Series v11.0:d,,HP DeskJet 690C Series v11.0LPT1 ,,"d,,??U} m_} m)f      ] ]                  ! " # $ % & % ' % ( % ) * + , -                        Dl !"#$%&'()*+,-./0123456789:;<=>?  ! ! " " # # $ % % & & '! ' (" ( )# )$ *% +& +' ,( ,) -* -+ ., .- /. // 00 01 12 11 23 21 34 45 46 57 58 69 66 7: 7; 8< 8= 9> 9? :@ :A ;B ;C <D <E =F >G >H ?I ?JDl@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_ @K @L AM BN BO CP CQ DR DS ET FU FV GW HX HY IZ J[ J\ K] K^ L_ L` Ma Mb Nc Od Oe Pf Qg Qh Ri Sj Sk Tl Um Un Vo Wp Wq Xr Xs Yt Zu Zv [w \x \y ]z ^{ ^| _} _~DXl`abcde ` ` a a b c c d e ed><@7 Sheet1 @   dMbP?_*+%&A Page &PMHP DeskJet 690C Serie (Copy 2):d,,HP DeskJet 690C Series v11.0LPT1 ,,"d,,??U}  Z  X    ^[[[[[[[[ \ YYYYY <((  l  s 2@TOCRi]` 4zm K\L9 \L;ee>@7 Sheet110 @ !,  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} N} m N @@ @ @  @ @  @  @ @ @ @ @@ MM O PQQQQQ R S TTT UV U(Urq1D   UQQQQQ R S TTT U~ VC@ TT5W?D&  B X aTxgz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)TW*  LY  B X YTg :-):-):-)TW?  X  Y Tg :-):-):-) T W?  X  Y Tg  :-):-):-) T W  X Y Tg :-):-):-) T W  X  Y Tg  :-):-):-) T W? X  Y Tg  :-):-):-) TT X  YTg :-):-):-) TT X YTg :-):-):-) TT X YT,g  :-):-):-) TT X YT@g  :-):-):-) TTZ[TTT \ ] ^^^ _`Tg{DADADAD AD AD AD AD AAADADAB % No YesBYes ^^^ _`\gDNo  complete datam%  D N DY DY DY DY B%B$ Yes No"BYes ^^^^^^^^2R 4,`,m tttttYYYYY,>@7 @ -5  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} :} m :}  :} m : @ @ @  @  @ @  @  99 ; <===== > ? @@@ A~ BY@ A(CqqC@=D   A===== > ? @@D A~ BZ@ @ @@ E F@dgz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) @@ E F@xg  :-):-):-) @@ E F @g  :-):-):-) @@ E F @g  :-):-):-) @@ E F @g  :-):-):-) @@ E F @g :-):-):-) @@ @@@@@ G H III JmKgWDADADAD AD AD AD AB% No YesBYes III JKgDNo  complete dataD Y  YesD Y D Y B% YesVD& DY B%DY D Y B%B$ Yes No"""BYes IIIIIIIILL,|4,d,8YYYYY,  >@  7 @ 7B  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} $} m $}  $} m $ @ @  @  @  @   @ @ ## % &''''' ( ) *** +~ ,@ +D-@' D +E''''' ( ) *** . /*gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ** +z~ /R@ **B0?,D D< B% B +~ 1@ *E*?0? )DD d  B .~ /$@ ** *0 . / *gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) *6 0?  D Y  B . / *g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) *6 0?  D Y  B +~ /@ * *5 0? D   B . / *(g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) *6 0? D Y  B***** 2 3 444 5u6<g_DADADAD AD AD AD AD AB% No YesBYes 444 5f6DgPDNo  complete data,DY  Yes No"BYes}7Lg gDNo D= Applies to a person's risk for a catheter-related infection. :-):-):-)B :-):-):-) 88 5N6@8DNo  complete data% mB 444 56`gDNo  complete datawD  lowXD  increased3D  very highhigh"""B very high 44444444.d 4,[,zw8m,!p>@7 @  5D]  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU}  } m }  } m   @ @  @  @   @ @ @ @ @ @ @ @ @ @        ~ @Z@ (rqGD@ D       ~ 7@  etgODAA&D B$age of patient in months :-):-):-)B :-):-):-)Sg=DAA&D B$ months :-):-):-)B :-):-):-)  q~ C@ ?mDA enter dataOD& 3D D% B$ ""B   gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  gkD JCDoes the patient have pain localized to the affected site? (Y or N) :-):-):-)BFCDoes the patient have pain localized to the affected site? (Y or N)  8g D D AB$ enter Y or NYD D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) t ?^DAD AB% enter data4D D Y B$ "B} Lg gD F?Does the patient have tenderness at the affected site? (Y or N) :-):-):-)BB?Does the patient have tenderness at the affected site? (Y or N)  g D D AB$ enter Y or NYD D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) t  ^DAD AB% enter data4D D Y B$ "Br g \D AA&D B$,%Does the patient have apnea? (Y or N) :-):-):-)B :-):-):-)  gDAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  D DAD DAB$D AD ADADAB% enter dataaD DAA&D Y D Y DY DY B%B$ ""Bx g bD AA&D B$2+Does the patient have bradycardia? (Y or N) :-):-):-)B :-):-):-)  g DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) o0g YD AA&D B$)"Is the patient lethargic? (Y or N) :-):-):-)B :-):-):-)Dg DAA&D DAB$ enter Y or NdDAA&D DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) nXgXD AA&D B$(!Is the patient vomiting? (Y or N) :-):-):-)B :-):-):-)lgDAA&D DAB$ enter Y or NdDAA&D DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   gz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)[?EDA enter data'DY  "B  g  :-):-):-)qDADADAB% enter data?DY DY DY B% "B  g :-):-):-)   g :-):-):-)   g :-):-):-)?DADADADADAB% enter dataSDY DY DY DY DY B% "B  g :-):-):-)   g :-):-):-)    g :-):-):-)    g :-):-):-)     B 4g,DADAD ADADADADADADAADAAB % NoD DAB$ NoD D AD AB%B$ No^DAA&D D AD ADADAB%B$ No Yes"""BYes  != <g 'DNo  complete dataD Y DY B$ YesD Y DY B$ YesD Y D DD D  D B$ Yes\D Y D DAA&DD  D B$ Yes No""""BYes ""DAl4,d,8Nja`2YYYYYY,ni >@7 @ &G_x  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"W??cU} }  }  }  } m & @     @  @ @ @ @ @ @ @ @ @ @ @ @ @ @       ~ X@ (UUUUUUB@D       ~ @@  kDgUDAA&D B$%enter age of patient in months :-):-):-)B :-):-):-)SXg=D DAA&B$ months :-):-):-)B :-):-):-)  q~ B@ xDA enter dataZD& >D DAA&D% B$ ""B _  lg z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) [ ? ED A enter data'D Y  "B   g   :-):-):-) [ ? ED A enter data'D Y  "B   g   :-):-):-) [  ED A enter data'D Y  "B   g   :-):-):-) [ ED A enter data'D Y  "B   g   :-):-):-)   uD DAA&D AB$ enter data?D DAA&D Y B$ "B  g   :-):-):-) uD DAA&DAB$ enter data?D DAA&DY B$ "B  g  :-):-):-)uD DAA&DAB$ enter data?D DAA&DY B$ "B  g  :-):-):-)uD DAA&DAB$ enter data?D DAA&DY B$ "B ~ i@   ~ ?  g~Dj@ D DAA&B$?8number of total cultures with >= 100,000 colonies per mL :-):-):-)B :-):-):-)~ ?  g}Dj@ Dd D B$@9Was a known uropathogen isolated on the culture? (Y or N) :-):-):-)B<9Was a known uropathogen isolated on the culture? (Y or N) gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)_IDd D DY D DY B$ BgqDY OHHow many times has this organism been isolated from the patient's urine? :-):-):-)BKHHow many times has this organism been isolated from the patient's urine?~ @ z<gdDY B;Was the urine specimen nonvoided (aspirate, etc.)? (Y or N) :-):-):-)B>;Was the urine specimen nonvoided (aspirate, etc.)? (Y or N) gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   gzpLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)[?EDA enter data'DY  "B  g :-):-):-)[?EDA enter data'DY  "B  g :-):-):-)[?EDA enter data'DY  "B  g :-):-):-)[?EDA enter data'DY  "B  g :-):-):-)w?aDA enter dataCDj@ D DY B$ "B  ,g :-):-):-)[?EDA enter data'DY  "B  @g  :-):-):-)[?"EDA enter data'DY  "BTgDj@ D DAA&B$zsHas the patient had an indwelling urine catheter within 7 days of the first urine culture being collected? (Y or N) :-):-):-)B :-):-):-) hg :-):-):-)[#EDA enter data'DY  "BD1l4,d,828,2 !" @# @$%    !!|g#DADAD AD AD AD AD ADADADADADADADADADADADADAB% NoD DAB$ NoDj@ D DADAB%B$ NoDj@ Dd D DAB$ NoeDj@ Dd D DY DADAB%B$ No Yes""""BYes ! ""gD!No  complete dataD % \  Dj@ D B$ Yesj% 0 DDDDDDDD B$ Yes No""DAA&D B$DD D DDD Dj@ D B$ YesDD D DDD DDDDDDDD B$ Yes No"" check data""BYes " #;#g%D!No  complete dataD& D% D N D N D N D N Dj@ D DY B $ YesD& D% D N D N D N D N Dj@ D D DN B $ Yes No""BNo# gD!No  complete dataD& D% D N D N D N D N Dj@ D D DN B $:3Need one more positive urine culture for diagnosis. :-):-):-)"B :-):-):-) #  $% kd,3t>@7 @ $؁G  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m $ @  @   @  @  @ @ @ @@ @ @ @ @ @ @@ @        (rq1D       ~   `g JDAA&D B$enter age in months :-):-):-)Benter age in months~ ,@   ~ C@ Q? ;DAA&D% B$D& B% Bx g bDAA&D B$2+Does the patient show bradycardia? (Y or N) :-):-):-)B :-):-):-)  g DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) N  8DAA&D D Y B$ Bl g VDAA&D B$&Is the patient apneic? (Y or N) :-):-):-)B :-):-):-)   g DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) N  8DAA&D D Y B$ B~  ghDAA&D B$81Does the patient have a nasal discharge? (Y or N) :-):-):-)B :-):-):-)  4g DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) N  8DAA&D D Y B$ B   Hg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6 " D Y  Bz \g dD D B%6/Is the patient's pharynx erythematous? (Y or N) :-):-):-)B2/Is the patient's pharynx erythematous? (Y or N)  gD D B%D AB$ enter Y or NfD D B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) P :D D B%D Y B$ BxgbD D B%4-Does the patient have a sore throat? (Y or N) :-):-):-)B0-Does the patient have a sore throat? (Y or N) , gD D B%DAB$ enter Y or NfD D B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)P?:D D B%DY B$ Br@ g\D D B%.'Does the patient have a cough? (Y or N) :-):-):-)B*'Does the patient have a cough? (Y or N)  gD D B%DAB$ enter Y or NfD D B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)P?:D D B%DY B$ Bj gTD D B%&Is the patient hoarse? (Y or N) :-):-):-)B"Is the patient hoarse? (Y or N)  g D D B%DAB$ enter Y or NfD D B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)P?!:D D B%DY B$ B   gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    !gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    !gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   4!g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   H!gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   \!gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   p!gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   !g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   !gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)     F!g0DADAD ADADAADADADADADADAB % NoD DAA&DAB$D DAA&D AD AD AB%B$D D B%D AD ADADADAB%B$B% No Yes"BYes  !gnDNo  complete dataJD Yes D!Yes D"Yes B% Yes No"BYes D7 l4,`,8,r !"# S !g=DY DY DY B% Yes NoBYes  !!!gD D B%%1 DY DY DY DY DY DY B%B$ Yes NoBYes ! ""!g DAA&D % @ DY DY DY DY DY DY B%B$ Yes NoBNo "# p<> @7 @ 0@.9  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m 0 @ @ @  @  @  @ @ @ @ @ @ @ @@@ @ @ @ @ @ @ @        !g.pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  ~ 7@  X!g$BD !age of the donor in months :-):-):-)B :-):-):-)D!g$.D  months :-):-):-)B :-):-):-)   "gpDA enter M or FPDM A&DF A&B$ enter M or F :-):-):-)"B :-):-):-)  $"g'D @DM B$=" had sex with another man in the preceding 5 years? (Y or N) :-):-):-)B :-):-):-)8"gD DM DAB$ enter Y or NcD DM DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) * LY  B L"g D b" injected drugs (IV, IM, subcutaneous) for nonmedical purposes in the preceding 5 years? (Y or N) :-):-):-)Bb" injected drugs (IV, IM, subcutaneous) for nonmedical purposes in the preceding 5 years? (Y or N)  #g D D AB$ enter Y or NYD D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  ?    (#g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)    <#g D W" been engaged in sex in exchange for money or drugs in the preceding 5 years? (Y or N) :-):-):-)BW" been engaged in sex in exchange for money or drugs in the preceding 5 years? (Y or N)  #g D D AB$ enter Y or NYD D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  ? < $g&D " had sex in the past 5 years with any person who has risk factors or who is known or suspected of being HIV infected? (Y or N) :-):-):-)B" had sex in the past 5 years with any person who has risk factors or who is known or suspected of being HIV infected? (Y or N)  %g D D AB$ enter Y or NYD D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)      %gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  (%gD k2" an inmate of a correctional insitution? (Y or N) :-):-):-)Bg2" an inmate of a correctional insitution? (Y or N) %g D DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)S%g=D Has or is the mother? :-):-):-)B :-):-):-)%gD o4" known or suspected of being HIV positive? (Y or N) :-):-):-)B :-):-):-) %gD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)lD D DY DY DY DY DY DY B%B$ B%gD b" injected drugs (IV, IM, subcutaneous) for nonmedical purposes in the preceding 5 years? (Y or N) :-):-):-)B :-):-):-) %gD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) &gD ?" received human-derived clotting factor concentrates? (Y or N) :-):-):-)B :-):-):-) &gD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) 0&gD R" engaged in sex in exchange for money or drugs in the preceding 5 years? (Y or N) :-):-):-)B :-):-):-) D&gD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) :X&g$D ~" had sex in the past 5 years with any person who is suspected, known or who has risk factors for being HIV infected? (Y or N) :-):-):-)B :-):-):-) l&gD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) &gD " been exposed in the last year to known or suspected HIV-infected blood through percutaneous inoculation or through contact with an open wound, nonintact skin, or mucous membranes? (Y or N) :-):-):-)B :-):-):-) &gD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) &g|D [THas the child have been breast fed by the mother within the past 12 months? (Y or N) :-):-):-)B :-):-):-) &gD D DAB$ enter Y or NkD D D DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)vD D DY DY DY DY DY DY B%DY B$ B&gD D B$D D B$B%:3Is the child's HIV antibody test negative? (Y or N) :-):-):-)B :-):-):-)&gD D B$D D B$B%DAB$ enter Y or ND D B$D D B$B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)sD D B$D D B$B%DY DY %'  B%B$ B  &gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6 DY  B   'gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6- DY  B    'gz# pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)*' LY  B  4'g :-):-):-)  H'g :-):-):-)  \'g :-):-):-)  p'g  :-):-):-) D)l4,8 ,yK ttt  @! @"# @$%& @' @( @)*+, @-. @/   'g! :-):-):-)  ! ! !!'g" :-):-):-)!!" " ""'g# :-):-):-)""# # ##'g% :-):-):-)##$$'gD DM B$U'" male-to-male sexual contact? (Y or N) :-):-):-)B :-):-):-)$$'g$D DM D$AB$ enter Y or NcD DM D$Y A&D$N A&B$ enter Y or N :-):-):-)"B :-):-):-)$$% % %%'g&pD%A enter Y or NPD%Y A&D%N A&B$ enter Y or N :-):-):-)"B :-):-):-)%%& & &&(g(pD&A enter Y or NPD&Y A&D&N A&B$ enter Y or N :-):-):-)"B :-):-):-)&&' ' ''$(g,pD'A enter Y or NPD'Y A&D'N A&B$ enter Y or N :-):-):-)"B :-):-):-)'' ( ((8(gpD(A enter Y or NPD(Y A&D(N A&B$ enter Y or N :-):-):-)"B :-):-):-) () * * * +D+L(g.DADAD DAB$DAD DM DAB$D D AB$D AD D AB$D  D AB$D AD DAB$B % NolD DADADADADADADAB%B$ NoD D B$D D B$B%DAB$ NoDADADADADADADAD AD!AD"AD#AD DM D$AB$D%AD&AD'AD(AB% No Yes"""BYes + ,f,T(g,PD+No  complete data,DY  Yes No"BYes,\(gD,No _X Applies to evaluation of potential tissue or organ donors for risk of HIV transmission. :-):-):-)B :-):-):-) , -N-@.8D+No  complete data%'OB - ..p(g jD+No  complete dataFD- D- D(Y B$B% Yes No"BNo.x(gjD- D(Y B$;4 Only if informed consent is given by the recipient. :-):-):-)B :-):-):-) ./$ ,tttt,p<p=>@&&&7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} }  } m  @ @ @ @ @@@ @ @  @ @ @@@@ @ @         (gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   (gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6? DY  B  (gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6 DY  B  X? BDY DY D Y D Y B% B  (gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   (gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    (gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)    )g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)   X ?BD Y D Y DY DY B% B   )gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)    ,)g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)   @)g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   T)gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)     h)gwDADADADADAD AD AD AD ADADAB % No YesBYes  fp)gPDNo  complete data,DY  Yes No"BYes}x)g gDNo C< Applies to screening a child with the NYCDOH questionnaire. :-):-):-)B :-):-):-)  N@8DNo  complete data%bB  j)gTDNo  complete data0D  YesNot now"BYes 2E8,zz,"p>@7 @ ~   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @@ @  @  @  @  @  @ @ @        )g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) W)gADY number of cases reported :-):-):-)B :-):-):-)  )gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) W)gADY number of cases reported :-):-):-)Bnumber of cases reported~ @   *gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) *g kDY DY B%;4current health care conversion rate per hundred HCWs :-):-):-)B74current health care conversion rate per hundred HCWs~ 4@Y*gCDY DY B% per 100 HCWs :-):-):-)B per 100 HCWs  *g DY DY B%YRprevious health care conversion rate per hundred HCWs during period of low TB risk :-):-):-)BURprevious health care conversion rate per hundred HCWs during period of low TB risk~ $@Y L+gCDY DY B% per 100 HCWs :-):-):-)B per 100 HCWs  h+g {DY DY B%KDhealth care conversion rate in a reference facility with low TB risk :-):-):-)BGDhealth care conversion rate in a reference facility with low TB risk~ $@Y +g CDY DY B% per 100 HCWs :-):-):-)B per 100 HCWs  ,gDY DY B%g`Are any clusters in health care worker PPD conversion seen (by ward or service, other)? (Y or N) :-):-):-)Bc`Are any clusters in health care worker PPD conversion seen (by ward or service, other)? (Y or N)  ,g DY DY B%D AB$ enter Y or NhDY DY B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  ,g mDY DY B%=6Is there evidence of person-to-person spread? (Y or N) :-):-):-)B96Is there evidence of person-to-person spread? (Y or N)  X-g DY DY B%D AB$ enter Y or NhDY DY B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  l-g DYes _XHave one or possible causes for the transmission been identified and corrected? (Y or N)checkB[XHave one or possible causes for the transmission been identified and corrected? (Y or N)   .gossDYes D AB$ enter Y or N\DYes D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 4.gDYes D Y B$d]Has a re-evaluation of the facility been conducted since the changes have been made? (Y or N) :-):-):-)B`]Has a re-evaluation of the facility been conducted since the changes have been made? (Y or N) .gDYes D Y DAB$ enter Y or NfDYes D Y DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) /g |DYes D Y DY B$@9Is there continued evidence for TB transmission? (Y or N) :-):-):-)B<9Is there continued evidence for TB transmission? (Y or N) x/gDYes D Y DY DAB$ enter Y or NpDYes D Y DY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)     /gmDADADAB% NoCDY DAB$DY DAB$B% NoDY DY B%DAD AD AD AD AB%B$ NoDYes D AB$ NotDYes D Y DAB$DYes D Y DY DAB$B% No Yes""""BYes  _/gIDD  DD  D Y D Y B% Yes NoBYes  /g|DNo  complete dataXDN DN B$minimal&DNo DN DY B$ very low riskDNo DAA&DAA&DD B$low riskDNo DAA&DAA&DD B$intermediate risk<DYes  high risk check data"""""B high riskj/gTD high risk DN B$pending re-evaluation :-):-):-)B :-):-):-) d/gND high risk $final risk level for facility :-):-):-)B final risk level for facility0gD high risk D Y DY DN B$DYes DN DY B$revert to very low riskDYes DAA&DAA&DD B$revert to low riskwDYes DAA&DAA&DD B$"revert to intermediate risk check data"""AD high risk  high risk :-):-):-)"B high risk  0gDNo  complete dataD high risk DY DY B$D high risk D N B$B% immediateUD high risk D Y DN B$3 monthsannual""B immediatek(0gUD immediate DY B$Consider consultation. :-):-):-)BConsider consultation. 44,}Ll,@\>@7 @ +72 ;  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"Z??cU} r} m r+ @ @@ @  @ @    @ @@ @ @ @ @ @ @ @ @ @ @ @ @@ qxq sy tuuuuu v w xxx yz y({rq1uD   yuuuuu v w xx| }z ~xX0gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) x}l0gDN yIs the patient suspected of having tuberculosis based on clinical symptoms, X-ray findings, or exposure history? (Y or N) :-):-):-)B|yIs the patient suspected of having tuberculosis based on clinical symptoms, X-ray findings, or exposure history? (Y or N) ~x`1gDN DAB$ enter Y or NZDN DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) x }{ ~xt1g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)xR? <DN DY D Y B$B% Bs }1g]DY ;4Was the antituberculous regimen inadequate? (Y or N) :-):-):-)B74Was the antituberculous regimen inadequate? (Y or N) ~ x1gDY D AB$ enter Y or NZDY D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) x }2gDN Is there another diagnosis identified by additional testing which could explain all or most of the patient's symptoms? (Y or N) :-):-):-)BIs there another diagnosis identified by additional testing which could explain all or most of the patient's symptoms? (Y or N) ~ x3gDN D AB$ enter Y or NZDN D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) x | x y} ~ x3g  z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) x @$D Y  BD Y  BDY  BDY  BDY  B }~ ~ x03g   :-):-):-) x } ~xD3g   :-):-):-) x } ~xX3g  :-):-):-) x } ~xl3g  :-):-):-) x } ~x3g  :-):-):-) x } ~x3g  :-):-):-) x}3g DY ]VHave previous TB isolates had antibiotic susceptibility procedures performed? (Y or N) :-):-):-)BYVHave previous TB isolates had antibiotic susceptibility procedures performed? (Y or N) ~xX4gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) x}l4gDY d]Is the patient now on a antituberculous regimen to which the isolates are sensitive? (Y or N) :-):-):-)B :-):-):-)~x4gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)xD?.DY DY B% B~}4ghDY F@;Is there an isolate showing multi-drug resistance? (Y or N) :-):-):-)B :-):-):-)~x4gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)xD.DY DY B% B}4gDN d]Is the patient now on an antimycobacterial regimen sufficient to cover tuberculosis? (Y or N) :-):-):-)B`]Is the patient now on an antimycobacterial regimen sufficient to cover tuberculosis? (Y or N) ~xx5gDN DAB$ enter Y or NZDN DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) x}5gDN l@aDid the patient acquire the disease from a patient with a multi-drug resistant organism? (Y or N) :-):-):-)BdaDid the patient acquire the disease from a patient with a multi-drug resistant organism? (Y or N) ~xP6gDN DAB$ enter Y or NZDN DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) xd6g"~DY DY B%NGAfter being placed on adequate antituberculous therapy, has there been: :-):-):-)BJGAfter being placed on adequate antituberculous therapy, has there been: x@DY  BDY  BDY  BDY  By6g&wDY DY B%G " a reduction in cough? (Y or N) :-);-):-)BC " a reduction in cough? (Y or N) ~x87gDY DY B%DAB$ enter Y or NhDY DY B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) x}L7gDY DY B%_," a reduction in sputum production? (Y or N) :-);-):-)B[," a reduction in sputum production? (Y or N) ~x7gDY DY B%DAB$ enter Y or NhDY DY B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) xy7guDY DY B%E" a decrease in fever? (Y or N) :-);-):-)BA" a decrease in fever? (Y or N) ~x7gDY DY B%DAB$ enter Y or NhDY DY B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) xy8gDY DY B%S&" a decrease in night sweats? (Y or N) :-);-):-)BO&" a decrease in night sweats? (Y or N) ~x`8gDY DY B%DAB$ enter Y or NhDY DY B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) x}t8gDY DY B%B" a reduction in acid fast bacilli in sputum or drainage? (Y or N) :-);-):-)BB" a reduction in acid fast bacilli in sputum or drainage? (Y or N) ~x8gDY DY B%DAB$ enter Y or NhDY DY B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)x6? DY  B }~ ~@ xxB?(,D D B$ B }~ ~@ xxD#l4,`,  YYYYYYp !"# @$% @&@'@() @* xxxx| ! ! ! ""9g#DADAD A ADADAADADADAAB % No-DN DAB$DN D AB$DY D AB$DY AB$DY DAB$DY DAB$DN AB$DN DAB$B% NohDY DY B%ADADADADAB%B$ No Yes""BYes " #t#9g ^D"No  complete data:DY DY B% Yes No"BYes # $$ 9g%D"No  complete dataD#Yes D  DY DN DY D Y B$DY D N D  B$B%B$ Yes No"BYes $ %x%(9gbD"No  complete data>D#Yes D$Yes B$ Yes No"BYes % &r&09g\D"No  complete data8D D B$ Yes No"BYes & 't'89g)^D"No  complete data:DY DY B% Yes No"BNo ' ((@9g'D"No  complete datapD Y DN DN B$D D D D B$B% Yes No"BYes ()H9glD(Yes HAShould isolation be continued during hospitalization if possible? :-):-):-)BDAShould isolation be continued during hospitalization if possible?)9g)zD"No  complete dataVD(Yes +D'Yes  Yes No" :-):-):-)"BNo )*,{>@7 @ 4o<KuQ  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} L}  L} m L4 @ @@  @     @ HZ HI J[ KMMMMM N O PPP Q\R Q]%QD*:H@ Q^ Q_R Q`Q D< QMMMMM N O PPP Sa TP9gMpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) PPUVWWW Xb YZ[W \ ]c ^d P_ `e a ax [9gbD AA& BD AA& B  Yes NoBYes _@kD No  check dataJD AA& BD AA& BB UVWWW Sf~ b4@ Pg WW Sh~ b9@ Pg WW Si~ T@@ PWW Sj~ cj@ P^ WW Sk~ TN@ P* WWUVWWW d e fff gph9g ZDAD No D ADADADADAB% No YesBYes fff gfh9gPDNo  complete data,DY  Yes No"BYesof:gYDNo 5. Applies to a fecal accident in a water venue. :-):-):-)B :-):-):-) ff glix@DNo  complete dataD  D B$ Target too high.D  D333333? B$Target too low.dD  D%$2Bf6D   %D check data""""B fmj@ D< f knWh@@ADNo  complete dataDD DB lo^m:g HD  check data) at least DdDABat least 833,3 npfffff dqffff frffff fsffff ftfffff8:g}D@ D@ B%C" Adjust the pH to 7.2 to 7.5. :-):-):-)B?" Adjust the pH to 7.2 to 7.5.ffff fufffffx:gD  P" Backwash the filter after disinfection time complete and replace filter media. :-):-):-)BP" Backwash the filter after disinfection time complete and replace filter media.ffffDl8,]W, 4188,88,g  !"