CLABSI Candidate

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Confirmed

Patient Information

Patient Name
Mia Jones
MRN
NHSN952425
Location
-

Culture Information

Organism
Escherichia coli
Collected
01/16/2026 08:45
Source
Blood

CLABSI Details

Device Days 10
Line Site Right basilic vein
Line Type Picc
Inserted 01/05/2026
Removed -

LLM Classifications

HAI 65.0% confidence 2026-01-18 11:07
Reasoning:

Case meets basic CLABSI eligibility criteria MBI-LCBI: Escherichia coli IS an MBI-eligible organism MBI-LCBI: Patient does not meet population criteria (not neutropenic, not allo-HSCT) No exclusion criteria met - classifying as CLABSI CLASSIFICATION: CLABSI - Central line in place 10 days at time of culture - Organism: Escherichia coli - No alternate infection source identified - Meets NHSN CLABSI criteria Review flags: - Documentation quality is poor - limited clinical context

Confidence: 65% Model: llama3.1:70b Prompt: clabsi_extraction_v1
HAI 90.0% confidence 2026-01-17 22:28
Reasoning:

The patient has severe neutropenia and mucositis, placing them at high risk for MBI-LCBI. The clinical note explicitly states the BSI is likely an MBI-LCBI due to gut translocation. There are no other documented infections or potential sources of infection.

Supporting Evidence:
PROGRESS_NOTE
Escherichia coli bacteremia - likely MBI-LCBI given neutropenia and mucositis.
Clinical note explicitly states the BSI is likely a mucosal barrier injury-related bloodstream infection (MBI-LCBI).
PROGRESS_NOTE
Patient is day +10 post allogeneic BMT with severe neutropenia (ANC 0) and Grade 2 mucositis.
Patient has risk factors for MBI-LCBI: neutropenia (ANC 0) and mucositis.
PROGRESS_NOTE
Central line in place but organism consistent with gut translocation.
Suggests the source of infection is likely from the gut, supporting MBI-LCBI classification.
Confidence: 90% Model: gemma2:27b Prompt: clabsi_v1
Pending Review 0.0% confidence 2026-01-17 22:05
Reasoning:

Classification failed: HTTPConnectionPool(host='localhost', port=11434): Read timed out. (read timeout=120)

Confidence: 0% Model: llama3.1:70b Prompt: clabsi_v1

NHSN Criteria Assessment

✓
Initial Screening Criteria

BSI with central line present >2 days

✓
LLM Classification

LLM review complete

✓
IP Review

Confirmed as HAI

Classification Complete

✓ Confirmed as CLABSI

This candidate has been confirmed and will be reported to NHSN.

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