Resistance to antimicrobials, methicillin (anti-staph penicillins): Difference between revisions

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| OldDxArticle = MRSA Colonization (without Infection)
| OldDxArticle = MRSA Colonization (without Infection)
| CurrentStatus = reconciled
| CurrentStatus = reconciled
| InitialEditorAssigned = Julie Mojica
| InitialEditorAssigned = not assigned
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{{ICD10 dx
{{ICD10 dx
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{{ICD10 category|Infectious disease}}{{ICD10 category|Antibiotic resistance}}  
{{ICD10 category|Infectious disease}}{{ICD10 category|Antibiotic resistance}}  


== Additional Info ==
== Additional Info ==
*As of 2019, the way that the microbiology laboratory indicates in its reports that an organism is resistant to the antistaphlococcal penicillins (of which the architype is methicillin, hence the phrase "Methicillin-resistant staph aureus") is to specifically identify that it is resistant to oxacillin, with a comment that "MRSA has been isolated".  It will NOT list any other of this class of drugs.
{{ICD10 nonstandard code
{{ICD10 nonstandard code
| exception_type = CA
| exception_type = CA
| explanation = Antimicrobial resistance is not coded in standard ICD10.
| explanation = Antimicrobial resistance is not coded in standard ICD10.
}}  
}}  
=== List of Antimicrobials Relevant Here ===
Methicillin, nafcillin, oxacillin, cloxacillin, dicloxacillin, flucloxacillin [https://en.wikipedia.org/wiki/Antistaphylococcal_penicillins]


{{ICD10 Guideline MRSA}}
{{ICD10 Guideline MRSA}}
*[https://en.wikipedia.org/wiki/Antistaphylococcal_penicillinsAnti-staph penicillins]
 
{{Discussion}}
{{ICD10 Guideline Infection}}
What is the attribution rule for our program on MRSA  colonization? For example if a patient comes from SOGH ICU to the Concordia and tests positive for MRSA in less than 24 hours I would attribute this colonization to the SOGH not the Concordia. Is that correct?
{{ICD10 Guideline Combined dx AB resistance}}


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
{{ListICD10Category | categoryName = Antibiotic resistance}}
{{ListICD10Category | categoryName = Antibiotic resistance}}
== Candidate [[Combined ICD10 codes]] ==
*[[Colonized with organism (not infected)]]
*[[Colonized with organism (not infected)]]
== Candidate [[Combined ICD10 codes]] ==
{{ICD10 Guideline Infection}}
{{ICD10 Guideline Combined dx AB resistance}}


*[[Colonized with organism (not infected)]]
== Related CCI Codes ==
== Related CCI Codes ==
* [[Isolation, infectious]]
* [[Isolation, infectious]]