#$%&'()*+,-./0123 f;gD  >" Reduce the free chlorine level back to a safe concentration. :-):-):-)B>" Reduce the free chlorine level back to a safe concentration. ffff !fv!ffff"fffff#ooooo~ $o $pw $ooo%o>@p@Z@ %ooo&oN@pR@ &ooo'oT@pK@ 'ooo(o?pF@ (ooo)o^@pC@ )ooo*oa@pA@ *ooo+od@p>@ +ooo,of@p<@ ,ooo-o@p9@ -ooo.ok@p8@ .ooo/on@p6@ /ooo0o@p@p5@ 0ooo1oq@p4@ 1ooo2o@p3@ 2ooo3ooooo,|S ,&&&&&&&&&&&&&&>@7 @ RSa  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} -} m - @ @ @ @ @      @ @ @ ,M, .N /00000 1 2 333 4O 53;gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) 33 4P 53;gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)366 DY  B 4 53;gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)366? DY  B 4Q 53;gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)366  DY  B33336 7R889: ; < < <S 6D No  check datalD AA& BD AA& BD AA& BB =T > > > 6;g D AA& BD AA& BD AA& B  Yes NoBYes ; < <U ? 6?kD No  check dataJD AA& BD AA& BB =V > >?x 6;gbD AA& BD AA& B  Yes NoBYes 33333 @ A BBB CkD;gUDADADADAD No D No B% No YesBYes BBB CfD@7 @ b,m  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m  @ @@@  @  @  @   @ @ @ A B     C D D E     F !@7 @ %nޑ  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} }  }  }  }  } m % @ @ @ @  @  @   @  @ @ @@@@ @@ @ @@ @ @ @ 0  1     2 P=g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    3~ @ Z ?DDA enter data&D  "B  4 d=gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  r x=g\DY :3Was the trauma recent, with an open wound? (Y or N) :-):-):-)B63Was the trauma recent, with an open wound? (Y or N) =gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   =gDY `YWas there delayed treatment for the trauma, with retained or devitalized tissue? (Y or N) :-):-):-)B\YWas there delayed treatment for the trauma, with retained or devitalized tissue? (Y or N) >g DY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  t >g^DY <5Was a foreign body introduced by the trauma? (Y or N) :-):-):-)B85Was a foreign body introduced by the trauma? (Y or N) (?gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  s 7Was the GI tract entered during the operation? (Y or N) :-):-):-)B:7Was the GI tract entered during the operation? (Y or N) AgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  | Ag#fDY D=Was there significant spillage of GI tract contents? (Y or N) :-):-):-)B@=Was there significant spillage of GI tract contents? (Y or N) $BgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  a 8BgKDY )"Was the appendix removed? (Y or N) :-):-):-)B%"Was the appendix removed? (Y or N) BgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  b BgLDY *#Was the appendix ruptured? (Y or N) :-):-):-)B&#Was the appendix ruptured? (Y or N) BgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  f BgPDY .'Was the biliary tract entered? (Y or N) :-):-):-)B*'Was the biliary tract entered? (Y or N) @CgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  q TCg[DY 92Were the biliary tract contents infected? (Y or N) :-):-):-)B52Were the biliary tract contents infected? (Y or N) CgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    8 CgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  q Cg [DY 92Were the urinary tract contents infected? (Y or N) :-):-):-)B52Were the urinary tract contents infected? (Y or N) LDgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    9 `DgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    : tDgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  ` Dg!JDY (!Was the pus encountered? (Y or N) :-):-):-)B$!Was the pus encountered? (Y or N) Dg DY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    ; DgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    <~ @ Z ?"DDA enter data&D  "B  = DgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  u Eg_DY =6Was there a major break in sterile technique? (Y or N) :-):-):-)B96Was there a major break in sterile technique? (Y or N) xEgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)         D"l8,~\^f||Z !"#$  Eg!DADADAD AD ADADADADADADADAB % No|DY DADADAD AD AB%B$ No-D Y D AB$DY DAB$DY DAB$B% NoDY DADADAB%B$ NoDY DAB$DY DAB$DY DAB$B% No8DY DAB$ No Yes"""""BYes   !>!EgD No complete data entryDY DY D Y D Y DY DY B$DY DY B$DY B%dirty-infectedSDY D Y D Y B$DY DY B$DY DY B$DY DY B$DY DN B$DY DY B$B% contaminatedD Y D Y D N B$DY DN B$DY DN B$DY DN B$DY DN B$DY DY DN B$B %clean-contaminatedDN DN DN D N D N D N D N DN DN DN DN DN DN DN DN B$ clean unclassified""""B contaminated !\!?FD! contaminated D!dirty-infected B% B "?T"@ >D No complete data entry%!B " #@#EgD No complete data entryUD"  low6D"  intermediatehigh""Bhigh #$P0v>@7 @ _  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @ @ @ @ @     @  @   !     " EgzpLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)  # Eg :-):-):-)6 DY   B $ Eg :-):-):-)6  DY  B % Eg :-):-):-)6 DY   B &  Fg :-):-):-)6$@ DY   B '  Fg :-):-):-)6 DY  B (  )~ 9@ *  @ D P zD < ^D ( BD  &D   """"B +~ 9@ *  @D P zD < ^D ( BD  &D   """"B ,~  *  D P  zD < ^D ( BD  &D   """"B -~  *   D P  zD < ^D ( BD  &D   """"B    4Fg oDADADADADADAD AD AD AD AB % No YesBYes  f@7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m  @ @  @            %DV@   %Dݓ?      FgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  ~ ? 5 D  B   FgpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6 ?  D Y  B   Fg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6   D Y  B   Fg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6   D Y  B ~ X@  5  D s  B ~ ^@  J 4D AA&D (\? B$ B    mFgWDADAD AD AD AD AD AB% No YesBYes  fFgPDNo  complete data,DY  Yes No"BYesoFgYDNo 6/Applies to patients with abdominal wall repair. :-):-):-)B :-):-):-)  N?8DNo  complete data% @B  Gg DNo  complete datawD  lowXD  very high3D  high increased"""B increased .s 4,]],mm,p>@7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} }  } m } } m  @ @ @@ @           ~ d@  ~ ? 7?!DD  B               Gg DAA& BDAA& BDAA& BDAA& B  Yes NoBYes? DNo  check dataDAA& BDAA& BDAA& BDAA& BB $ ?@@@@      Gg D AA& BD AA& BD AA& BD AA& BD AA& B  Yes NoBYes ?D No  check dataD AA& BD AA& BD AA& BD AA& BD AA& BB     [ $GgEDADADNo D No B% No YesBYes  N@8D No  complete data% @B ,GgD No  complete dataD very low (1.5%)bD  lowCD moderaterelatively high (13%)"""Brelatively high (13%)& @B2>w&R@2v >@7 @ 'bW  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} }  } } m ' @ @ @ @ @ @ @  @  @ @  @  @ @ @ @ @ @ @ @ @ @ @@ @ @@@ @ @ @          XGgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)[?EDA enter data'DY  "B[?EDA enter data'DY  "B[?EDA enter data'DY  "B ~ 9@ Z?DDA enter data&D  "B?DADAB% enter data^D DN B$4Dm DY B$ ""B?DADAB% enter data^D DN B$4Dm DY B$ ""B  lGgz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)   Gg :-):-):-)[?EDA enter data'DY  "B   Gg  :-):-):-)[?EDA enter data'DY  "B  Gg :-):-):-) [EDA enter data'DY  "B   Gg :-):-):-)    Gg  :-):-):-)    Gg  :-):-):-)    Gg  :-):-):-)     Hg :-):-):-)[ ?ED A enter data'D Y  "B    Hg :-):-):-)u?_D ADAB% enter data5DY DN B$ "B  4Hg :-):-):-) u_DADAB% enter data5DY DY B% "B  HHg :-):-):-)   \Hg :-):-):-)[? EDA enter data'DY  "B   pHg  :-):-):-)? DADADADAB% enter data`DY DN B$5DY DY B$ ""B?DADADADADAB% enter datanDY DN B$CDY DY B$DY B% ""B  Hg :-):-):-)   Hg :-):-):-)   Hg :-):-):-) HgDY f_Were adequate aseptically collected cultures taken of the incision site after opening? (Y or N) :-):-):-)Bb_Were adequate aseptically collected cultures taken of the incision site after opening? (Y or N) Ig :-):-):-) xIgbDY @9Are these cultures positive for micro-organisms? (Y or N) :-):-):-)B<9Are these cultures positive for micro-organisms? (Y or N) Jg :-):-):-)   Jg :-):-):-)qDADADAB% enter data?DY DY DY B% "B  0Jg :-):-):-)   DJg  :-):-):-)   XJg :-):-):-)  qDADADAB% enter data?DY DY DY B% "B  lJg :-):-):-)   Jg :-):-):-)   Jg :-):-):-)[?EDA enter data'DY  "B   Jg :-):-):-)[$EDA enter data'DY  "BDl>P[[[[[[[[U [[[[  @!"#$ @% @&   Jg :-):-):-) [ %ED A enter data'D Y  "B! " "" #k#JgUDADADADADADAD AD AD AD AD ADADADADADADADADADADADADADADADADAD AB% NocDY DAB$ No8DY DAB$ No Yes""BYes# $'$JgD#No complete data entryDDD % Wk B$Yes, deep incisionalDDD %   D Y A&D Y A&D Y A&D Y A&B$ Yes, superficial incision No""BYes, deep incisional$ %%KgvD#No complete data entryLDDD %  B$ Yes No"BNo%&Vx.f>@!!!7 @ 8  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxz{|}~"d??cU} } m  @ @ @ @ @ @ @  @  @    @         KgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  ~ 7@ $I$I @ D   KgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6 DY  B  4KgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6 DY  B  HKgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6 DY  B  \Kg pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) } pKg gDY E>number of therapeutic attempts made to treat the mediastinitis :-):-):-)B :-):-):-) L Kg6DY  attempts made :-):-):-)B :-):-):-) n KgXDY 6/number of therapeutic attempts that have failed :-):-):-)B :-):-):-) S Kg =DY attempts that failed :-):-):-)B :-):-):-)       Kg{DADADADADADADY D AB$DY D AB$B% No YesBYes  fKgPD No  complete data,DY  Yes No"BYesKg zDNo WP Applies to a patient with mediastinitis occurring after cardiopulmonary bypass. :-):-):-)B :-):-):-)  N8D No  complete data%B  KgpD No  complete dataLD  Type V*D  $ $""B Type II  hKgRD D DN DY D  D  B$B%B$ Type ID D DN DY D  D  B$B%B$ Type IIIAD DY D  D  B$Type IVAXD DY D  D  B$Type IVB check data"""B check data   LgwD D D DN DY D  D  B$B%B$Type IID D D DN DY D  D  B$B%B$ Type IIIBD D DY D  D  B$Type IVAaD D DY D  D  B$Type IVB check data"""B Type II 24,W ,4p>@7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} l}  l} m l @ @ @@ @@ @  @  @  @  @  @@ @ @ @ h hi j kmmmmm n o ppp q rpLgmpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) pp q rp0LgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) pp q rpDLgpDA enter M or FPDM A&DF A&B$ enter M or F :-):-):-)"B :-):-):-)p6s? DM  B q rpXLg pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)p6s DY  B q0 rplLgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)p6s DY  B q1 rpLgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)p6s  DY  B q~ r@ p p5 s D   B q r pLgpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) p6 s?  D Y  B q r pLg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) p6 s?  D Y  B qLg~DY \UWere the bilateral internal thoracic (mammary) arteries used for the grafts? (Y or N) :-):-):-)BXUWere the bilateral internal thoracic (mammary) arteries used for the grafts? (Y or N) r phMg DY D AB$ enter Y or NZDY D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) pN s 8DY DY D Y B$ B q|MgDY c\Has the patient developed infection in the legs at sites of saphenous vein removal? (Y or N) :-):-):-)B_\Has the patient developed infection in the legs at sites of saphenous vein removal? (Y or N) r p8Ng DY D AB$ enter Y or NZDY D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) pD s?.DY D Y B$ Btuvvv w x yyy z{LNgDADADADADADAD AD AD ADY D AB$DY D AB$B % No YesBYes yyy zf{TNgPDNo  complete data,DY  Yes No"BYes|\Ng wDNo TM Applies to a patient undergoing a surgical operation with median sternotomy. :-):-):-)B :-):-):-) }} ~N{@8DNo  complete data% B yyy ~{pNg DNo  complete datasD  YesTD probably0D possibly No"""BYes yyyyyyyy.8,m,1p>@7 @ %Hz8   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} B}  B} m B} B} m B% @ @ @@ @  @     @ @ @A C DEFFFFFFFF G HIIIIII J KIxNgIpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)IIIII J KINgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)IIII6L DY  BMNOOOIIL PQRRSITLU V V V V WTL XY Y YYZ4TNgDAA&DAA& BDAA& BDAA& B B$ YesDADAA& BDAA& BDAA& B B$ Yes No"BYesL?DNo  check dataDAA& "DAA& "DAA& "DAA& "BB U V V V V V TL X Y Y YY Yx TNg bD AA&D AA& BD AA& BD AA& BD AA& B B$ YesD AD AA& BD AA& BD AA& BD AA& B B$ Yes No"BYes L@D No  check dataD AA& "D AA& "D AA& "D AA& "D AA& "BB IIIIIIII [ \ ]]]]]] ^[ _NgEDADADNo D No B% No YesBYes ]]]]]] ^f_NgPD No  complete data,DY  Yes No"BYesv]Ng`DNo <5 Applies to a patient with a sternal wound infection. :-):-):-)B :-):-):-)]]]]] ^h`NgRD No  complete data.Stage % B%#BfB Stage IVA]]]]]] a^bNgHD No  complete data$% B%#BfB!semitotal or total sternectomycde]]]]]]]]]]]~[,Ogh% B ?8Recommended Reconstruction: one or more of the following :-):-):-)B;8Recommended Reconstruction: one or more of the following]]]]]]]]Og x% B % B % B B%)" primary closure :-):-):-)B :-):-):-)]]]]]]]]Ogk% B % B B%-" secondary healing :-):-):-)B :-):-):-)]]]]]]]]Og% B % B B%E" local skin and/or muscle flap :-):-):-)B :-):-):-)]]]]]]]]Og% B % B B%Y)" bilateral pectoralis muscle advancement :-):-):-)BU)" bilateral pectoralis muscle advancement]]]]]]]]0Pg% B % B B%>" unilateral pectoralis major and/or rectus abdominis turnover :-):-):-)B>" unilateral pectoralis major and/or rectus abdominis turnover]]]]]]]w]Pga% B % B B%#" omental flap :-):-):-)B" omental flap]]]]]]]]Pg% B % B B%C" pectoralis major muscle flap :-):-):-)B :-):-):-)]]]]]]]]Pgl% B C" rectus abdominis muscle flap :-):-):-)B :-):-):-)]]]]]]]]]]]]]]]fffffffffg ffffff~ f? g ffffff~ f@ g ffffffDlB2&RB^2!"v8> !"