Note: The pathogen and antibiogram information should be repeated for each pathogen and each antibiogram performed. Collected at one point in time. If several independent time points are recorded, the entire form should be repeated.
Bloodstream infection
CLIN_CONF_INF_BSI_DIAGDATE_Q
text
CLIN_CONF_INF_BSI_DIAGDATE
date
Bloodstream infection: Pathogen information
CLIN_CONF_INF_BSI_PTGINFO_CULT_SAMPLING_DATE_Q
text
CLIN_CONF_INF_BSI_PTGINFO_CULT_SAMPLING_DATE
date
CLIN_CONF_INF_BSI_PTGINFO_GENUS
text
CLIN_CONF_INF_BSI_PTGINFO_SPECIES
text
Bloodstream infection: Antibiogram
CLIN_CONF_INF_BSI_AB_MTHD
text
CLIN_CONF_INF_BSI_AB_AGENT
text
CLIN_CONF_INF_BSI_AB_RESULT
text
CLIN_CONF_INF_BSI_AB_MIC_Q
text
CLIN_CONF_INF_BSI_AB_MIC
float
CLIN_CONF_INF_BSI_AB_MIC_UNIT
text
Pneumonia
Pneumonia: Pathogen information
CLIN_CONF_INF_PNE_PTGINFO_CULT_SAMPLING_DATE_Q
text
CLIN_CONF_INF_PNE_PTGINFO_CULT_SAMPLING_DATE
date
CLIN_CONF_INF_PNE_PTGINFO_GENUS
text
CLIN_CONF_INF_PNE_PTGINFO_SPECIES
text
Pneumonia: Antibiogram
CLIN_CONF_INF_PNE_AB_MTHD
text
CLIN_CONF_INF_PNE_AB_AGENT
text
CLIN_CONF_INF_PNE_AB_RESULT
text
CLIN_CONF_INF_PNE_AB_MIC_Q
text
CLIN_CONF_INF_PNE_AB_MIC
float
CLIN_CONF_INF_PNE_AB_MIC_UNIT
text
Urinary tract infection
CLIN_CONF_INF_UTI_DIAGDATE_Q
text
CLIN_CONF_INF_UTI_DIAGDATE
date
Urinary tract infection: Pathogen information
CLIN_CONF_INF_UTI_PTGINFO_CULT_SAMPLING_DATE_Q
text
CLIN_CONF_INF_UTI_PTGINFO_CULT_SAMPLING_DATE
date
CLIN_CONF_INF_UTI_PTGINFO_GENUS
text
CLIN_CONF_INF_UTI_PTGINFO_SPECIES
text
Urinary tract infection: Antibiogram
CLIN_CONF_INF_UTI_AB_MTHD
text
CLIN_CONF_INF_UTI_AB_AGENT
text
CLIN_CONF_INF_UTI_AB_RESULT
text
CLIN_CONF_INF_UTI_AB_MIC_Q
text
CLIN_CONF_INF_UTI_AB_MIC
float
CLIN_CONF_INF_UTI_AB_MIC_UNIT
text
CNS infection
CLIN_CONF_INF_CNS_DIAGDATE_Q
text
CLIN_CONF_INF_CNS_DIAGDATE
date
CNS infection: Pathogen information
CLIN_CONF_INF_CNS_PTGINFO_CULT_SAMPLING_DATE_Q
text
CLIN_CONF_INF_CNS_PTGINFO_CULT_SAMPLING_DATE
date
CLIN_CONF_INF_CNS_PTGINFO_GENUS
text
CLIN_CONF_INF_CNS_PTGINFO_SPECIES
text
CNS infection: Antibiogram
CLIN_CONF_INF_CNS_AB_MTHD
text
CLIN_CONF_INF_CNS_AB_AGENT
text
CLIN_CONF_INF_CNS_AB_RESULT
text
CLIN_CONF_INF_CNS_AB_MIC_Q
text
CLIN_CONF_INF_CNS_AB_MIC
float
CLIN_CONF_INF_CNS_AB_MIC_UNIT
text
Intra-abdominal infection
CLIN_CONF_INF_IAI_DIAGDATE_Q
text
CLIN_CONF_INF_IAI_DIAGDATE
date
Intra-abdominal infection: Pathogen information
CLIN_CONF_INF_IAI_PTGINFO_CULT_SAMPLING_DATE_Q
text
CLIN_CONF_INF_IAI_PTGINFO_CULT_SAMPLING_DATE
date
CLIN_CONF_INF_IAI_PTGINFO_GENUS
text
CLIN_CONF_INF_IAI_PTGINFO_SPECIES
text
Intra-abdominal infection: Antibiogram
CLIN_CONF_INF_IAI_AB_MTHD
text
CLIN_CONF_INF_IAI_AB_AGENT
text
CLIN_CONF_INF_IAI_AB_RESULT
text
CLIN_CONF_INF_IAI_AB_MIC_Q
text
CLIN_CONF_INF_IAI_AB_MIC
float
CLIN_CONF_INF_IAI_AB_MIC_UNIT
text
Wound infection
CLIN_CONF_INF_WOUND_DIAGDATE_Q
text
CLIN_CONF_INF_WOUND_DIAGDATE
date
Wound infection: Pathogen information
CLIN_CONF_INF_WOUND_PTGINFO_CULT_SAMPLING_DATE_Q
text
CLIN_CONF_INF_WOUND_PTGINFO_CULT_SAMPLING_DATE
date
CLIN_CONF_INF_WOUND_PTGINFO_GENUS
text
CLIN_CONF_INF_WOUND_PTGINFO_SPECIES
text
Wound infection: Antibiogram
CLIN_CONF_INF_WOUND_AB_MTHD
text
CLIN_CONF_INF_WOUND_AB_AGENT
text
CLIN_CONF_INF_WOUND_AB_RESULT
text
CLIN_CONF_INF_WOUND_AB_MIC_Q
text
CLIN_CONF_INF_WOUND_AB_MIC
float
CLIN_CONF_INF_WOUND_AB_MIC_UNIT
text
Other hospital-associated infection
CLIN_CONF_INF_OTHER
text
CLIN_CONF_INF_OTHER_DIAGDATE_Q
text
CLIN_CONF_INF_OTHER_DIAGDATE
date
Other hospital-associated infection: Pathogen information
CLIN_CONF_INF_OTHER_PTGINFO_CULT_SAMPLING_DATE_Q
text
CLIN_CONF_INF_OTHER_PTGINFO_CULT_SAMPLING_DATE
date
CLIN_CONF_INF_OTHER_PTGINFO_GENUS
text
CLIN_CONF_INF_OTHER_PTGINFO_SPECIES
text
Other hospital-associated infection: Antibiogram
CLIN_CONF_INF_OTHER_AB_MTHD
text
CLIN_CONF_INF_OTHER_AB_AGENT
text
CLIN_CONF_INF_OTHER_AB_RESULT
text
CLIN_CONF_INF_OTHER_AB_MIC_Q
text
CLIN_CONF_INF_OTHER_AB_MIC
float
CLIN_CONF_INF_OTHER_AB_MIC_UNIT
text