Download PHAC C.difficile Report - Cape Breton District Health Authority

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Cape Breton District Health Authority, Nova Scotia
CDI Outbreak Data Collection Tool
Case Classification
1. Meets CDI Outbreak case definition:
2. Hospital-acquired:
Yes
Yes
No
No
If yes,
CDI symptoms are >= 72 hours after admission or
Patient was hospitalized at the same hospital regardless of diagnosis and discharged
within the previous 4 weeks.
Name of hospital diagnosed in: _________________________
3. Community-acquired:
4. Unknown:
Yes
Yes
No
No
Patient Details
5. Patient Identifier Code (ie. CB00001): __________________________________
6. DOB/Age:
7. Gender:
_____ /_____ /________
DD
MM
YYYY
Male
OR ________
Years
Female
8. Postal Code: ________
9. Date of hospitalization:
_____ /_____ /________
DD
MM YYYY
10. Reason for admission/Admitting Diagnosis: ______________________________
11. Source of hospitalization:
Other Acute Care facility
Personal Home
Unknown
12. Service to which the patient was hospitalized:
Medical
Surgical
ICU
Pediatrics
Geriatrics Other, specify: ________________
LTC /Nursing home
OB-GYN
Oncology
13. Has the patient been to hospital in the CBDHA as an outpatient in the past month?
RDU
Yes
No
14. Has the patient been to the hospital in the CBDHA through the emergency department in the past
month?
Yes
No
15. Is the patient going/preparing to be transferred to a long-term care facility?
Yes
No
CDI Episode Details
16. Date of onset of any CDI symptom (which may include fever, cramping or abdominal discomfort):
_____ /_____ /________
;
DD
MM
YYYY
17. Diarrhea:
Yes
Provide date of onset of diarrhea:
18. Nausea:
Yes
No
19. Abdominal pain or cramps:
20. Fever (>38.0C):
No
Not documented
_____ /_____ /________
DD
MM YYYY
Not documented
Yes
Yes
No
No
Not documented
Not documented
21. Other symptoms: Yes
No
Not documented
If yes, please specify:________________
22. Was CDI therapy started?
22. Flagyl
Yes
No
Yes
Unknown
No
Start date:
_____ /_____ /________
DD
MM YYYY
Frequency:
OD
BID
TID
Duration:
______________________ days
Dose:
______________________
23. Vancomycin
Yes
IV
QID
PO
No
Start date:
_____ /_____ /________
DD
MM YYYY
Frequency:
OD
BID
TID
Duration:
______________________ days
Dose:
______________________ IV
QID
PO
24. Other Antibiotic used to treat CDI: _______________________________
Start date: _____ /_____ /________
DD MM
YYYY
Frequency:
25. Were probiotics given?
Yes
OD
BID
TID
Duration:
______________________ days
Dose:
______________________
No
Unknown
Laboratory Details
26. Originating Collection Facility: _____________
st
27. Collection date of 1 positive toxin test:
_____ /_____ /________
-
DD
MM
YYYY
28. PFGE pattern: __________________________
29. Strain type: ______________
30. Antimicrobial Resistance
AM
CM
MZ
MX
Van
31. Visualization of pseudomembranes (sigmoid/colonoscopy): Yes
Provide date of collection:
_____ /_____ /________
DD
MM
YYYY
No
32. Histological/pathological diagnosis of pseudomembranous colitis:
Provide date of collection: _____ /_____ /________
DD
MM YYYY
Yes
No
33. Diagnosis of toxic megacolon : Yes No
Provide date of diagnosis:
_____ /_____ /________
DD
MM YYYY
Patient Mobility and Acuity
34. Was the patient bed-bound during symptom onset?
Yes
No
Unknown
35. Was the patient mobile and can ambulate outside of his/her room at the time of symptom onset?
Yes
No
Unknown
36. Was the patient faecally incontinent and required incontinent briefs?
Yes
No
Unknown
Patient Location & Environment
37. Was the patient placed into additional precautions on the onset of CDI symptoms?
Yes
No
Unknown
Provide date when additional precautions were implemented: ___ /_____ /_____
DD MM YYYY
38. Where was the patient placed on the onset of CDI symptoms?
Private room
Cohorted with other CDI positive patients
Patient remained in his/her room
Unknown
Patient Risk Factors
39. Previous diagnosis of CDI: Yes
No
Unknown
Provide date of most recent previous positive result: _____ /_____ /________
DD
MM
YYYY
40. Hospitalization within the last 3 months:
Yes
No
Unknown
Provide dates of previous hospital admissions and discharges:
I.