#$~ f@ g f fffff~ !f@ !g !f!fffff~ "f@ "g "f"fffff~ #f@ #g #f#fffff$ffffffffvP>>>>>@7 @ w!+  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} .} m . @ @ @ @ @ @    @  @  @ -- / 011111 2 3 444 5 64Pg1pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) 44 5 64 QgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) 44 5 64 QgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)467? DY  B 5 644QgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)467? DY  B5HQgoDY MFWas the left internal mammary artery used for a bypass graft? (Y or N) :-):-):-)BIFWas the left internal mammary artery used for a bypass graft? (Y or N) 64QgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)4D7? .DY DY B$ B44444 8 9 ::: ;k <QgUDADADADADY DAB$B% No YesBYes ::: ;f <Qg PD No  complete data,DY  Yes No"BYest =Qg^D No ;4 Applies to a person with a sternal wound infection. :-):-):-)B :-):-):-) >> ?N <@ 8D No  complete data%۶B ::: ? <Rg D No  complete datanD   YesOD probably+D   Yes No"""BYes ::::::::"K 4,,p>@7 @  M-M>  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m   @@  @ @ @ @  @ @ @ @ @ @@ @ @@ @         (rq1D       ~ !   ~ !C@   " #Rgz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)  " # ,Rg :-):-):-)  " # @Rg  :-):-):-)  " # TRg  :-):-):-)  " # hRg :-):-):-)  " # |Rg  :-):-):-)  " #Rg  :-):-):-)  " #Rg :-):-):-)  " #Rg  :-):-):-)  " #Rg :-):-):-)  " #Rg :-):-):-)  " #Rg :-):-):-) "SgDY |uDid the patient's physician diagnose a spinal abscess and start appropriate antibiotic therapy before death? (Y or N)ukHas the patient's physician diagnosed a spinal abscess and started appropriate antibiotic therapy? (Y or N)BxuDid the patient's physician diagnose a spinal abscess and start appropriate antibiotic therapy before death? (Y or N) #SgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) "TgzDY XQWas an abscess in the spinal epidural or subdural space seen at autopsy? (Y or N) :-):-):-)BTQWas an abscess in the spinal epidural or subdural space seen at autopsy? (Y or N) #TgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) $% & ' ((( )*TgDADADAD AD AD AD AD AADADADADAB % NoDDY DADAB%B$ No Yes"BYes ((( +*TgnDNo  complete dataJDYes DYes DYes B% Yes No"BYes ((((((((, ;,Tg%DY  Yes NoBYes  S,Tg=DY DY DY B% Yes NoBYes  ,TgD& DY D Y D Y D Y D Y B%D N DY DY DY B%B$ Yes NoBYes Dl4,`,88YYYYYYYYYYYd,g>@  7 @ ?}N  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @ @  @  @  @  @  @ @ @ @ @ @@ @        (rq1D          Tgz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)     Tg :-):-):-)6  DY  B    Ug :-):-):-)6   DY  B    $Ug :-):-):-) 6  ?  D Y  B    8Ug  :-):-):-) 6  ? D Y  B    LUg :-):-):-)     `Ug  :-):-):-)     tUg :-):-):-)     Ug  :-):-):-)     Ug  :-):-):-)     Ug :-):-):-)     Ug :-):-):-)     Ug :-):-):-)     UgDADADAD AD AD AD AD ADAADADADAB % No YesBYes  UgtDA complete dataSDN  Yes3DY  No check data""BYespUgZDNo 70 Applies to soft tissue not involved by surgery. :-):-):-)B :-):-):-)  VgDNo  complete datafDYes DYes D5Yes DYes DYes B%B$ Yes No"BYes  ;Vg%DY  Yes NoBYes  ; Vg %D Y  Yes NoBYes  I(Vg3D Y D Y B% Yes NoBYes  r0Vg\% h DY DY DY DY B%B$ Yes NoBYes BX4,`,YYYYYYYY,8ggu>@7 @ O`  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @@  @  @  @  @  @ @ @ @ @ @ @ @@ v w      (rq1D       x 8Vgz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)  y LVg :-):-):-)6 DY  B z `Vg :-):-):-)6  DY  B {  tVg :-):-):-) 6 ?  D Y  B |  Vg  :-):-):-) 6 ? D Y  B }  Vg  :-):-):-)  ~  Vg  :-):-):-)    Vg  :-):-):-)   Vg  :-):-):-)   Vg :-):-):-)   Wg :-):-):-)   Wg :-):-):-)   (Wg :-):-):-) @7 @ 'Ub7  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m ' @ @  @  @  @  @  @ @@ @ @ @ @ @ @@ e f     ~   ZXg DDAA&D B$ age in months :-):-):-)B age in months~ ?     XgpDA enter M or FPDM A&DF A&B$ enter M or F :-):-):-)"B :-):-):-)  g XgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  h XgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  i XgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  XgyDY DY DY B%?8Is culture of drainage positive for a pathogen? (Y or N) :-):-):-)B;8Is culture of drainage positive for a pathogen? (Y or N)  hYg DY DY DY B%D AB$ enter Y or NrDY DY DY B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  |Yg DY DY DY B%OHIs a pathogen isolated from needle aspirate from the umbilicus? (Y or N) :-):-):-)BKHIs a pathogen isolated from needle aspirate from the umbilicus? (Y or N)  Zg DY DY DY B%D AB$ enter Y or NrDY DY DY B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  $Zg uDY DY DY B%;4Is a pathogen isolated from blood cultures? (Y or N) :-):-):-)B74Is a pathogen isolated from blood cultures? (Y or N)  Zg DY DY DY B%D AB$ enter Y or NrDY DY DY B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  j  Zg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  Zg yD Y WPHas the patient's physician made the diagnosis of infantile pustulosis? (Y or N) :-):-):-)BSPHas the patient's physician made the diagnosis of infantile pustulosis? (Y or N)  \[g D Y D AB$ enter Y or NZD Y D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) p[g D Y ngHas the patient's physician initiated appropriate antibiotic therapy for infantile pustulosis? (Y or N) :-):-):-)BjgHas the patient's physician initiated appropriate antibiotic therapy for infantile pustulosis? (Y or N) @\gD Y DAB$ enter Y or NZD Y DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) cT\g#MDM +$Is the patient circumcised? (Y or N) :-):-):-)B'$Is the patient circumcised? (Y or N) \gDM DAB$ enter Y or NZDM DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) \gxDM DY B$HAIs there a purulent drainage from the circumcision site? (Y or N) :-):-):-)BDAIs there a purulent drainage from the circumcision site? (Y or N) 8]gDM DY DAB$ enter Y or NdDM DY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) L]gyDM DY B$IBIs the circumcision site erythematous, swollen or tender? (Y or N) :-):-):-)BEBIs the circumcision site erythematous, swollen or tender? (Y or N) ]gDM DY DAB$ enter Y or NdDM DY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ]gDM DY B$SLHas a pathogen been isolated from culture of the circumcision site? (Y or N) :-):-):-)BOLHas a pathogen been isolated from culture of the circumcision site? (Y or N) ^gDM DY DAB$ enter Y or NdDM DY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ^gDM DY B$[THas a skin contaminant been isolated from culture of the circumcision site? (Y or N) :-):-):-)BWTHas a skin contaminant been isolated from culture of the circumcision site? (Y or N) D_gDM DY DAB$ enter Y or NdDM DY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) X_gDM DY B$YRHas the patient's physician diagnosed infection of the circumcision site? (Y or N) :-):-):-)BURHas the patient's physician diagnosed infection of the circumcision site? (Y or N) `gDM DY DAB$ enter Y or NdDM DY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) `gDM DY B$rkHas the physician initiated appropriate antibiotic therapy for infection of the circumcision site? (Y or N) :-):-):-)BnkHas the physician initiated appropriate antibiotic therapy for infection of the circumcision site? (Y or N) `gDM DY DAB$ enter Y or NdDM DY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)     Yag%CDADADADADAD AB% NoD DAB$DY DY DY B%D AD AD AB%B$D Y D ADAB%B$DM DAB$DM DY DADADADADADAB%B$B% No Yes"BYes  k|agfDAA&D B$ Yes?D D B% No check data"BYes  lagrDNo  complete dataNDYes DYes D Yes B%B$ Yes No"BYes  magrDNo  complete dataNDYes D!Yes D"Yes B%B$ Yes No"BYes  n ag!~DNo  complete dataZDYes D#Yes D$Yes D%Yes B%B$ Yes No"BYes  o(agmD DAA&DY DY B%D Y D Y D Y B%B$ Yes NoBYes D"l4,8`, !"#$%& p] 0agGD DAA&DY DY B$ Yes NoBYes  !q]!8ag"GD DAA&D Y D Y B$ Yes NoBNo ! "r]"@agGD DAA&D Y DY B$ Yes NoBYes " #sg#Hag QD DAA&DM DY DY B$ Yes NoBNo # $tq$Pag[D DAA&DM DY DY DY B$ Yes NoBYes $ %u%Xag$iD DAA&DM DY DY DY DY B%B$ Yes NoBNo %&x>@7 @ Պ  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @@  @  @  @  @  @@ [ \      (rq1D       ~ C@   ] `agz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)  ^ tag :-):-):-)  _  ag :-):-):-)  `  ag  :-):-):-)  a  ag  :-):-):-)  b  ag  :-):-):-)  c  ag :-):-):-)     qag [DADADAD AD A A AD AB% No YesBYes  dxag bDNo  complete data>DYes DYes B% Yes No"BYes  ;ag%D Y  Yes NoBYes  bglD& DY DY D Y D Y B%D Y D Y B%B$ Yes NoBYes 24,`,8YYYYYY,g>@7 @ G  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m  @ @ @ @ @ @ @  @  @  @  @   M N     O  bgz  pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)  P  bg :-):-):-)6 DY  B Q 4bg :-):-):-)6 DY  B R Hbg :-):-):-)6? DY  B S \bg  :-):-):-)6 DY  B T pbg :-):-):-)6?  DY  B U  bg :-):-):-) 6   D Y  B V  bg  :-):-):-) 6   D Y  B W  bg  :-):-):-) 6  D Y  B X  bg  :-):-):-) 6 ? D Y  B     bg oDADADADADADAD AD AD AD AB % No YesBYes  fbgPDNo  complete data,DY  Yes No"BYesobgYDNo 6/ Applies to people who keep or handle reptiles. :-):-):-)B :-):-):-)  YN@8DNo  complete data%  B  ZbguDNo  complete dataQD  low2D  highmoderate""Bhigh ," |4,,p>@7 @    dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} }  } } m   @ @@     @@ @ 8  9    q~  r(@@D   s  : (rq1D       ; cgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) <   = > ? @  A    cg D AA& BD AA& BD AA& BD AA& B  Yes NoBYes @ D No  check dataD AA& BD AA& BD AA& BD AA& BB B C > ? @  D     cgD AA& BD AA& BD AA& BD AA& B  Yes NoBYes @D No  check dataD AA& BD AA& BD AA& BD AA& BB = > ? @  E  (cgDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB = > ? @  F  0cgDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB = > ? @  G  8cgDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB = > ? @  H  @cgDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB = > ? @  I  HcgDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB   Pcg tDAD No D No DNo DNo DNo DNo DNo B% No YesBYes fXcgPDNo  complete data,DY  Yes No"BYes`cglDNo HA Applies to eating food containing or in contact with shell eggs. :-):-):-)B :-):-):-) J @ DNo  complete dataD   BD   BD  BD  BD  BD  BD  BB K  DNo  complete dataD   BD   BD  BD  BD  BD  BD  BB LxcgDNo  complete data% H very lowD D D B$B% very highbD D B$ low6D  intermediatehigh""""B very highcgDNo  :-):-):-)DD ohMay pose threat to susceptible individuals (young children, the elderly, or immunocompromised patients). :-):-):-)"BkhMay pose threat to susceptible individuals (young children, the elderly, or immunocompromised patients).D-lB0rn0$PTPPPPP0+FF>@7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} m}  } m m}  m}  } m m @   @  @  ~  @ @ @ @ @ @ @ l.l n/ opqppq r s ttu v~ w@Z@ v(xrqGD@D   ypqppq r s ttz v~ { t t|`v`dg JDAA&D B$enter age in months :-):-):-)Benter age in months~ { @Stdgmon=DAA&D B$ months :-):-):-)B months t| v~ {C@ ttZ|? DDA enter data&D&  "B v0 { tdgpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) t[ |? ED A enter data'D Y  "B }1 { tdg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) t[ |? ED A enter data'D Y  "B }2 { tdgD D AB$ enter Y or NYD D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) t[ |? ED A enter data'D Y  "B }3 w tdg D D AB$ enter Y or NYD D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) t[ |?ED A enter data'D Y  "Br vdg\D DAA&B$,%Does the patient have apnea? (Y or N) :-):-):-)B(%Does the patient have apnea? (Y or N) { t4eg D DAA&D AB$ enter Y or NdD DAA&D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) ts |?]D DAA&D AB$ enter data'D Y  "B}HegkD DAA&B$;4Does the patient have respiratory distress? (Y or N) :-):-):-)B74Does the patient have respiratory distress? (Y or N) {teg D DAA&DAB$ enter Y or NdD DAA&DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)ts|]D DAA&DAB$ enter data'DY  "Bxveg bD DAA&B$2+Does the patient have bradycardia? (Y or N) :-):-):-)B.