The “Point prevalence survey of healthcare associated infections and antimicrobial use in European acute care hospitals” protocol adopts the following definition of Lower Respiratory Tract Infection other than pneumonia (LRI):
LRI-BRON: bronchitis, tracheobronchitis, bronchiolitis, tracheitis, without evidence of pneumonia.
Tracheobronchial infections must meet the following criteria:
patient has at least two of the following signs or symptoms with no other recognised cause: fever (> 38 °C), cough, new or increased sputum production, rhonchi, wheezing and at least one of the following:
A chronic bronchitis in a patient with chronic lung disease must not be reported as an healthcare associated infection , unless there is evidence of an acute secondary infection, manifested by change in organism.
LRI-LUNG: other infections of the lower respiratory tract.
Other infections of the lower respiratory tract must meet at least one of the following criteria:
A lung abscess or empyema without pneumonia must be reported as LRI-LUNG.
Link to European IC/HH Core Competencies
Area 3. Surveillance and investigation of healthcare associated infection (HAI)