The “Point prevalence survey of healthcare associated infections and antimicrobial use in European acute care hospitals” protocol adopts the following definition of Skin and Soft Tissue Infections (SST):
SST-SKIN: skin infection.
Skin infections must meet at least one of the following criteria:
and at least one of the following:
SST-ST: soft tissue (necrotizing fascitis, infectious gangrene, necrotizing cellulitis, infectious myositis, lymphadenitis, or lymphangitis).
Soft tissue infections must meet at least one of the following criteria:
An infection of deep pelvic tissues must be reported as REPR-ORE.
SST-DECU: decubitus ulcer, including both superficial and deep infections.
Decubitus ulcer infections must meet the following criterion:
A purulent drainage alone is not sufficient evidence of an infection;
An organisms cultured from the surface of a decubitus ulcer are not sufficient evidence that the ulcer is infected. A properly collected specimen from a decubitus ulcer involves needle aspiration of fluid or biopsy of tissue from the ulcer margin.
Burn infections must meet at least one of the following criteria:
A purulence alone at the burn wound site is not adequate for the diagnosis of burn infection; such purulence may reflect incomplete wound care;
Fever alone in a burn patient is not adequate for the diagnosis of a burn infection because fever may be the result of tissue trauma or the patient may have an infection at another site.
SST-BRST: *** abscess or mastitis.
A *** abscess or mastitis must meet at least one of the following criteria:
A *** abscesses occur most frequently after childbirth. Those that occur within seven days after childbirth should be considered healthcare associated.
Link to European IC/HH Core Competencies
Area 3. Surveillance and investigation of healthcare associated infection (HAI)