+Does the patient have bradycardia? (Y or N) {t fgD DAA&DAB$ enter Y or NdD DAA&DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)ts|]D  D AA&DAB$ enter data'DY  "B }4 {t4fgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) t| }5 {tHfgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)t[|?EDA enter data'DY  "B }6 {t\fgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)t[| EDA enter data'DY  "B } {tpfgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)t[|EDA enter data'DY  "B } {tfgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)t[|EDA enter data'DY  "Btuttu    fgDADA A A A AAADADAB % No\D DAA&DAD ADAAB%B$ No Yes"BYes  7fgDNo complete data entryD % p< DN %s: B$ Yes[D %n DN %~ B$ Yes No""BYes 8=4,d,855,>@7 @ 66  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} Z} m Z @ @ @ @ @ @ @  @ @  @  @  @ @ @ @ YY [ \]]]]] ^ _ ``` a b`fg]z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) `` a b`fg :-):-):-)`c* LN  B a b`fg :-):-):-)`c a b`fg :-):-):-)`c a b`fg :-):-):-)`c a b` gg :-):-):-)`c  a b ` gg  :-):-):-) ` c  a b `4gg :-):-):-) ` c  a b `Hgg  :-):-):-) ` c  a  b `\gg  :-):-):-) ` c  a  b `pgg :-):-):-) ` c a  b`gg  :-):-):-)`c````` d e fff ghggDADADADADADAD AD AD AD AD ADAB % No YesBYes fff gfhggPDNo  complete data,DY  Yes No"BYesigg|DNo YR Applies to reducing the risk of viral infections in surgical health care workers. :-):-):-)B :-):-):-) jj g Nh8DNo  complete data%H^B fff k hgg DNo  complete datauD very lowQD  low2D moderatehigh"""B very low ffffffff0 4,tttttttttt,6p>@7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} E} m E @ @ @ @  @   @  @  @ @ DD F GHHHHH I J KKK L~ M@ K KK L NKggHpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) KK OPKKK Q NKggz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) KK Q NKgg :-):-):-) KK Q NK hg  :-):-):-) KK Q N K hg  :-):-):-) KK Q N K4hg  :-):-):-) KK Q N KHhg  :-):-):-) KK& Q\hgDN <" cough, fever and upper lobe pulmonary infiltrate? (Y or N)<" cough, fever and infiltrate in any lung location? (Y or N)B{<" cough, fever and upper lobe pulmonary infiltrate? (Y or N) N Khg  :-):-):-) KK Q N Khg :-):-):-) KKQig D =" respiratory infection with bronchiolitis or croup? (Y or N) :-):-):-)B}=" respiratory infection with bronchiolitis or croup? (Y or N) NK|igD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) KK Q NKigpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) KK Q NKigpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) KK Q NKigpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) KKKKKKK R S TTT UVigDADADADADAD AD AD AD AD AD DAB$DADADAB% No YesBYes TTT WXTTT UGVig1DNo  complete data YesBYes TTT UVigDNo  complete datayDY DY D Y D DY B$DY DY DY B% Yes No"BYes TTT U~VighDNo  complete dataDDY D Y D Y B% Yes No"BYes TTT U~VighDNo  complete dataDD Y D Y D Y B% Yes No"BNo TTTTTTTT:4,8 YYYYYY , s>@7 @  1  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} .}  C} m .}  .}  C} m .  @ @ @      @ @ @ @ @ @ @ @ @ @ @ @ @ @ -- / 012112 3 4 556 7~ 8@ 5 59`7ig2JDAA&D B$enter age in months :-):-):-)B :-):-):-)8S5jg=DAA&D B$ months :-):-):-)B :-):-):-) 59{:jgeD D=Does the patient have rales on physical examination? (Y or N) :-):-):-)B@=Does the patient have rales on physical examination? (Y or N) 85jgD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)59?D 2DY DY B% "D DAA&B$ZDY DY D Y D Y D Y D Y B% " "B:jgvD UNDoes the patient have dullness to percussion on physical examination? (Y or N) :-):-):-)BQNDoes the patient have dullness to percussion on physical examination? (Y or N) 85LkgD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) 59r7`kg \D DAA&B$,%Does the patient have apnea? (Y or N) :-):-):-)B :-):-):-)85tkgD DAA&DAB$ enter Y or NdD DAA&DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) 59v7kg`D DAA&B$0)Does the patient have tachypnea? (Y or N) :-):-):-)B :-):-):-)85kgD DAA&DAB$ enter Y or NdD DAA&DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) 59x 7kgbD DAA&B$2+Does the patient have bradycardia? (Y or N) :-):-):-)B :-):-):-) 8 5kg D DAA&D AB$ enter Y or NdD DAA&D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 59u 7kg _D DAA&B$/(Does the patient have wheezing? (Y or N) :-):-):-)B :-):-):-) 8 5kgD DAA&D AB$ enter Y or NdD DAA&D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 59s 7lg ]D DAA&B$-&Does the patient have rhonchi (Y or N) :-):-):-)B :-):-):-) 8 5lg D DAA&D AB$ enter Y or NdD DAA&D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 59r 7(lg \D DAA&B$,%Does the patient have cough? (Y or N) :-):-):-)B :-):-):-) 8 5 ??@ ADB|mg.DAD ADADADADADADADADADADADADAB% NoD DADAB%B$ NovD D AA&DADAD AD AD AD ADAB%B$ No Yes""BYes ??@ A8Bmg"DNo complete data entryD D D B$ YesD D  DD B$ YesD D DD B$ YesMD D DDD B$ Yes No""""BYes ??@?@??@Dl4,8mdhjged/YYYYYYYYYY,pd>@7 @ ),  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @ @ @ @@  @ @  @  @ @@@@@ @ @ @ @ @        mg pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   mgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)Smg=DN !Only trained dogs allowed. ...B...6 DN  B  mgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)Omg9DN Not allowed if sickly. ...B...6 DN  B   ! "mgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)? mg)DY  Not OK ...B...6 DY  B  mgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)? ng)DY  Not OK ...B...6  DY  B   ngpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)?  $ng)D Y  Not OK ...B...6   D Y  B   ,ng pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)?  @ng )D Y  Not OK ...B...6   D Y  B      Hng  z  pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)  \ng  3 )LY  Not OK ...B...   *  LY  B   dng   :-):-):-)  xng  ...    ng   :-):-):-) ng  ...   ng  :-):-):-) ng ...   ng  :-):-):-) ng ...   ng  :-):-):-) ng ...   ng  :-):-):-)? og)DN  Not OK ...B...6 DN  B   og  :-):-):-)U og?DY #Do not feed in the facility. ...B...6 DY  B  (og  :-):-):-)W@7 @ ->  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} }  } } m  @ @ @@ @      @ @        ogpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ~ H@  Q;D` &DH  "B        og DAA& BDAA& BDAA& B  Yes NoBYes DNo  check datalDAA& BDAA& BDAA& BB       x og bD AA& BD AA& B  Yes NoBYes  kD No  check dataJD AA& BD AA& BB          ogD AA& BD AA& BD AA& B  Yes NoBYes @D No  check datalD AA& BD AA& BD AA& BB         ogDAA& BDAA& BDAA& BDAA& B  Yes NoBYes?DNo  check dataDAA& BDAA& BDAA& BDAA& BB        ogDAA& BDAA& BDAA& BDAA& B  Yes NoBYes?DNo  check dataDAA& BDAA& BDAA& BDAA& BB           | ogfDADADNo D No D No DNo DNo B% No YesBYes       f ogPDNo  complete data,DY  Yes No"BYes oglDNo HA Applies to infection risk for a person with a vascular catheter. :-):-):-)B :-):-):-)      N @8DNo  complete data%۶B        ogDNo  complete dataD very lowvD  lowWD moderate3D  high very high""""Bhigh            4B0$D87DPP0+>@7 @ 7@Y  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} }  } m }  } } m   @   @ @ @ @ @ @      @  @          @          ogpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ~ D@  ~ @ ~ @  pg pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ] @GDY 1DN  check data"B                 D pg.D AA& BD AA& BD AA& BD AA& BD AA& BD AA& BD AA& BD AA& B  Yes NoBYesM @ 7D No  check dataD AA& BD AA& BD AA& BD AA& BD AA& BD AA& BD AA& BD AA& BB              D $pg .D AA& BD AA& BD AA& BD AA& BD AA& BD AA& BD AA& BD AA& B  Yes NoBYesM @ 7D No  check dataD AA& BD AA& BD AA& BD AA& BD AA& BD AA& BD AA& BD AA& BB             D ,pg .DAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& B  Yes NoBYesM @ 7D No  check dataDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BB             D 4pg .DAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& B  Yes NoBYesM @7D No  check dataDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BB   @7 @ [r  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m } } m  @ @ @  @     @ o p    q~ ě r(&1?D   s    t dpgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) u~ $@ {xpg eD D=Will the child be under the supervision of an adult? (Y or N) :-):-):-)B@=Will the child be under the supervision of an adult? (Y or N) pgD DAB$ enter Y or NYD DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) v  qgpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)   w    x y z  {  D qg.D AA&D AA& BD AA& BD AA& BDAA& BDAA& BDAA& BDAA& B B$ YesD AD AA& BD AA& BD AA& BDAA& BDAA& BDAA& BDAA& B B$ Yes No"BYesM 7D No  check dataD AA& BD AA& BD AA& BD AA& BDAA& BDAA& BDAA& BDAA& BB | } ~          D$qg.DAA&DAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& B B$ YesDADAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& B B$ Yes No"BYesM7DNo  check dataDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BDAA& BB             4,qgDAA&DAA& BDAA& BDAA& B B$ YesDADAA& BDAA& BDAA& B B$ Yes No"BYesDNo  check dataDAA& BDAA& BDAA& BDAA& BB   4qg mDADAD DAB$D AD No DNo DNo B% No YesBYes fa0>0r0<$PPPPP70i>@7 @ Dt~  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m  @ @ @  @  @  @  @  @ @ @ @ b c     ~ Y@ (qqC@D       ~ Z@ 5?D&  B d qgz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)6? DY  B e rg  :-):-):-)6 DY  B f  rg  :-):-):-) 6  D Y  B g  (rg  :-):-):-) 6   D Y  B h  @7 @ dB  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @ @ @ @ @  @  @  @  @  @ @ @ @@ Q R     S rgz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)  T rg :-):-):-)  U rg :-):-):-)  V sg :-):-):-)  W sg  :-):-):-)  X (sg :-):-):-)  Y  @7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} n} m n}  n} m n @  @   @  @  @ @ @ @ @ @ @ @@ mEm oF pqqqqq r s ttt uv u(urq1D   uqqqqq r s ttt u~ w t tt`utgqJDAA&D B$enter age in months :-):-):-)Benter age in months~ w @ t tt u~ wC@ tttx? ^D& IDAA&DAA&D D% B$ "Bx y,tgbDAA&D B$2+Does the patient show bradycardia? (Y or N) :-):-):-)B.+Does the patient show bradycardia? (Y or N) z ttg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) tN x 8DAA&D D Y B$ Bl utg VDAA&D B$&Is the patient apneic? (Y or N) :-):-):-)B"Is the patient apneic? (Y or N) z ttg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) tN x? 8DAA&D D Y B$ Bu {tg_D D B%1*Does the patient have chest pain? (Y or N) :-):-):-)B :-):-):-) z tugD D B%D AB$ enter Y or NfD D B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) tP x :D D B%D Y B$ B yG z tug  z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) t6 x  D Y  B yH z t(ug   :-):-):-) t6 x D Y  B yI zt@7 @ $c+  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} W} m W}  W} m W$ @  @  @  @  @ @ @ @ @ @ @ @ @ @ @@@@ V6V X7 YZZZZZ [ \ ]]] ^_ ^(^rq1D   ^ZZZZZ [ \ ]]] ^~ `@ ] ]]`^ugJDAA&D B$enter age in months :-):-):-)B :-):-):-)`S]vg=DAA&D B$ months :-):-):-)B :-):-):-) ]] ^~ `C@ ]]ia? SD& >DAA&D D% B$ "Bx bvg bDAA&D B$2+Does the patient show bradycardia? (Y or N) :-):-):-)B :-):-):-) c ],vg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) ]N a 8D DAA&D Y B$ Bl ^@vg VDAA&D B$&Is the patient apneic? (Y or N) :-):-):-)B :-):-):-) c ]Tvg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) ]N a 8D DAA&D Y B$ Bu dhvg_D D B%1*Does the patient have a headache? (Y or N) :-):-):-)B-*Does the patient have a headache? (Y or N) c ]vg D D B%D AB$ enter Y or NfD D B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) ]P a :D D B%D Y B$ B d8 c ]vg  z  pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) ]6 a  D Y  B d9 c ]vg   :-):-):-) ]6 a? D Y  B d: c]vg   :-):-):-)]6a? DY  B d; c]wg  :-):-):-)]6a?! DY  B d< c]$wg  :-):-):-) ]] d= c]8wg  :-):-):-) ]] d> c]Lwg  :-):-):-) ]] d? c]`wg  :-):-):-) ]] d@ c]twg  :-):-):-) ]] dA c]wg   :-):-):-) ]] dB c]wg  :-):-):-) ]] dC c]wg  :-):-):-) ]] d c]wg  :-):-):-) ]],dwgDY Did the patient's physician diagnose meningitis or ventriculitis and start appropriate antibiotic therapy before death? (Y or N)vHas the patient's physician diagnosed meningitis or ventriculitis and started appropriate antibiotic therapy? (Y or N)BDid the patient's physician diagnose meningitis or ventriculitis and start appropriate antibiotic therapy before death? (Y or N) c]xgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ]]ef]]] g h iii j/kxgDADAD AD ADADADADADADADADADADADAAB% NoD DAB$D DAA&D AD AB%B$D D B%D AB$B% No Yes"BYes iii jDkxgnDNo  complete dataJD Yes D!Yes D"Yes B% Yes No"BYes iiiiiiiiZlZZZDl4,`,8 YYYYYYYYY,[ !"