Form CDC 57.123 CDC 57.123 Antimicrobial Use and Resistance (AUR): Microbiology Lab

Form Approved

OMB No. 0920-0666

Exp. Date: xx/xx/20xx

Antimicrobial Use and Resistance (AUR): Microbiology Laboratory Data

Monthly Electronic Upload Specification Tables

These data will be collected in an aggregate monthly electronic file transfer from the facility to NHSN via Clinical Document Architecture (CDA).

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Table 1. CDA File Descriptors		These data elements will be transmitted with each month’s report.
Variable Name	Description of Variable
orgid	NHSN Facility ID number
location	NHSN location code
month	Denominator month
year	Denominator year
createDate	Date the record was created
createUserID	The user that created the record
version	Version number of the software under which the data was collected
modifyDate	Date the record was last updated
modifyUserID	The user that last modified record
modifyVersion	Version number of the software under which the data was last updated
Table 2. Isolate Event Details		These data elements will be transmitted with each month’s report.
Variable Name	Description of Variable				Examples
eventID	Event ID number
specimenDate	Date specimen collected
specimenSource	Specimen Source				Blood, lower respiratory, urine, cerebral spinal fluid
specBodySite	Specimen Body Site/System
isolateID	Isolate identifier
facilityAdmitDate	Date admitted to facility
specimenLoc	Location of specimen collection
pathogen	Identified pathogen
PtDOB	Patient date of birth
PtGender	Patient gender
PtID	Patient ID number
Table 2a. List of Eligible Pathogens				This is the list of pathogens that will be accepted into NHSN as part of the antimicrobial resistance reporting.
Acinetobacter baumannii (ACBA)			Enterococcus spp. NOS (ENTSP)			Pseudomonas aeruginosa (PA)
Candida albicans (CA)			Escherichia coli (EC)			Serratia marcescens (SM)
Candida glabrata (CG)			Group B Streptococcus (GBS)			Staphylococcus aureus (SA)
Citrobacter freundii (CF)			Klebsiella oxytoca (KO)			Stenotrophomonas maltophilia (STEMA)
Enterobacter spp. (ESO)			Klebsiella pneumoniae (KP)			Streptococcus pneumoniae (SP)
Enterococcus faecalis (ENTFS)			Morganella morganii (MM)
Enterococcus faecium (ENTFM)			Proteus mirabilis (PM)
Assurance of Confidentiality: The voluntarily provided information obtained in this surveillance system that would permit identification of any individual or institution is collected with a guarantee that it will be held in strict confidence, will be used only for the purposes stated, and will not otherwise be disclosed or released without the consent of the individual, or the institution in accordance with Sections 304, 306 and 308(d) of the Public Health Service Act (42 USC 242b, 242k, and 242m(d)). Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC, Reports Clearance Officer, 1600 Clifton Rd., MS D-74, Atlanta, GA 30333 ATTN: PRA (0920-0666). CDC 57.123 v3, 8.0

Antimicrobial Use and Resistance (AUR): Microbiology Laboratory Data

Monthly Electronic Upload Specification Tables

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Table 3. Antimicrobial Susceptibility Details					These data elements will be transmitted with each month’s report.
Variable Name		Description of Variable					Examples
antibiotic		Antibiotic used for susceptibility test
PBP2a-agglutination		PBP2a-agglutination
PCRmec-gene		PCR mec-gene
EtestSign		Etest sign					>, <, =
EtestValue		Etest value
EtestInterp		Interpretation of Etest
MICsign		MIC sign
MICinterp		Interpretation of the MIC test
MICvalue		MIC value
ZoneSign		Zone sign
ZoneInterp		Interpretation of zone test
ZoneValue		Zone value
FinIntrep		Final interpretation result
Table 3a. List of Antimicrobials used for Susceptibility Testing								This is the list of antimicrobials that will be accepted into NHSN as part of the antimicrobial resistance reporting.
Amikacin			Cefoxitin			Ertapenem			Micafungin	Quinupristin-dalfopristin
Amoxicillin			Ceftazidime			Erythromycin			Minocycline	Rifampin
Amoxicillin-clavulanic acid			Ceftriaxone			Fluconazole			Moxifloxacin	Streptomycin
Ampicillin			Cefuroxime			Flucytosine			Nitrofurantoin	Sulfisoxazole
Ampicillin-sulbactam			Cephalothin			Gemifloxacin			Norfloxacin	Telithromycin
Anidulafungin			Chloramphenicol			Gentamicin			Ofloxacin	Tetracycline
Azithromycin			Ciprofloxacin			Imipenem-cilastatin			Oxacillin	Ticarcillin
Aztreonam			Clarithromycin			Itraconazole			Penicillin G	Ticarcillin-clavulanate
Caspofungin			Clindamycin			Levofloxacin			Penicillin V	Trimethoprim
Cefazolin			Daptomycin			Linezolid			Piperacillin	Trimethoprim-sulfamethoxazole
Cefepime			Doripenem			Lomefloxacin			Piperacillin-tazobactam	Vancomycin
Cefotaxime			Doxcycline			Meropenem			Posaconazole	Voriconazole
Table 4. Denominator Data				These data elements will be transmitted with each month’s report.
Variable Name	Description of Variable
numAdmissions	Number of admissions
numPtDays	Number of inpatient days
numCulture	Number of blood cultures performed