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 | |}}
{{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==
==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  
* 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 ===
===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 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]]

Latest revision as of 12:00, 30 July 2025


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:

Click Expand to show legacy content.


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

Type:

Category: Medical Problem (old)

Main Diagnosis: Septicemia (Bacteremia/Fungemia)
Sub Diagnosis: UPL (Universal Pathogen List)
Diagnosis Code: 4600 - Septicemia (Bacteremia/Fungemia)
Comorbid Diagnosis: No
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: Currently Collected


Definition

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

Guideline

  • Positive (+ ve) blood cultures
  • 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.

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