# Z; lyg%DY  Yes NoBYes ZZZ !Z!lyg"D D B%%1 DN DY DY DY DY DY DY DY B%B$ Yes NoBYes !ZZZ "Z"lyg D DAA&%@ DN DY DY DY DY DY DY DY B%B$ Yes NoBNo "ZZZ#ZZZZZ <g>@7 @ hA  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} D}  D} m D @ @ @@@ @ @  @ @    @ @* @A B+ CEEEEE F G HHH I, JHygEpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) HH I-~ J@ H. HK I/ JH,ygpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)H6K DY  B I0 JH@ygpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)H6K? 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DY  B I2 JHhygpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) HK I|yg DY c\number of attempts to treat the infection that have failed (enter 0 if treated successfully) :-):-):-)B_\number of attempts to treat the infection that have failed (enter 0 if treated successfully)~ J@ H3 HK LMNNN O P QQQ R{ S8zgeDADADADADADADY D AB$B% No YesBYes QQQ Rf S@zg PD No  complete data,DY  Yes No"BYes THzg}D No YR Applies to a patient with mediastinitis following cardiopulmonary bypass surgery. :-):-):-)B :-):-):-) UU R4NS@8D No  complete data%ȴB QQQ R5S`zg D No  complete dataD D DN DY D  B$B%B$ Type ID D DN DY D  B$B%B$Type II4D D DN DY D  B$B%B$ Type IIIAD D DN DY D  B$B%B$ Type IIIBD DY D  B$Type IVAKD DY D  B$Type IVBType V""""""B Type IVB QQQQQQQQ& @8,8,,8pH>@7 @  +  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} ,} m ,}  ,} m ,  @  @    @  @ @ @ @ @ @ @ @@ ++ - .///// 0 1 222 34 3(3rq1D   3///// 0 1 222 3~ 5 2 22`3tzg/JDAA&D B$enter age in months :-):-):-)Benter age in months~ 5 @ 2 22 3~ 5C@ 2 22x 6zgbDAA&D B$2+Does the patient show bradycardia? 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(Y or N) 7 2{g D D B%D AB$ enter Y or NfD D B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 22 6 7 2{g  z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) 22 6  7 2{g   :-):-):-) 22 6! 72{g  :-):-):-) 22 6" 72|g  :-):-):-) 22 6# 72|g   :-):-):-) 22 6$ 72,|g   :-):-):-) 22 6% 72@|g  :-):-):-) 22 6& 72T|g  :-):-):-) 22 6' 72h|gtDAB$ enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) 2289222 : ; <<< =>||gDADAD AAADADADADAADAB % NoD DAB$D DAA&D AD AB%B$D D B%D AB$B% No Yes"BYes <<< =(>|gzDNo  complete dataVDYes DYes DYes DYes B% Yes No"BYes <<<<<<<</?/// /I?|g3DY DY B% Yes NoBYes /// /I?|g3DY DY B% Yes NoBYes /// /?|gD D B%D& D Y D Y B%D Y DY DY DY B%B$ Yes NoBNo /// /)?|gD DAA&D& D% D Y D Y D Y B%D Y DY DY DY B%B$ Yes NoBYes ////////D;l4,`,88xYYYYYYY,/uu>@7 @ #  dMbP?_      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{}~*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m # @@  @ @ @ @  @@@ @@ @ @ @ @ @@ @          (rq1D         |gpDA enter M or FPDM A&DF A&B$ enter M or F :-):-):-)"B :-):-):-)  ~ C@     |gzpLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)6!  DY  B   |g :-):-):-) 6 !  D Y  B _  |g :-):-):-) 6 !? D Y  B   |g  :-):-):-) !   }g  :-):-):-) !   $}g  :-):-):-) !   8}g :-):-):-) !   L}g  :-):-):-) !   `}g  :-):-):-)6!? DY  B   t}g :-):-):-)6!?! DY  B   }g :-):-):-)    }g :-):-):-)    }g :-):-):-)   }g :-):-):-) w }gaDY ?8Was a pathogen isolated from the blood culture? (Y or N) :-):-):-)B;8Was a pathogen isolated from the blood culture? (Y or N) L~gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    `~gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) "# $ % &&& '(t~gDADADAD AD AD AD AD ADADADADADADADADADAB% No8DY DAB$ No Yes"BYes &&& '(|~gDAenter gender aboveYDM  Yes9DF  Nocheck data entry""BYes &&& )(~g~DNo  complete dataZDYes DYes D Yes D!Yes B%B$ Yes No"BYes &&&&&&&&* u*~g_D Y D Y D Y DY DY B%DY B$ Yes NoBYes Dl4,`,8 YYYYYYYYY, !"  *~gmD Y D Y D Y DY DY B%DY DY B%B$ Yes NoBYes  !!*~g D Y D Y D Y DY DY B%%p DY DY B$DY B%B$ Yes NoBYes !" (>@7 @ 0_   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @ @ @ @  @      @  @ @ @ @ @              ~gz  pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)        ~g :-):-):-)        ~g :-):-):-)< ~g&DN  Fix! & BFix!6 ?  DN  B     ~g :-):-):-)< g&DY  Fix! & BFix!6 ? DY  B      g :-):-):-)<  g&DN  Fix! & BFix!6 ? DN  B     ,g :-):-):-)<  @g&D N  Fix! & B& 6   D N  B     Dg :-):-):-)<  Xg&D Y  Fix! & BFix!6  ?  D Y  B     dg :-):-):-)<  xg &D N  Fix! & B& 6    D N  B     |g  :-):-):-)<  g &D N  Fix! & B& 6    D N  B     g  :-):-):-)<  g &D N  Fix! & B& 6    D N  B g DY ngAre soft cheeses such as Mexican-style, feta, Brie, Camembert and blue-veined cheeses avoided? (Y or N) :-):-):-)BjgAre soft cheeses such as Mexican-style, feta, Brie, Camembert and blue-veined cheeses avoided? (Y or N)   |gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)J g4DY DN B$ Fix! & BFix!D? .DY DN B$ B gDY ^WAre leftovers or ready-to-eat foods reheated until steaming hot before eating? (Y or N) :-):-):-)BZWAre leftovers or ready-to-eat foods reheated until steaming hot before eating? (Y or N)   LgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)J `g4DY DN B$ Fix! & B& D.DY DN B$ B dgtDY RKAre cold cuts either avoided or thoroughly reheated before eating? (Y or N) :-):-):-)BNKAre cold cuts either avoided or thoroughly reheated before eating? (Y or N)   gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)J g4DY DN B$ Fix! & B& D.DY DN B$ B gDY aZAre foods from delicatessens either avoided or thoroughly reheated before eating? (Y or N) :-):-):-)B]ZAre foods from delicatessens either avoided or thoroughly reheated before eating? (Y or N)   ̂gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)J g4DY DN B$ Fix! & B& D.DY DN B$ B         g DADADADADAD AD AD AD AD ADY DAB$DY DAB$DY DAB$DY DAB$B% No YesBYes  fgPDNo  complete data,DY  Yes No"BYesmg WDNo 4- Applies to preventing foodborne listeriosis. :-):-):-)B :-):-):-)   fgPDNo  complete data,DY  Yes No"BYes  N@8DNo  complete data% B   gDNo  complete datawD  lowXD  increased3D  high very high"""B very high 84,YyW?], p>@  7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m  @ @ @ @ @ @   @  @  @  @  @@ @ @        $gzpLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)?* LY  B  8g :-):-):-)  Lg :-):-):-)  `g  :-):-):-)  tg :-):-):-)?  g :-):-):-)   g  :-):-):-)    g  :-):-):-)    ăg  :-):-):-)    ؃g  :-):-):-)    g :-):-):-)   g :-):-):-)   g :-):-):-)   (g :-):-):-)     @7 @ (gk7;  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m ( @  @   @  @  @ @@ @ @ @ @ @@ @ @ @ @@@ @@        (rq1D       ~   `LgJDAA&D B$enter age in months :-):-):-)Benter age in months~  @   ~ C@ t? ^D& IDAA&DAA&D D% B$ "Bx tgbDAA&D B$2+Does the patient show bradycardia? (Y or N) :-):-):-)B.+Does the patient show bradycardia? (Y or N)  ̄g DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) N  8DAA&D D Y B$ Bl g VDAA&D B$&Is the patient apneic? (Y or N) :-):-):-)B"Is the patient apneic? (Y or N)   g DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) N  8DAA&D D Y B$ B{ 4geD D B%70Does the patient complain of dizziness? (Y or N) :-):-):-)B :-):-):-)  Hg D D B%D AB$ enter Y or NfD D B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6   D Y  Bt \g ^D D B%0)Does the patient have headaches? (Y or N) :-):-):-)B :-):-):-)  pg D D B%D AB$ enter Y or NfD D B%D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6   D Y  B   g  z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) 6 ? D Y  B  g   :-):-):-)6? 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D Y  B    g :-):-):-) 6  D Y  B    g  :-):-):-)    4g :-):-):-)   Hg :-):-):-)   \g  :-):-):-)   pg  :-):-):-)   g :-):-):-)   g :-):-):-)   g :-):-):-)   g :-):-):-)   ԉg  :-):-):-)     gDADADAD AD A AD AD ADAADADADADADAB% No YesBYes  gtDA complete dataSDY  Yes3DN  No check data""BYes  g~DNo  complete dataZDYes DYes DYes DYes B%B$ Yes No"BYes  Ig3DY DY B% Yes NoBYes  Ig3D Y DY B% Yes NoBYes  gt%  D N DY DY DY DY DY B$B%B$ Yes NoBYes DLl4,`,m YYYYYYYYYY,uu  (>@7 @  PNS  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m   @ @           gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  ~ .@   ~ @      M,g 7DADADAB% No YesBYes  f 4g PDNo  complete data,DY  Yes No"BYesa @?7 @ -Uqk  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @@ @ @ @ @ @  @  @  @  @@ @ @ @ @ @@ @ @ @ @ @        PgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    dgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6? DY  B  xgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6 DY  B  gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6? DY  B  gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6  DY  B     gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6 ?  D Y  B   Ȋg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6   D Y  B   ܊g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6 ?  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DY  B { ЋgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6?  DY  B   gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6   D Y  B }  gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6 ?% D Y  B    gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)        g z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)   4g   :-):-):-)   Hg   :-):-):-)   \g  :-):-):-)   pg   :-):-):-)   g   :-):-):-)   g  :-):-):-)   g  :-):-):-)   g  :-):-):-)   Ԍg  :-):-):-)   g  :-):-):-)   g  :-):-):-)   g  :-):-):-)  Q $g  :-):-):-)   8g  :-):-):-)   Lg  :-):-):-)     `gDADADAD AD AD AD AD ADADADADADADADADADADADADADADADAB% No YesBYes D@l4,`,m,YYYYYYYYYYYYYYY, !"#$%&  hg!yD AD ADAB% complete dataDD N D Y DN B$ Yes No"BYesu pg$_D Y DY B%/(gastroenteritis or appendicitis excluded :-):-):-)B :-):-):-)  !!grDNo  complete dataND Yes D$Yes D%Yes B%B$ Yes No"BYes !"# $I$g3DY DY B% Yes NoBYes $ %%g %  D N DY DY DY DY DY DY DY DY DY DY DY DY B %B$ Yes NoBYes %&+xBu>@7 @ *ؚ)  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} k} m k* @ @ @  @  @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @@ jxj ly mnnnnn o p qqq rs r(rrq1!D   rnnnnn o p qqq rz~ s q qqdrgND DAA&B$patient's age in months :-):-):-)Bpatient's age in months~ s @Sq̍g=D DAA&B$ months :-):-):-)B months qq r~ sC@ qq5t?D&  B u] v q܍g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) q6 t?  D Y  B u{ v qg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) q6 t?  D Y  B u| v qg#pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) q6 t D Y  B u} v qg pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) q6 t?  D Y  B u~ v q,g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) q6 t' D Y  Bu@gkDAA&D B$;4Does the patient show prefeeding residuals? (Y or N) :-):-):-)B74Does the patient show prefeeding residuals? (Y or N) vqgDAA&D DAB$ enter Y or NdDAA&D DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)qNt?(8D DAA&DY B$ B u vqg(pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) qquԎg&|DY ZSIs there a possible noninfectious explanation for the patient's diarrhea ? (Y or N) :-):-):-)BVSIs there a possible noninfectious explanation for the patient's diarrhea ? (Y or N) vq|gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) qq u vqg z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) qq u vqg :-):-):-) qq u vqg  :-):-):-) qq u vq̏g :-):-):-) qq u vqg :-):-):-) qq u vqg :-):-):-) qq u vqg :-):-):-) qq u vqg :-):-):-) qq u vq0g :-):-):-) qquDgDAA&D B$|Is there another recognized cause other than infantile necrotizing enterocolitis to explain the patient's symptoms? (Y or N) :-):-):-)B|Is there another recognized cause other than infantile necrotizing enterocolitis to explain the patient's symptoms? (Y or N) vq@gDAA&D DAB$ enter Y or NdDAA&D DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) qq u vqTgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) qq u vqhgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) qq u vq|gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) qq u vqgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) qqwxqqqDl4,`,8mYYYYYYYY2 !"