Septicemia/Bacteremia/Fungemia: Difference between revisions

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{{DX tag |Infection ~~| [[:Category: Medical Problem~~ | Medical Problem]] | Septicemia (Bacteremia/Fungemia) | UPL (Universal Pathogen List) | [[4600 - Septicemia (Bacteremia/Fungemia)]] | No | 0 | '''Critical Care and Medicine''' |Currently Collected | |}}

~~''Note: See also [[Septic Shock]], [[Severe Sepsis]]''~~

{{DX tag |Infection | Medical Problem | Septicemia (Bacteremia/Fungemia) | UPL (Universal Pathogen List) | 4600 - Septicemia (Bacteremia/Fungemia) | No | 0 | '''Critical Care and Medicine''' |Currently Collected | |}}

==Definition==

'''Septicemia/BACTEREMIA/Fungemia''' means POSITIVE blood culture, (presence of ~~bugs~~ in blood stream).

'''Septicemia/BACTEREMIA/Fungemia''' , (blood stream infection)-(BSI) means POSITIVE blood culture, (presence of pathogens in blood stream).

==~~{{g|~~Guideline}}==

== Guideline ==

* Positive (+ ve) blood cultures

* Note: Septicemia/Bacteremia/Fungemia may be the working DX that the physician is treating but we cannot use the term septicemia unless there are positive blood cultures. If a source is not identified by cultures then use fever NYD. A septic patient just means that they likely have an infection somewhere, it does '''not'''mean they have septicemia. Again, the term "septicemia" is only used if the patient has a pathogen isolated in the blood!

* [[Unknown Pathogen]] only used for septicemia if the patient was transferred from a hospital where positive blood cultures were found but it is unclear which organism it was because it was not included in the documentation sent with the patient.

* Unknown ~~pathogen (68)~~ only used for septicemia if the patient was transferred from a hospital where positive blood cultures were found but it is unclear which organism it was because it was not included in the documentation sent with the patient.

** what if unknown for other reasons? how is this different from normal use of code 68? {{discussion}} Ttenbergen 17:28, 2014 October 2 (CDT)

===Physician Recording Septicemia without +ve blood culture ===

*If this happens it is best to ask the physician about this. Usually they mean septic not septicemia because they are still unsure of the source.

* If a source is not identified by cultures then use [[Fever NYD]]

=== Alternate dx ===

* [[Severe Sepsis]]

* [[Septic Shock]]

[[Category: Sepsis]]

[[Category:Sepsis]]

~~[[Category: Medical Problem]]~~

~~[[Category: Diagnosis Coding]]~~

~~[[Category: Infection~~]]

@@ Line 1: / Line 1: @@
-{{DX tag |Infection | [[:Category: Medical Problem | Medical Problem]] | Septicemia (Bacteremia/Fungemia) | UPL (Universal Pathogen List) | [[4600 - Septicemia (Bacteremia/Fungemia)]] | No | 0 | '''Critical Care and Medicine''' |Currently Collected | |}}
+{{PreICD10 dx | NewDxArticle = Bacteremia }}
-''Note: See also [[Septic Shock]], [[Severe Sepsis]]''
+{{DX tag |Infection | Medical Problem | Septicemia (Bacteremia/Fungemia) | UPL (Universal Pathogen List) | 4600 - Septicemia (Bacteremia/Fungemia) | No | 0 | '''Critical Care and Medicine''' |Currently Collected | |}}
 ==Definition==
-'''Septicemia/BACTEREMIA/Fungemia''' means POSITIVE blood culture, (presence of bugs in blood stream).
+'''Septicemia/BACTEREMIA/Fungemia''' , (blood stream infection)-(BSI) means POSITIVE blood culture, (presence of pathogens in blood stream).
-=={{g|Guideline}}==
+== Guideline ==
 * Positive (+ ve) blood cultures
-* Note: Septicemia/Bacteremia/Fungemia may be the working DX that the physician is treating but we cannot use the term septicemia unless there are positive blood cultures.  If a source is not identified by cultures then use fever NYD.  A septic patient just means that they likely have an infection somewhere, it does '''not'''mean they have septicemia. Again, the term "septicemia" is only used if the patient has a pathogen isolated in the blood!
+* [[Unknown Pathogen]] only used for septicemia if the patient was transferred from a hospital where positive blood cultures were found but it is unclear which organism it was because it was not included in the documentation sent with the patient.
-* Unknown pathogen (68) only used for septicemia if the patient was transferred from a hospital where positive blood cultures were found but it is unclear which organism it was because it was not included in the documentation sent with the patient.
-** what if unknown for other reasons? how is this different from normal use of code 68? {{discussion}} Ttenbergen 17:28, 2014 October 2 (CDT)
 ===Physician Recording Septicemia without +ve blood culture ===
 *If this happens it is best to ask the physician about this. Usually they mean septic not septicemia because they are still unsure of the source.
+* If a source is not identified by cultures then use [[Fever NYD]]
+=== Alternate dx ===
+* [[Severe Sepsis]]
+* [[Septic Shock]]
-[[Category: Sepsis]]
+[[Category:Sepsis]]
-[[Category: Medical Problem]]
-[[Category: Diagnosis Coding]]
-[[Category: Infection]]