Rejected

Patient Information

Patient Name
Ava Garcia
MRN
DEMO32139
Location
-

Culture Information

Organism
Pseudomonas aeruginosa
Collected
02/01/2026 07:29
Source
Blood

CLABSI Details

Device Days 5
Line Site Right internal jugular vein
Line Type Central Venous Catheter
Inserted 01/26/2026
Removed -

LLM Classifications

Not HAI 90.0% confidence 2026-02-01 08:33
Reasoning:

[Triage → Escalated: Not a CLABSI, blood culture likely from VAP; alternate source (pneumonia) clearly stated.] Case meets basic CLABSI eligibility criteria MBI-LCBI: Pseudomonas aeruginosa is not an MBI-eligible organism Secondary BSI: pneumonia documented with same organism CLASSIFICATION: Secondary BSI Primary infection source: pneumonia Documentation: Same organism (Pseudomonas aeruginosa) isolated from respiratory AND blood cultures BSI attributed to this infection source per NHSN criteria [Strictness: nhsn_moderate]

Alternative Source: pneumonia
Contradicting Evidence:
Progress Note: 2026-02-01
Same organism (Pseudomonas aeruginosa) isolated from respiratory AND blood cultures
Possible alternate source: pneumonia
Progress Note: 2026-02-01
THIS IS NOT A CLABSI - the pneumonia is the primary infection
Suggests contamination rather than true infection
Confidence: 90% 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 not HAI

Classification Complete

Rejected - Not CLABSI

This candidate was determined not to be a CLABSI.

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