#$%&'( @) y z {{{ !|f!}g PDADAD AD AD AD AD ADAADADADADADADADADAADADAAB% NoD DAA&DAB$D DAA&DAB$DY DAB$D DAA&DAB$B% No Yes"BYes !{{{ "|x"}gbD!No  complete data>D&Yes D'Yes B% Yes No"BYes "{{{ #|h#}g"RD!No  complete data.D(Yes  Yes No"BYes #{{{${{{{{%n~nnn &nI&~g3DY DN B$ Yes NoBYes &nnn 'n'~đgD D D D  DN DY DY DY DY DY DY DY DY B%B$ Yes NoBYes 'nnn ((~̑g~DAA&D D D D DN DY DY DY DY B%B$ Yes NoBYes (nnn)nnnnn ,u>@7 @ 3vb  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} S} m S3 @ @  @ @ @  @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @@ RXR TY UVVVVV W X YYY Z[ Z(Zrq1 D   ZVVVVV W X YYY \ ]Yԑg pDA enter M or FPDM A&DF A&B$ enter M or F :-):-):-)"B :-):-):-) YY Z~ [C@ YY5^?D&  B _Z `Yg z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)Y^ *  LY  B _[ ` Yg  :-):-):-) Y ^) Z\ ` Yg :-):-):-) Y ^?  _] ` Y$g  :-):-):-) Y ^  _^ ` Y8g :-):-):-) Y ^  __ ` YLg  :-):-):-) Y ^?1 _` `Y`g :-):-):-) YY _a `Ytg :-):-):-) YY _b `Yg  :-):-):-) YY _c `Yg :-):-):-) YY _d `Yg :-):-):-) YY~_ĒghDY F?Is there a purulent drainage from the episiotomy site? (Y or N) :-):-):-)BB?Is there a purulent drainage from the episiotomy site? (Y or N) `YDgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YYs_Xg]DY ;4Is there an abscess at the episiotomy site? (Y or N) :-):-):-)B74Is there an abscess at the episiotomy site? (Y or N) `YēgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YY _e `YؓgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YY{_geDY C<Is there a purulent drainage from the vaginal cuff? (Y or N) :-):-):-)B?<Is there a purulent drainage from the vaginal cuff? (Y or N) `YhgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YYp_|gZDY 81Is there an abscess at the vaginal cuff? (Y or N) :-):-):-)B41Is there an abscess at the vaginal cuff? (Y or N) `YgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YY_gDY f_Is a pathogen isolated from culture of fluid or tissue obtained from the vaginal cuff? (Y or N) :-):-):-)Bb_Is a pathogen isolated from culture of fluid or tissue obtained from the vaginal cuff? (Y or N) `YgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YY _f `YȕgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YY _g `YܕgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YY _h `YgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YY _i `YgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YY _j `YgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) YYabYYY c d eeeDl4,`,m tttttYYYYYz !"#$% @&'()*+,-./012 f2 g,g!DADADAD AD AD AD AD ADADADADADADADADADADADAB% NorDY DADAB%B$DY DADADAB%B$B% No Yes"BYes eee !fk!g4g(tDA complete dataSDF  Yes3DM  No check data""BYes !eee "fl"g@7 @ %nj  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} >} m >% @ @ @ @@ @ @ @  @  @  @  @ @ @ @ @ @ @ @ @ @ @ @@ @ =:= ?; @AAAAA B C DDD E< FDgzpLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)DG*  LY  B E= FDg :-):-):-)DG? E> FDԖg :-):-):-)DG E? FDg  :-):-):-)DG E@ FDg :-):-):-)DH? EA FDg :-):-):-)DH?  EB F D$g :-):-):-) D H# EC F D8g :-):-):-) DD ED F DLg :-):-):-) DD EE F D`g  :-):-):-) DD EF F Dtg  :-):-):-) DD EG FDg :-):-):-) DD EH FDg :-):-):-) DD EI FDg  :-):-):-) DD EJ FDėg :-):-):-) DD EK FDؗg :-):-):-) DD EL FDg :-):-):-) DD EM FDg :-):-):-) DD EN FDg :-):-):-) DD EO FD(g  :-):-):-) DD EP FDD Yes D!Yes B% Yes No"BYes MMM PSxOtgbDNo  complete data>D"Yes D#Yes B% Yes No"BYes MMMMMMMMAQAAADl4, ttttttYYYYYYYYYYYYYYY, !"#$ AT; Q|g%D Y  Yes NoBNo AAA !AU!Qg DY DY DY DY B%D Y D Y DY DY DY DY DY B%B$ Yes NoBYes !AAA "AVS"Qg!=DY DY DY B% Yes NoBYes "AAA #AWz#Qg"dDDD " D N DY DY DY B%B$ Yes NoBYes #AAA$AAAAAPf>@7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} *} m * @ @ @ @ @ @ @  @  @  @  @  @ @ @ ) ) +! ,----- . / 000 1" 20g z  pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) 00 1# 20g :-):-):-)3Ęg 0  &LN  Fix! & B& 4*  LN  B 1$ 20Șg :-):-):-)3ܘg & 4 1% 20g :-):-):-)3g & 4 1& 20g :-):-):-)3 g& 4  1' 20g :-):-):-)3$g& 4 1( 2 0(g :-):-):-) 3@7 @ %   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m }  } m % @  @   @  @  @ @ @ @ @ @ @ @ @ @ @@ @ @@ 2 3      (rq1D       ~   `̙gJDAA&D B$enter age in months :-):-):-)Benter age in months~  @   ~ C@ t? ^D& IDAA&DAA&D D% B$ "Bx gbDAA&D B$2+Does the patient show bradycardia? (Y or N) :-):-):-)B.+Does the patient show bradycardia? (Y or N)   Lg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) N  8DAA&D D Y B$ Bl `g VDAA&D B$&Is the patient apneic? (Y or N) :-):-):-)B"Is the patient apneic? (Y or N)   g DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) N  8DAA&D D Y B$ B 4   g  z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)    *  LY  B 5   Țg   :-):-):-)        ܚg   :-):-):-)  ?    g   :-):-):-)?    g  :-):-):-)?    g  :-):-):-)    ,g  :-):-):-)    @g  :-):-):-) TgDY slWas a pathogenic organism isolated on culture of a heart valve or a vegetation from a heart valve? (Y or N) :-):-):-)BolWas a pathogenic organism isolated on culture of a heart valve or a vegetation from a heart valve? (Y or N)  0gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)    DgzDA enter Y or NZDN DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6? DY  B ~  @ 5?D  B   XgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6? DY  B   lgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6? DY  B   gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) gDY xqDid the patient's physician diagnose endocarditis and start appropriate antibiotic therapy before death? (Y or N)qgHas the patient's physician diagnosed endocarditis and started appropriate antibiotic therapy? (Y or N)BtqDid the patient's physician diagnose endocarditis and start appropriate antibiotic therapy before death? (Y or N)  xgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)6? DY  BzgdDY B;Was a vegetation seen on a heart valve at autopsy? (Y or N) :-):-):-)B>;Was a vegetation seen on a heart valve at autopsy? (Y or N)  gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)D?#.DY DY B$ B!" # $ %%% &7'g"!DADAD AD AD ADADADADAADADADADADAAB% NoD DAB$D DAA&D AD AB%B$DY DAB$DY DAB$B% No Yes"BYes %%% &' gnDNo  complete dataJD!Yes D"Yes D#Yes B% Yes No"BYes %%%%%%%%Dl4,`,8 tttttYYc,c !"#$ ( !;!((g%DY  Yes NoBNo ! "w"(0g!aD D B%%1 DN % B$ Yes NoBNo " #u#(8g_D DAA&%@ DN % B$ Yes NoBYes #$5Pf>@7 @   dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @ @ @  @  @  @  @  @ # $    %   &  @gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   '  TgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   (  hgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   )  |g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  *  +   g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  ,   g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  -   g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  .   ̞g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)  /   g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)       }ggDADADADAD AD AD AD AD AB % No YesBYes  0grDNo  complete dataNDY DY DY DY B% Yes No"BNo  1g|DNo  complete dataXD Y D Y D Y D Y D Y B% Yes No"BYes . 4. ,>@7 @ /"*  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m / @@  @ @ @  @  @ @@@@@ @ @ @ @ @ @ @ @ @ @@        (rq1D       ~ C@ 5?D&  B   gzpLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)    g  :-):-):-)    4g" :-):-):-)    Hg' :-):-):-)  ?  *  LY  B   \g  :-):-):-)       pg  :-):-):-)  ?     g  :-):-):-)     g  :-):-):-))    g, :-):-):-)    g :-):-):-)    ԟg :-):-):-)    g :-):-):-)?    g :-):-):-)?-   g :-):-):-)   $g :-):-):-)   8g :-):-):-)   Lg :-):-):-)   `g :-):-):-)   tg :-):-):-)   g :-):-):-)   g :-):-):-)   g :-):-):-)     ĠgDADADAD AD AD AD AD ADADADADADADADADADADADADADADADAB% No YesBYes Dl4,`,mYYtttttttttYYYYYYYYY, !"#$%&'()*+,-. x ̠gbDNo  complete data>D&Yes D'Yes B% Yes No"BYes  !x!Ԡg bDNo  complete data>D(Yes D)Yes B% Yes No"BYes ! "x"ܠg!bDNo  complete data>D*Yes D+Yes B% Yes No"BYes " #x#g+bDNo  complete data>D,Yes D-Yes B% Yes No"BYes #$% &;&g%DY  Yes NoBYes & 'k'g&UDY DY DY D Y B%DY B$ Yes NoBYes ' (I(g 3DY DY B% Yes NoBYes ( )d)g(NDY DY B%D%  B$ Yes NoBYes ) *;* g %DY  Yes NoBYes * + ;+g*%DY  Yes NoBYes + ,!;,g#%DY  Yes NoBYes , -"d-$gND% DY DY B%B$ Yes NoBYes -."guggg>@7 @ i+b3  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @ @  @  @  @  @ @        (rq1 D        ,gz pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)   @g :-):-):-)6 DY  B  Tg :-):-):-)6? DY  B  hg :-):-):-) 6 ? D Y  B  |g  :-):-):-)   g  :-):-):-)   g  :-):-):-)      mgWDADADAD AD AD AD AB% No YesBYes  g DNo  complete datacDY %  D Y D Y D Y B%B$ Yes No"BYes (T4,`,YYY,>@7 @ !4zNN  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} }  } } m ! @ @ @ @ @ @ @  @  @  @ @  @ @       ȡgz  pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)  ܡg :-):-):-) *  LN  B  g :-):-):-)   g :-):-):-)   g :-):-):-)   ,g :-):-):-)    @g :-):-):-)  ?  Tg  :-):-):-)     hg  :-):-):-)             |gDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB        gDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB        gDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB        gDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB         gDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB        gDAA& BDAA& BDAA& BDAA& B  Yes NoBYes@DNo  check dataDAA& BDAA& BDAA& BDAA& BB   gDADAJADADADADAD AD AD ADNo DNo DNo DNo DNo DNo B% No YesBYes fgPDNo  complete data,DY  Yes No"BYesg vDNo RK Applies to the ability to trace the contacts of a patient with gonorrhoea. :-):-):-)B :-):-):-) @DNo  complete data% D  BD  BD  BD  BD  BD  BB @ DNo  complete dataD  BD  BD  BD  BD  BD  BBDclB0zzzzzzz$PPPPTP054  ,>@  7 @ %Pa  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @ @  @  @ @ @ @ @ @@        (rq1D        ԢgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)  ~ C@ Q?;DAA&D$ B$D& B% B ~ P@ D? .DAA&DZ B$ B ~ (@  D ? .D AA&D  B$ B  g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6   D Y  B  g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) 6 ? D Y  B  g pD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)   $gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-)   8g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) LgvDY TMIs there an identifiable focus of infection, other than a burn site? (Y or N) :-):-):-)BPMIs there an identifiable focus of infection, other than a burn site? (Y or N) gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)   g pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-)     gDADADAD AD AD AD AD ADADAB % No6DY AB$ No Yes"BYes  gtDA complete dataSDY  Yes3DN  No check data""BYes   g~DNo  complete dataZDYes DYes DYes DYes B%B$ Yes No"BYes  I(g3D Y D Y B$ Yes NoBYes  e0gOD Y DY DY B$DY B%B$ Yes NoBYes  h8gR%  D Y DY DY B%B$ Yes NoBYes <4,`,||,u>@7 @ ob m  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} } m  @ @  @  @ @  @  @@        (rq1D        @g pDA enter M or FPDM A&DF A&B$ enter M or F :-):-):-)"B :-):-):-)  ~ C@    Tg z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-)   hg  :-):-):-)   |g  :-):-):-)   g :-):-):-)   g :-):-):-)   g  :-):-):-)     o̤g YDADADA A A AD AD AB% No YesBYes  ԤgsDA enter genderSDF  Yes3DM  No check data""BYes  ܤg~DNo  complete dataZDYes DYes DYes DYes B%B$ Yes No"BYes  Ig3D Y D Y B% Yes NoBYes  Ig3D Y D Y B% Yes NoBYes  Rg<D& DY D Y B$ Yes NoBYes 4d 4,`,8YYYYY,uu>@7 @ $tnC  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} t}  } m t}  t}  } m t$ @      @ @ @ @ @ @ @ @ @ @ @ @ ss u vwxwwx y z {{| }~ ~Z@ }(}D@D   wxwwx y z {{ ~ ~@ { {xgbDA :-):-):-)ED age of child in months :-):-):-)"B :-):-):-)~h{g RDA :-):-):-)5D  months :-):-):-)"B :-):-):-) { ~ ~D@ {{a? KDAenter temperature&D'  "B ~ ~R@ { {q ? [D Aenter blood pressure3D D Z B$ "B ~ ~$@ { {o ? YD Aenter urine output3D D  B$ "B ~ {$gpD A enter Y or NPD Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) {j  TD A enter Y or N4D D Y B$ "Bj 8gTDAA&D B$$Is the child apneic? (Y or N) :-):-):-)B :-):-):-) ~ {Lg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) {  wD DAA&D AB$ enter Y or N?D DAA&D Y B$ "Bo `gYDAA&D B$)"Is the child bardycardic? (Y or N) :-):-):-)B :-):-):-) ~ {tg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) { "wD