Primary Bloodstream Infection BSI

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Primary Bloodstream Infection (BSI)
OMB No. 0920-0666 Exp. Date 03-31-2011
Page 1 of 3
1 year old ? Fever ? Hypothermia ? Apnea ?
Bradycardia
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Primary Bloodstream Infection (BSI)
OMB No. 0920-0666 Exp. Date 03-31-2011
Page 2 of 3
(specify) _________________________
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Primary Bloodstream Infection (BSI)
OMB No. 0920-0666 Exp. Date 03-31-2011
Page 3 of 3
CDC 57.108 (Back) Rev. 2