MRSA changes 2007

MRSA changes 2007.doc

National Disease Surveillance Program - 1. Case Reports

MRSA changes 2007

OMB: 0920-0009

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ABCs Case Report Form Changes for 2007



Changes made by the ABCs program


  1. Question 10

    1. Combined “ICU” and “Other Unit” into one “Hospital Inpatient” variable

    2. “Nursing Home”, “Rehabilitation Facility” and “Home Health” taken out and replaced with “Long Term Care Facility”

    3. “Prison/Jail” option deleted


  1. Question 11 – All options under “Survived” deleted.


  1. Question 16 (on old CRF) deleted


  1. Question 17 (old) renumbered as Question 16 (new)

    1. Options for “Bacteremia” collapsed into one variable – “Bacteremia”

    2. Options for “Endocarditis” collapsed into one variable – “Endocarditis”

    3. Options for “Septic Arthritis” collapsed into one variable – “Septic Arthritis”


  1. Question 18 (old) renumbered as Question 17 (new)

    1. “Other Drug Use” added in after “IVDU”

    2. “Spider/Insect Bite” deleted

    3. “Decubitis Ulcer” added in after “Immunosuppressive Therapy”


  1. Question 19 (old) renumbered as Question 18 (new)

    1. Options under “Residence in a long-term care facility within year before index culture date” deleted

    2. Options under “Invasive device or catheter in place at time of admission/evaluation” deleted

    3. “Invasive device or catheter in place at time of admission/evaluation” reworded as “Central vascular catheter in place at time of admission/evaluation”


  1. Question 20 (old) renumbered as Question 19 (new)


  1. Question 22 (old) deleted


  1. Question 23 (old) deleted


  1. Question 24 (old) deleted


  1. Question 25 (old) renumbered as Question 20 (new)


  1. Question 26 (old) renumbered as Question 21 (new)


  1. Question 27 (old) renumbered as Question 22 (new)


  1. Question 28 (old) renumbered as Question 23 (new)


  1. Question 29 (old) renumbered as Question 24 (new)


Changes made at the request of CDC OMB


  1. Question 7b., second option was changed from “Non-Hispanic or Latino” to “Not Hispanic or Latino”


  1. Question 7c, third option was changed from “American Indian/Alaskan Native” to “American Indian or Alaska Native”


  1. Question 7c, fifth option was changed from “Native Hawaiian/Pacific Islander” to “Native Hawaiian or Other Pacific Islander”


  1. Changed “Project Clearance Officer” to “CDC/ATSDR Reports Clearance Officer” in the burden advisory statement on the bottom of the front page


  1. Increased the size of font used in the burden advisory statement on the bottom of the front page


File Typeapplication/msword
File TitleProgram Changes to the Form
Authortlh9
Last Modified Byewc6
File Modified2006-12-13
File Created2006-12-05

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