DAA&D AB$ enter Y or N?D DAA&D Y B$ "B  ~{gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|gkDY IBHas a recognized pathogen been isolated on blood culture? (Y or N) :-):-):-)BEBHas a recognized pathogen been isolated on blood culture? (Y or N) ~{$gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|8gsDY QJHas a recognized skin contaminant been isolated on blood culture? (Y or N) :-):-):-)BMJHas a recognized skin contaminant been isolated on blood culture? (Y or N) ~{ЦgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|g DY qjHas the same organism been isolated from at least 2 blood cultures drawn at 2 separate occasions? (Y or N) :-):-):-)B :-):-):-)~{gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|  ~{ gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {| gDY DY DY B$DY B%OHIs the organism suspected of infecting an intravascular device? (Y or N) :-):-):-)BKHIs the organism suspected of infecting an intravascular device? (Y or N) ~{gDY DY DY B$DY B%DAB$ enter Y or NDY DY DY B$DY B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|ȧgDY DY DY B%^WIs the organism identified known to be causing infection at another body site? (Y or N) :-):-):-)BZWIs the organism identified known to be causing infection at another body site? (Y or N) ~{xgDY DY DY B%DAB$ enter Y or NrDY DY DY B%DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|gD DN DN DN B$B$c\Is there another explanation for signs and symptoms of infection other than sepsis? (Y or N) :-):-):-)B :-):-):-) ~{gD DN DN DN B$DAB$ enter Y or N{D DN DN DN B$DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|gDN DN DN B$B$voIs there infection identified at another body site other than the bloodstream or intravascular device? (Y or N) :-):-):-)B :-):-):-) ~{ȨgDN DN DN B$DAB$ enter Y or NrDN DN DN B$DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|  ~{ܨg pDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) {|{|{{|    Mg7D!Yes D"Yes B$ Yes NoBYes  T@>DNo complete data entry% B  &gDNo complete data entryDY DY DN B%B$ YesDY DY DN B$ YesrDY DY DY B$ Yes:DY DN B$ Yes No""""BYes  gnDNo complete data entryDDY DN DY B$ Yes No"BNo  gDNo complete data entry}D DN DN DN DN B$B%DN DN DY B$ Yes No"BNo D l4,d,8 .,yvR !"# wxwwx !w!xgDADAD AD AD ADADADAB% NoD DAA&DAB$ NoND DAA&D AD AB%B$ No Yes""BYes !wwx "wG"xg1DY DADADAB%B$ NoDY DAB$DY DY DY B%DAB$B% No%  DN DN DN DAB$ NoLDN DN DN DAB$ No Yes"""BYes "wwx#wxwwx <s>@%%%7 @ $9  dMbP?_*+%&C&"Helvetica,Regular"&12&F Page &P"d??cU} `} m `$ @  @    @  @ @ @ @ @ @ @ @ @ @@ __ a bccccc d e fff gh g(grq1D   gccccc d e fff g~ h f ff`g gcJDAA&D B$enter age in months :-):-):-)Benter age in months~ h @ f ff g~ hC@ f ffx iHgbDAA&D B$2+Does the patient show bradycardia? (Y or N) :-):-):-)B.+Does the patient show bradycardia? (Y or N) j fgDAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) ffl gg VDAA&D B$&Is the patient apneic? (Y or N) :-):-):-)B"Is the patient apneic? (Y or N) j fg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) ffo gg YDAA&D B$)"Is the patient lethargic? (Y or N) :-):-):-)B%"Is the patient lethargic? (Y or N) j fPg DAA&D D AB$ enter Y or NdDAA&D D Y A&D N A&B$ enter Y or N :-):-):-)"B :-):-):-) ff i j fdg  z pLA enter Y or NPLY A&LN A&B$ enter Y or N :-):-):-)"B :-):-):-) ff i j fxg   :-):-):-) ff i jfg   :-):-):-) ff i jfg  :-):-):-) ff i jfg  :-):-):-) ff i jfȪg  :-):-):-) ff i jfܪg  :-):-):-) ffsig ]DY ;4Was a pathogen identified from the culture? (Y or N) :-):-):-)B74Was a pathogen identified from the culture? (Y or N) jf\gDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ff g jfpgpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ffwigaDY ?8Was a pathogen isolated from the blood culture? (Y or N) :-):-):-)B;8Was a pathogen isolated from the blood culture? (Y or N) jfgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ff i jf gpDA enter Y or NPDY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ffi gDY b[Did semiquantitative culture of the catheter show more than 15 bacterial colonies? (Y or N) :-):-):-)B^[Did semiquantitative culture of the catheter show more than 15 bacterial colonies? (Y or N) jfجgDY DAB$ enter Y or NZDY DY A&DN A&B$ enter Y or N :-):-):-)"B :-):-):-) ffklfff m n ooo p4qg"DADAD AD ADADADADADADADAB % NoD DAA&DAB$D DAA&D AD AB%B$DY DAB$DY DAB$DY DAB$B% No Yes"BYes ooo pqgDNo  complete databDYes DYes D Yes D!Yes D"Yes B% Yes No"BYes oooooooocrccc corg YDY DY DN DY DN B$B%B$ Yes NoBNocgsDY DY DN DY DY B$B%B$blood culture positive :-):-):-)Bblood culture positive cc cer4gODY DN DY DN B$B%B$ Yes NoBNoc @  7 ThisWorkbookSheet1~__SRP_6 "__SRP_7&B  !#$%')*+,-./012345679:<=>?@ABCDEFGHIJKLNOPRTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~'Ȳ#xME (SLSS<N0{00020819-0000-0000-C000-000000000046}@(%H@0ߢ:xAttribute VB_Name = "ThisWorkbook" Bas0{00020P819-0C$0046} |GlobalSpacFalse dCreatablPredeclaIdTru BExposeTemplateDerivBustomizD2<jxȰ#<-H K J #?t F ƨ Dqš{bx ƨ Dqš{b-H K J #?tME(SLSS6"N0{00020820-0000-0000-C000-000000000046}(%H` % %`h8@0ߢ:$*\Rffff*0=3d7648df4xAttribute VB_Name = "She@et1" Bast0{00020820- C$0046} |Global!SpacFalse dCreatablPre declaIdTru BExposeTemplateDeriv$Bustom izD2rU (y Y 4 a! `rU @nModule1__SRP_2(__SRP_38Sheet110;rU~| iA  1a! a ) I |S:L%\:`%p$ p d\, A ()p\6, (`]tu1:` , ,  `1t6, Xt@\:`%p$ p d\,=  `1x)p\6, lx=-2\lxF`%p$ p d\)p\F(%:L%\:`%p$ p d\, C )p\5,|0xt p\, 1d:h%x$ x dd)xd/:h%x$ @x4x54%:h%x $ x x(x'T%:h %$ xxH$ xdD4fd D@T @ D rU $`$`n<jxȱ#<ɐYkKȣQ FV0H_JU$xV0H_JU$ɐYkKȣQME(SLSS6"N0{00020820-0000-0000-C000-000000000046}(%H` %@ %`h8@0ߢ:$*\Rffff*0<3d7648b74xAttribute VB_Name = "Sheet110"  Bas|0{00020820-; C$0046} |GlobalSpac False dCr@eatablPredeclaDIdTru BE xposeTemplateDeriv$Bust0omizD2rU  Y 4 a! __SRP_4 M__SRP_5QB_VBA_PROJECTS dirL`*'  rU @n;Above ensures nothing is selected when we return to the TOCam  *\G{000204EF-0000-0000-C000-000000000046}#4.0#9#C:\ARQUIV~1\ARQUIV~1\MICROS~1\VBA\VBA6\VBE6.DLL#Visual Basic For Applications*\G{00020813-0000-0000-C000-000000000046}#1.3#0#C:\Arquivos de programas\Microsoft Office\Office\EXCEL9.OLB#Microsoft Excel 9.0 Object Library*\G{00020430-0000-0000-C000-000000000046}#2.0#0#C:\WINDOWS\SYSTEM\stdole2.tlb#OLE Automation*\G{0D452EE1-E08F-dNxMEP6 LL< p`8k''`x` t 6`4k(p%$8<.DD@x D@h E@d D@T @ D @4 @Xh$,*2@ p @8` @\ @PL @< @, @ @ @ @" @ pߢ:$*\Rffff*0;3d7648b6*\R1*#229*\R1*#c4*\R1*#b8*\R1*#175*\R0*#10*\R0*#f7 " D 8P $  F @ FP   *S   1 *X H 2Xh $Fp B    " 1 N( ,x @/% <( X h=Implement a table of contents. Each chapter is a workbook and2this code plus a listbox is added to each workbookMG Sriram, mgsriram@wenet.netMarch 23, 1998@Listboxes have an annoying habit: after selecting an item if you9scroll down then that item still remains selected. The if@statement below and the line just above end if prevent this from happening.]@]XTOCTOC$$%&!( '" " B "$,$* '  TOCInfo$$%.!0$*'  $2B@4kTOCTOC$$%&((;Above ensures nothing is selected when we return to the TOCk selval > 1oTOCpTOC$$B@4HMG Sriram. Added April 2001 to ensure that the Table of Contents ListBox%gets the right method, ie TOC (above):The next line puts the spreadsheet into "right-click" modeTOC 8%:B@H Module1.TOC <(>D3$.B@H#needed to get back into normal modeoAttribute VB_Name = "Module1" Sub TOC()0'Implement a table of cont$s. Each chapter isHworkbook and 'th*code plu>listbox,dded to eE8vMG Srira@m, mgs @wenet.VMarx23, P19982LXes have~@noyingb@it: afs elect an item if you*scroll down theatsti remains !ed.0 Theta%below>mline j$usboKend8prev0from!penL.h Dim sheetAs Sng  cellIndex QQvalSsD("").Boxe + 13 If8A> 1A8n B" + Trim(%()@A H-= !Info"Range().Value9A  =<> "" " WFDs(G).Avv#a+ E@ZIfG&B= 0 '"ADlsurnok@;wAwe retur=o 'CF RCvS'eAAuto_O(@@@ +H6"'. AApril 2001=Bn+"@ T5C @ 'getsbright method, ie (a ! !2']nextR ZpusYadB0 in`y" -click" .m  e".S;\OSq@ion.Onon.W@F"D3Hc 'need# backc0norm`` .C0 101A-852E-02608C4D0BB4}#2.0#0#C:\WINNT\System32\FM20.DLL#Microsoft Forms 2.0 Object Library*\G{A45A4A6A-C54D-4279-9005-99537057B726}#2.0#0#C:\DOCUME~1\ccih\CONFIG~1\Temp\VBE\MSForms.exd#Microsoft Forms 2.0 Object Library.E .`M *\G{2DF8D04C-5BFA-101B-BDE5-00AA0044DE52}#2.1#0#C:\PROGRAM FILES\MICROSOFT OFFICE\OFFICE\MSO97.DLL#Microsoft Office 8.0 Object Library  ߢ:ThisWorkbook073d7648b6ThisWorkbook- Sheet10=3d7648df Sheet1Module10;3d7648b6Module10TSheet1100<3d7648b7ASheet110HhH0c4IJ ;&=!zL"AqMHf\Ī"F YMW!&') Excel+ VBAWin16~Win32MacVBA6# VBAProjectstdole`MSFormsCOfficeu ThisWorkbook| _Evaluate Sheet1 Module1b(TOC( sheetName6 cellIndex'selval%Sheets  ListBoxes% ListIndexQTrim@StrRange ValueK WorksheetsActivate| (Auto_OpenV  ActiveSheet%NShapes< SelectionZOnAction Sheet110gWorkbookk_Defaultj Worksheet _B_var_selval _B_var_Str _B_var_TrimmTx A       H@H0* pHd VBAProject4@j = r ߢ: J< rstdole>stdole f%\*\G{00020430-C 0046}#2.0#0#C:\WINDOWS\SYSTEM\c2.tlb#OLE Automation#^MSForms>!SFEr ms3DD452EE1-E08F-101A-8-02608C4D0BB4 DNT\System32\FM20.DLL#Microsoft 9 \ Ob Library/;C1s00}#:0#j0AA45A4A6A-C54D-4279-9005-99537057B72IXDOCUME~1\ccih\C ONFIG@Temp\VBE\Sp.exd ; .E .`M AOfficOAfic 02DF8D04C-5BFAfB-BDE5IAA42fPROGRAM FILES\MICROSOFT OFFICE\`MSO97l# 8.0 m"͈ThisWorkbookG Th1sW™kbok* 2  HB1-B,!"B+BShePet1G Seq`*t1 As2k BloduleClo}u}A2dp FT!10G10`i2r3?),a __SRP_0`__SRP_1 zPROJECTwmqPROJECTK*mrU~~~~~~~~~~~~~U K䂧'K`^vY   a A a I))a A A  VBAProject ThisWorkbookSheet1Module1Sheet110F /C:\ARQUIV~1\ARQUIV~1\MICROS~1\VBA\VBA6\VBE6.DLLVBA a 0F;C:\Arquivos de programas\Microsoft Office\Office\EXCEL9.OLBExcel Y@0FC:\WINDOWS\SYSTEM\stdole2.tlbstdoleTOC qP.E .`M C:\WINNT\System32\FM20.DLLMSForms aa`jJZMyBSpW& .C:\DOCUME~1\ccih\CONFIG~1\Temp\VBE\MSForms.exd 9aapL-[DR 2C:\PROGRAM FILES\MICROSOFT OFFICE\OFFICE\MSO97.DLLOffice !I Auto_Open  TOCFFFActivate Shapes Select Module1.TOCOnAction D3FɐYkKȣQ FV0H_JU$DF Worksheet @ListBoxesListIndex B TOCInfo Range Value VBE6.DLL a e  a  -H K J #?t ƨ Dqš{bgrU~}     pThisWorkbookThisWorkbookSheet1Sheet1Module1Module1Sheet110Sheet110ID="{E0BDF2A5-BDAA-11D2-9D64-444553540000}" Document=ThisWorkbook/&H00000000 Document=Sheet1/&H00000000 Module=Module1 Document=Sheet110/&H00000000 Name="VBAProject" HelpContextID="0" VersionCompatible32="393222000" CMG="3F3D81B49F4CEA50EA50EA50EA50" DPB="8E8C3005301B7E1C7E1C7E" GC="DDDF63D2FD20FE20FEDF" [Host Extender Info] &H00000001={3832D640-CF90-11CF-8E43-00A0C911005A};VBE;&H00000000 [Workspace] ThisWorkbook=0, 0, 0, 0, C Sheet1=0, 0, 0, 0, C Module1=-30, 19, 803, 613, C Sheet110=0, 0, 0, 0, C Oh+'0@SummaryInformation(DocumentSummaryInformation8CompObjhHXh SriramccihmMicrosoft Excel@YSQ@Wgt՜.+,0d PXh px ?Compaq BTOCInfoTOCviral hepatitisvertebral disk space infectionvasc catheter patient factorsurinary tract infection otherurinary tract infectionupper respiratory tract infecttransplant donor exlude HIVTB risk child NYCDOH questionTB HC facility risk assessmentTB discontinue isolationswimming venue fecal accident surgical wound vascular surgery surgical wound head neck cancersurgical wound class and risksurgical wound ASEPSIS score surgical wound abdominal herniasurgical site NNIS risk indexsurgical site infectionsurg site mediastinitis classsternal wound risk factorssternal wound radiology stagesternal fail surgical salvagespinal abscess wo meningitissoft tissue infection nonsurgskin infection nonsurgicalskin infection in infants sinusitissalmonella spread by reptiles salmonella raw undercooked eggsrespiratory airway infectionreducing viral risk surgeryprecautions by syndrome pneumoniapet guide dog guidelinespercutaneous catheter riskpenetrating abdominal trauma pediatric sibling visit OB unitosteomyelitisoral cavity infectionmyocarditis and pericarditismeningitis and ventriculitismediastinitis class El Oakleymediastinitismale reproductive tract infectlisteria dietary precautionsjoint or bursa infectionintracranial infectionintraabdominal infection intensive care TISS length stayinfectious waste categoriesgastrointestinal infect othergastroenteritis entercolitisfemale reproduct tract infecteye infectionenteric contact public animals endocarditisempyema or lung abscessear infectionsdecubitus ulcer infectioncontact tracing gonorrhoeaburn infectionbreast abscess or mastitisbloodstream infectionarterial or venous infection  PlanilhasB FPlanilha do Microsoft ExcelBiff8Excel.Sheet.89q