### General tab

When you select Patient/Antimicrobial use/HAI data in the main menu, the Patients forms open at the General tab.

As in the PPS, the appearance of the General tab depends on whether Standard or Light surveillance has been chosen.

Unlike PPS, antimicrobial use data in the ICU module are optional and can only be entered in Standard surveillance.

Table 15 below describes the variables in the Standard and Light forms. Further details are provided in the HAI-Net ICU protocol (see Related documents).

Figure 5: ICU Surveillance/Patients General tab - Standard protocol

In Standard surveillance, the General tab shows all the risk factors that should be entered for each patient staying more than two days in the ICU (with or without an infection).

In Standard surveillance the HAI button is deactivated when the variable Patient has at least one included HAI is set to No.

Figure 6: ICU Surveillance/Patients General tab - Light protocol

In Light surveillance, the General tab only shows a few demographic variables (see Table 15). These should only be entered for patients with an HAI. Consequently, a patient record in Light surveillance should always have at least one HAI record, and the HAI button is therefore activated by default each time a patient is created.

In Light surveillance, the Antimicrobial use button is deactivated.

To define the ICU patient, antimicrobial use and HAI data:

1. Specify values for the fields in the ICU surveillance/patients General tab. Descriptions of the variables in this form are given in Table 15. Mandatory fields are indicated by a red asterisk *. Required fields are indicated by a black asterisk *.

2. Click the Save icon or press Ctrl+S.

If any mandatory or required data field is empty when you save, e.g. because you do not yet have the data, an error and/or warning message is shown and the field label is highlighted as a reminder - in red for a mandatory field (you cannot save) or blue for a required field. See Understanding reported errors.

3. Click the HAI or Antimicrobial data button to proceed to the respective dialog-box:

• HAI data

• Antimicrobial use data

Table 15: ICU patients General tab variables (Standard and Light protocols)

Variable | Description
Hospital code | Inserted automatically based on the hospital selected during Hospital definition.
Surveillance year | The year previously selected for the survey. Inserted by system.
Surveillance period start date | Start date of the ICU surveillance period. Inserted by system. Cannot be changed after saving.
Surveillance period end date | End date of the ICU surveillance period. Inserted by system. Can be blank if not yet entered.
ICU code | Identifier for the selected intensive care unit. Inserted by system.
Internal patient code | For hospital internal use only. Optional. Not exported. Must be removed from any data submitted to ECDC/TESSy.
Patient counter | A system allocated sequential patient number for anonymised identification.
Age * | Age of the patient on the date of admission to the ICU (in years).
Gender * | Gender of the patient. M = Male; F = Female; O = Other; UNK = Unknown.
Date of ICU admission * | Date of admission in the ICU. Mandatory – data cannot be saved without this date.
Date of ICU discharge | Date the patient was discharged from the ICU or date of in-ICU death or date of last follow-up in the ICU.
ICU discharge outcome | Patient status at discharge from the ICU or at end of follow-up in the ICU. A = Alive; D = Dead in ICU; UNK = Unknown.
Origin of the patient | Origin of the patient at the time he/she was admitted at the ICU: HOSP = Ward in this/other hospital. OICU = Other ICU; COM = Community (patient came from his home, via emergency or not); LTC = Long-term care/nursing home; O = Other; UNK = Unknown.
Type of ICU admission | Type of admission as defined in SAPS II score: (medical: no surgery within one week of admission to ICU; scheduled surgical: surgery was scheduled at least 24 hours in advance +/- 7 days ICU admission; unscheduled surgical: patients added to the operating room schedule within 24 hours of the operation. MED = Medical; SSUR = Scheduled surgical; USUR = Unscheduled surgical; UNK = Unknown.
Trauma patient | Intensive care unit admission resulted from blunt or penetrating traumatic injury to the patient, with or without surgical intervention. Y = Yes; N = NO; UNK = Unknown .
Impaired immunity | Impaired immunity as defined in APACHE II score: impaired immunity due to treatment (chemotherapy, radiotherapy, immune suppression, corticosteroids long duration or high doses recently), due to disease (leukaemia, lymphoma, AIDS), or < 500 PMN/mm3. Y = Yes; N = NO; UNK = Unknown.
Antibiotic treatment +/- 48 hours around admission | Specify ‘yes’ if any antibiotic therapy in the 48 hours preceding ICU admission and/or during the first two days of ICU stay (=antibiotic therapy for an infectious event around ICU admission, excl. antifungal and antiviral treatment) has been given; not: antimicrobial prophylaxis, SDD, local treatment. Y = Yes; N = NO; UNK = Unknown.
SAPS II score | Simplified Acute Physiology Score II on admission (first 24h of ICU stay). Severity of illness score developed to predict mortality. Integer number from 0 to 163.
Other score name | Add alternative severity of illness score.
Other score value | Corresponding value for alternative severity of illness score. Possible scores [and possible values]: APACHE II [0-71], APACHE III [0-299], APACHE IV [0-286], MPM II [0-100], MPM III [0-100], McCabe score [0=non-fatal (survival >= 5 years); 1=ultimately fatal (survival < 5 years), 2=rapidly fatal (survival<1 year); 9=unknown], SAPS 3 [0-217]
Central vascular catheter in ICU * | Patient had a central vascular catheter during the current ICU stay. Y = Yes; N = NO; UNK = Unknown. Mandatory. If yes, enter dates for the corresponding exposure period.
Intubation in ICU * | Patient was intubated (invasive respiratory device) during the current ICU stay. Y = Yes; N = NO; UNK = Unknown. Mandatory. If yes, enter dates for the corresponding exposure period.
Urinary catheter in ICU | Patient had indwelling urinary catheter during the current ICU stay. Y = Yes; N = NO; UNK = Unknown. Required if UTI is included in surveillance. If yes, enter dates for the corresponding exposure period.
Patient received antimicrobial(s) in ICU | Patient received any antimicrobials during ICU stay. If yes, fill corresponding antimicrobial use data. Y = Yes; N = NO; UNK = Unknown.
Patient has at least one included HAI * | Patient has at least one healthcare-associated infection (with onset on day three or later, see definition) included in the current surveillance-year. If yes, fill out an HAI form for each infection. Y = Yes; N = NO; UNK = Unknown.

More:

Antimicrobial use data

HelicsWin.Net v2.2 Online User Guide v20160330
© European Centre for Disease Prevention and Control, 2016
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