VRE, ESBL and MRO Colonization: Difference between revisions

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{{PreICD10 dx | NewDxArticle = Resistance to antimicrobials, extended spectrum beta lactamase (ESBL) }}
{{PreICD10 dx | NewDxArticle = Colonized with organism (not infected) }}
{{PreICD10 dx | NewDxArticle = Resistance to antimicrobials, vancomycin }}


=== storyline ===
  Change in progess - still outstanding info being checked into.
  Feb 8.16 - Change to hospital procedure:
*[http://www.wrha.mb.ca/extranet/ipc/index.php stop screening for VRE & ESBL or MRO].
*[http://www.wrha.mb.ca/extranet/ipc/index.php WRHA Infection Control]
**We won't code in DX if patient is ''colonized with VRE or [[ESBL or MRO]] (no clinical signs or symptoms of infection).  Only code if showing clinical signs & symptoms of an infection related to having VRE or [[ESBL or MRO]].--[[User:TOstryzniuk|Trish Ostryzniuk]] 16:22, 2016 February 8 (CST)


*Also see; [http://www.wrha.mb.ca/extranet/ipc/files/StaffFAQ-VRE.pdf Staff FAQ RE VRE]
{{DX tag | Infection | Medical Problem | VRE Colonization (without Infection) | VRE Colonization (without Infection) | 9922 | No | 0 | CC & Med | Legacy  |  | }}
*We will continue to track VRE '''infections''' in the '''DX code''', when they are ID'd and causing symptoms.  Hospitals will no longer be "screening" specific patient's if they are carriers (colonizers) of this pathogen nor will they be putting these patients on Contact Precaution.


{{DX tag | Infection | Medical Problem | ESBL Colonization (without Infection) | ESBL Colonization (without Infection) | 9924 | No | 0 | CC & Med | Legacy |  | }}


Collector will still track as a DX if VRE or [[ESBL or MRO]] is causing of symptoms of infection,  but won't mark in TASK if contact precaution/isolation if they are not applied.
'''We do not collect this'''
*'''SBGH''' as of Feb 8th we are not isolating VRE positive or ESBL positive pts (active infections or colonized) Laura kolesar.
*'''GRACE''' - They are no longer screening or isolating VRE or ESBL pts at GGH.--[[User:Lkaita|Lisa Kaita]] 14:50, 2016 February 8 (CST)
*The term "Surveillance " is no longer in effect for VRE  either as patients will no longer have swabs done on admission.  HSC has DC'd this effective Feb 8.16 including Isolation precautions as described above. ID has stated all WRHA sites will follow these changes over next week or 2.--[[User:Llemoine|Llemoine]] 15:02, 2016 February 8 (CST)
**Further to VRE changes-we will not change all previous data/codes/tasks entered prior to Feb 8th.--[[User:Llemoine|Llemoine]] 15:09, 2016 February 8 (CST)
*'''VIC''' As of Feb. 8, 2016 no longer screening/isolating VRE/ESBL positive patients [[User:Ppiche|Pamela Piche]] 15:55, 2016 February 17 (CST)}}
*'''CON''' -no longer doing isolation for VRE as per WRHA policy
*'''OAK''' {{Discussion}}-waiting for input. [[User:TOstryzniuk|Trish Ostryzniuk]] 17:31, 2016 February 17 (CST)


**As above-this is a regional policy.--[[User:Lpruden2|Lpruden2]] 07:53, 2016 February 18 (CST)
The WRHA had special screening and contact precaution protocols in place for patients who are [[VRE]] or [[ESBL or MRO]] colonized until early 2016. We tracked this colonization for them. When the special protocols were stopped we stopped collecting it.
 
 
* made unavailable for collection the following:
** Colonization with Resistant Organisms (without Infection)' - 9900
** VRE Colonization (without Infection) - 9922
** ESBL Colonization (without Infection) - 9924


*[http://www.wrha.mb.ca/extranet/ipc/index.php stop screening for VRE & ESBL or MRO].
*[http://www.wrha.mb.ca/extranet/ipc/index.php WRHA Infection Control]
*[http://www.wrha.mb.ca/extranet/ipc/files/StaffFAQ-VRE.pdf Staff FAQ RE VRE]


[[Category: Infection]]
In future, only code pathogens [[VRE]] or [[ESBL or MRO]] with [[:Category:Infection (old)|Infection]] if causing symptoms.

Latest revision as of 15:35, 2018 December 31




Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Resistance to antimicrobials, extended spectrum beta lactamase (ESBL), Resistance to antimicrobials, vancomycin, Colonized with organism (not infected)

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Infection (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: VRE Colonization (without Infection)
Sub Diagnosis: VRE Colonization (without Infection)
Diagnosis Code: 9922
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status: Legacy



Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Resistance to antimicrobials, extended spectrum beta lactamase (ESBL), Resistance to antimicrobials, vancomycin, Colonized with organism (not infected)

Click Expand to show legacy content.



edit dx infobox
Category/Organ
System: 		Category: Infection (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: ESBL Colonization (without Infection)
Sub Diagnosis: ESBL Colonization (without Infection)
Diagnosis Code: 9924
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: CC & Med
Status: Legacy


We do not collect this

The WRHA had special screening and contact precaution protocols in place for patients who are VRE or ESBL or MRO colonized until early 2016. We tracked this colonization for them. When the special protocols were stopped we stopped collecting it.


In future, only code pathogens VRE or ESBL or MRO with Infection if causing symptoms.

Retrieved from "https://ccmdb.kuality.ca/index.php?title=VRE,_ESBL_and_MRO_Colonization&oldid=132669"