CAP-Community Acquired Pneumonia: Difference between revisions
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{{PreICD10 dx | {{PreICD10 dx | NewDxArticle = Aspiration pneumonitis}} | ||
| NewDxArticle = | {{PreICD10 dx | NewDxArticle = Pneumonia, bacterial }} | ||
}} | {{PreICD10 dx | NewDxArticle = SARS (severe acute respiratory syndrome) }} | ||
{{DX tag | Infection | Medical Problem | [[:Category: Pneumonia | Pneumonia]] | PNEUMONIA-CAP | | {{DX tag | Infection | Medical Problem | [[:Category: Pneumonia|Pneumonia]] | PNEUMONIA-CAP | 3700 - CAP-Community Acquired Pneumonia | No | 0 |CC & Med | Currently Collected | | |}} | ||
*CAP is coded if the pneumonia is evident within the first 48 hours of admission, this includes patients where the doctor is calling it a pneumonia and are treating it with antibiotics with or without a positive culture. If the doctor is calling it an aspiration pneumonia, this is a misnomer, it should be called aspiration pneumonitis. Pneumonia is an infectious process and while aspiration can pre-dispose someone to pneumonia, it should not be called pneumonia until there is clear evidence of such (organism isolated, CXR worsening infiltrates, antibiotics started, increased oxygen requirements, etc.) This is per Dr. Garland. --[[User:LKolesar|LKolesar]] 11:27, 2013 March 7 (EST) | *CAP is coded if the pneumonia is evident within the first 48 hours of admission, this includes patients where the doctor is calling it a pneumonia and are treating it with antibiotics with or without a positive culture. If the doctor is calling it an aspiration pneumonia, this is a misnomer, it should be called aspiration pneumonitis. Pneumonia is an infectious process and while aspiration can pre-dispose someone to pneumonia, it should not be called pneumonia until there is clear evidence of such (organism isolated, CXR worsening infiltrates, antibiotics started, increased oxygen requirements, etc.) This is per Dr. Garland. --[[User:LKolesar|LKolesar]] 11:27, 2013 March 7 (EST) | ||
*In the setting of a known aspiration event: | *In the setting of a known aspiration event: | ||
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**Note: a sterile aspiration can become superinfected while in hospital. | **Note: a sterile aspiration can become superinfected while in hospital. | ||
== | == CCMDB Data Integrity Checks == | ||
A CAP is not allowed in acquired/complications. While in hospital a patient can acquire a [[VAP]] if ventilated or a [[HAP]] but not CAP. Rule added in version ver 2012-04-12. | A CAP is not allowed in acquired/complications. While in hospital a patient can acquire a [[VAP]] if ventilated or a [[HAP]] but not CAP. Rule added in version ver 2012-04-12. | ||
This will no longer be relevant in ICD10 because of how it is coded there. Ttenbergen 17:51, 2018 April 4 (CDT) | |||
== | ==See also== | ||
[[:Category: Pneumonia| | [[:Category: Pneumonia (old)| Pneumonia]] | ||
[[Category:Infection (old)]] | |||
[[Category:Pneumonia (old)]] | |||
[[Category: Infection]] | |||
[[Category:Pneumonia( | |||