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| == Additional Information == | | == Additional Information == |
| *This question is tied in to identification of a clinical infection. | | *This is about identification of a clinical infection. |
| **For disorders believed to be infectious, we have a list of pathogens, and if the pathogen is never identified then you can use '''[[Infectious organism, unknown]]'''. | | **For disorders believed to be infectious, we have a list of pathogens, and if the pathogen is never identified then you can use '''[[Infectious organism, unknown]]'''. |
| *Even if you do identify one or more organisms that are '''''potential''''' pathogens, usually it requires clinical correlation to decide whether it/they are actually pathogenic in this patient | | *Even if you do identify one or more organisms that are '''''potential''''' pathogens, usually it requires clinical correlation to decide whether it/they are actually pathogenic in this patient |
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| **Again, the answer is generally "Yes" with '''[[Infection with implied pathogen]]''', and generally "No" elsewise -- deviating from these generalities can be done if you've got an excellent, scientific rationale. | | **Again, the answer is generally "Yes" with '''[[Infection with implied pathogen]]''', and generally "No" elsewise -- deviating from these generalities can be done if you've got an excellent, scientific rationale. |
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| == How long to wait for a result ==
| | How and when infections are identified is relevant to [[Attribution of infections]]. |
| *Follow up non-[[Cadham]] culture reports '''up to 5 days after discharge from unit'''.
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| *For [[Cadham]] results, usually wait 2 weeks.
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| **Note, Cadham sends initial and final results. Don't use the initial ones, only use the final ones.
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| {{DT | This said:
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| *''As above, if you don't get a presumptive pathogen and it's not a situation which relates to '''[[Infection with implied pathogen]]''', you should then use '''[[Infectious organism, unknown]]'''.''
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| ** That seems inconsistent with elsewhere where we say "code as treated". I suspect we have other spots on the wiki where this is answered inconsistenly. '''If anyone else can think of a place, please add a link to that page here.'''
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| ** Tina needs to move this where this info actually lives and integrate it. The details are likely already there. }}
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| == Does the lab complete checkbox mean this is complete? ==
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| It does not. All collectors use them differently. And at this point labs are not even counted in there, so it is most likely used as a "I have finished counting images and blood products"
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| == Cross-checks ==
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| See [[Pathogens|CCDMB Data Integrity Checks on Pathogens page (needs review)]].
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| == Related articles == | | == Related articles == |
This page explains how we use culture reports to confirm infections and pathogens.
Additional Information
- This is about identification of a clinical infection.
- For disorders believed to be infectious, we have a list of pathogens, and if the pathogen is never identified then you can use Infectious organism, unknown.
- Even if you do identify one or more organisms that are potential pathogens, usually it requires clinical correlation to decide whether it/they are actually pathogenic in this patient
- There are very few bugs that are always pathogenic (i.e. causing an infectious disease) -- high on this list is M.Tb. and Legionella. Even organisms like Aspergillis can be colonizers.
- Thus identifying whether a potential pathogen is in fact acting as a pathogen in a given patient requires clinical correlation.
- Having said that:
- While it is strongest to have a lab sample (fluid or tissue) from which the organism has been cultured, there are circumstances where this isn't necessary, e.g. Infection with implied pathogen
- Even a lab identification may not be from culturing -- e.g. there are monoclonal antibody and other non-culture methods such as antigen identification (e.g. Legionella urinary antigen) that can identify the presence of a bug
- The question arises of whether when you do NOT have any sort of lab identification of a bug, whether clinical suspicion is enough to "call it":
- Again, the answer is generally "Yes" with Infection with implied pathogen, and generally "No" elsewise -- deviating from these generalities can be done if you've got an excellent, scientific rationale.
How and when infections are identified is relevant to Attribution of infections.
Related articles
Related articles:
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- Combined ICD10 codes (← links)
- Coordination of data between collectors (← links)
- Hepatitis B, acute (← links)
- Hepatitis C, acute (← links)
- Viral hepatitis, acute, NOS (← links)
- Hepatitis B, chronic (← links)
- Hepatitis C, chronic (← links)
- Viral hepatitis, chronic, NOS (← links)
- AIDS (disease due to HIV) (← links)
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- Toxoplasmosis OR for buglist Toxoplama gondii (← links)
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- Salmonella species (← links)
- Shigellosis (dysentery due to Shigella species) (← links)
- Clostridium difficile infection (C. diff) (← links)
- Gastrointestinal infection (gastroenteritis, colitis), bacterial, NOS (← links)
- Botulism (due to Clostridium botulinum toxin) (← links)
- Food poisoning (due to foodborne bacterial toxin), NOS (← links)
- Amoebiasis (amoebic dysentery due to Entamoeba histolytica) (← links)
- Entamoeba histolytica (amoebic infection of non-intestinal sites) (← links)
- Gastrointestinal infection (gastroenteritis, colitis), protozoal, NOS (← links)
- Gastrointestinal infection (gastroenteritis, colitis), viral (← links)
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- Tuberculosis of the respiratory system, confirmed (← links)
- Observation for SUSPECTED tuberculosis (← links)
- Tuberculosis of the nervous system (← links)
- Zoonotic bacterial disease (directly transmitted from animal) (← links)
- Leprosy (due to Mycobacterium leprae) (Hansen's disease) (← links)
- Tetanus infection (due to toxoid of Clostridium tetani) (← links)
- Diptheria (due to Corynebacterium diphtheriae toxin) (← links)
- Whooping cough (Pertussis) (due to Bordetella pertussis) (← links)
- Scarlet fever (← links)
- Actinomyces (actinomycosis) (← links)
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