The “Point prevalence survey of healthcare associated infections and antimicrobial use in European acute care hospitals” protocol adopts the following definition of Gastrointestinal System Infections (GI):
GI-CDI :Clostridium difficile infection.
A Clostridium difficile infection (previously also referred to as Clostridium difficile associated diarrhoea, or CDAD) must meet at least one of the following criteria:
if clinical signs of Clostridium difficile infection appear in 28 days after hospital discharge period, GI-CDI must be defined as healthcare-associated infection.
GI-GE: gastroenteritis (excluding CDI).
Gastroenteritis must meet at least one of the following criteria:
and at least one of the following:
GI-GIT: gastrointestinal tract (oesophagus, stomach, small and large bowel, and rectum) excluding gastroenteritis and appendicitis.
Gastrointestinal tract infections, excluding gastroenteritis and appendicitis, must meet at least one of the following criteria:
Hepatitis must meet the following criterion:
Further instructions for reporting:
GI-I AB: intra-abdominal, not specified elsewhere including gallbladder, bile ducts, liver (excluding viral epatitis), spleen, pancreas, peritoneum, subphrenic or subdiaphragmatic space, or other intra-abdominal tissue or area not specified elsewhere
Intra-abdominal infections must meet at least one of the following criteria:
A pancreatitis (an inflammatory syndrome characterised by abdominal pain, nausea, and vomiting associated with high serum levels of pancreatic enzymes) must not be reported, unless it is determined to be infectious origin.
Link to European IC/HH Core Competencies
Area 3. Surveillance and investigation of healthcare associated infection (HAI)