The “Point prevalence survey of healthcare associated infections and antimicrobial use in European acute care hospitals” protocol adopts the following definition of Reproductive Tract Infections (REPR):

REPR-EMET: endometritis.

Endometritis must meet at least one of the following criteria:

  • patient has organisms cultured from fluid or tissue from endometrium obtained during surgical operation, by needle aspiration, or by brush biopsy;
  • patient has at least two of the following signs or symptoms with no other recognised cause: fever (> 38 °C), abdominal pain, uterine tenderness, or purulent drainage from uterus.

A postpartum endometritis must be reported as a health care-associated infection unless the amniotic fluid is infected at the time of admission or the patient was admitted 48 hours after rupture of the membrane.

 

REPR-EPIS: episiotomy.

Episiotomy infections must meet at least one of the following criteria:

  • postvaginal delivery patient has purulent drainage from the episiotomy;
  • postvaginal delivery patient has an episiotomy abscess.

 

REPR-VCUF: vaginal cuff.

Vaginal cuff infections must meet at least one of the following criteria:

  • posthysterectomy patient has purulent drainage from the vaginal cuff;
  • posthysterectomy patient has an abscess at the vaginal cuff;
  • posthysterectomy patient has pathogens cultured from fluid or tissue obtained from the vaginal cuff.

 

REPR-OREP: other infections of the male or female reproductive tract (epididymis, testes, prostate, vagina, ovaries, uterus, or other deep pelvic tissues, excluding endometritis or vaginal cuff infections)

Other infections of the male or female reproductive tract must meet at least one of the following criteria:

  • patient has organisms cultured from tissue or fluid from affected site;
  • patient has an abscess or other evidence of infection of affected site seen during a surgical operation or histopathologic examination;
  • patient has two of the following signs or symptoms with no other recognised cause: fever (> 38 °C), nausea, vomiting, pain, tenderness, or dysuria;

and at least one of the following:

    • organisms cultured from blood;
    • physician diagnosis.

A vaginal cuff infections must be reported as REPR-VCUF (if occurring after 30 days post-surgery, otherwise report as SSI-O).

_____ 

Link to European IC/HH Core Competencies

Area 3. Surveillance and investigation of healthcare associated infection (HAI)

References

http://www.ecdc.europa.eu/en/publications/Publications/0512-TED-PPS-HAI-antimicrobial-use-protocol.pdf