CLABSI Candidate

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Confirmed

Patient Information

Patient Name
James Rodriguez
MRN
DEMO54821
Location
-

Culture Information

Organism
Escherichia coli
Collected
01/31/2026 10:53
Source
Blood

CLABSI Details

Device Days 19
Line Site Right subclavian vein
Line Type Central Venous Catheter
Inserted 01/11/2026
Removed -

LLM Classifications

Not HAI 80.0% confidence 2026-01-31 12:04
Reasoning:

[Triage → Escalated: Likely MBI-LCBI based on clinical context, not a line infection.] Case meets basic CLABSI eligibility criteria MBI-LCBI: Escherichia coli IS an MBI-eligible organism MBI-LCBI: Patient meets population criteria - Neutropenia documented in notes (ANC value not extracted) MBI-LCBI: Mucosal barrier injury documented - mucositis (grade 3) CLASSIFICATION: MBI-LCBI - Organism (Escherichia coli) is intestinal/oral flora - Patient meets population criteria (Neutropenia documented in notes (ANC value not extracted)) - Mucosal barrier injury documented (mucositis (grade 3)) Per NHSN, this is MBI-LCBI, not CLABSI Review flags: - Verify ANC value for MBI-LCBI neutropenia criterion - MBI-LCBI classification requires IP verification

Alternative Source: MBI-LCBI (mucosal barrier injury)
Supporting Evidence:
Progress Note: 2026-01-31
Mucositis documented (Grade 3)
MBI-LCBI: Mucosal barrier injury factor
Progress Note: 2026-01-31
Neutropenia documented
MBI-LCBI: Immunocompromised status
Progress Note: 2026-01-31
Stem cell transplant
MBI-LCBI: Transplant status
Contradicting Evidence:
Progress Note: 2026-01-31
Gut organism (Escherichia coli) in neutropenic BMT patient with severe mucositis
Possible alternate source: GI tract
Confidence: 80% Model: llama3.3:70b Prompt: clabsi_extraction_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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