Admission Date: _____ /_____ /________
DD
MM YYYY
Discharge Date: _____ /_____ /________
0
DD
MM
YYYY
II. Admission Date: _____ /_____ /________
DD
MM YYYY
Discharge Date: _____ /_____ /________
DD
MM YYYY
III. Admission Date: _____ /_____ /________
DD
MM
YYYY
Discharge Date: _____ /_____ /________
DD
MM YYYY
IV. Admission Date: _____ /_____ /________
DD
MM
YYYY
Discharge Date: _____ /_____ /________
DD
MM YYYY
41. Exposure to antibiotics within the last 3 months of diagnosis:
I.
Yes
No
Unknown
Type of Antibiotic: ______________________________
II. Type of Antibiotic: ______________________________
III. Type of Antibiotic: ______________________________
IV. Type of Antibiotic: ______________________________
V. Type of Antibiotic: ______________________________
42. Does the patient have any underlying medical conditions?
Yes
No
Unknown
If yes,
Renal
Cardiovascular
Respiratory
Intubation/ventilator assist
GI surgery/procedures (within 1 month prior to symptom onset)
GU surgery/procedure (within 1 month prior to symptom onset)
GI pathology (not malignancy)
Malignancy (e.g. GI, haem-onc, other)
Diabetes
Other immunosuppressed (HIV, transplant, I-S meds [i.e. corticosteroids] within 1 month)
Other, please specify:___________________
43. Exposure to acid-suppressing medications (histamine-2 blockers/proton pump inhibitors) in the last 3
months: Yes
No
Unknown
44. Was the patient concurrently colonized/infected with another healthcare-associated infection?
Yes
No
Unknown
If yes,
MRSA colonization
MRSA infection
VRE colonization
VRE infection
4
Other: _______________________________
Course of Hospitalization
45. Once the patient was diagnosed with CDI, was any non-CDI antimicrobial treatment stopped (if
possible)?
Yes
No
Unknown
N/A – not on antibiotics
Document any antibiotics that were continued:
I.
Type of Antibiotic: ______________________________
II. Type of Antibiotic: ______________________________
III. Type of Antibiotic: ______________________________
IV. Type of Antibiotic: ______________________________
V. Type of Antibiotic: ______________________________
Patient Outcomes
46. Date when patient was considered CDI free (resolution of symptoms)
_____ /_____ /________
DD MM YYYY
48. Resolution of symptoms:
Patient is symptom free
Patient still has symptoms
Unknown
49. Did the patient experience complications due to this CDI episode?
Yes
No
Unknown
50. If Yes, check all that apply as per chart/physician notes
Relapse within 60 days
Date of re-admittance: ______________, How many relapses ___________
Bowel perforation
GI bleed, requiring transfusion
Toxic megacolon
Secondary bacteremia
Dehydration
Hypokalemia
Vasopressor therapy
Other, specify: _____________________________
51. Did patient require ICU admission for this CDI episode?
52. Did the patient require colectomy due to CDI?
53. Did the patient refuse care or treatment?
Yes
Yes
No
Yes
No
No
Unknown
Unknown
Unknown
54. What was the patient’s outcome 30 days after diagnosis of CDI?
Alive, in hospital, symptoms resolved
Alive, in hospital, symptoms unresolved
Discharged from hospital
5
55. Date of discharge: _____ /_____ /________
DD
MM YYYY
56. Did the case expire? Yes No
If yes, provide date of death: _____ /_____ /________
DD
MM YYYY
57. Attributable cause of death:
CDI was the cause of death
CDI contributed to death
Died of non-CDI reason
Unable to judge/Unknown
9
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