Problem:
Hospital X is performing LabID surveillance for MRSA bacteremia. For CY2021Q3, the facility reported the following events to NHSN. Classify each event according to NHSN categorization (HO vs CO). 5 points patient ID Specimen Source Organism Location/unit Outpatient Facility Admission Date Location Admission Date Specimen Collection Date 1 Blood culture MRSA ADULT ED Y . . 12/1/2022 2 Blood culture MRSA Med/surg floor N 12/11/2022 12/13/2022 12/14/2022 4 Blood culture MRSA ICU N 12/19/2022 12/19/2022 12/27/2022 14 Blood culture MRSA ICU N 10/31/2022 11/1/2022 11/1/2022 12 Blood culture MRSA Telemetry N 10/29/2022 11/10/2022 11/11/2022 2) Mrs. Perez, a 85-year-old female, was taken to the ED of hospital Z with signs and symptoms of sepsis on 1/23/2023. Two sets of Blood cultures were collected while in the ED; the laboratory reported Staphylococcus aureus from one set with the sensitivities (antimicrobial susceptibility testing) below.
a) Does Mrs. Perez have a MDRO?
b) If yes, which one; if not why.
c) Is this a LabID event that needs to be reported to NHSN for Hospital Z?
d) If yes, how it would be categorized by NHSN? (HO vs CO)