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

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 | OldDxArticle = MRSA Colonization (without Infection)
 | CurrentStatus = reconciled
-| InitialEditorAssigned = Julie Mojica
+| InitialEditorAssigned = not assigned
 }}
 {{ICD10 dx
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 {{ICD10 category|Infectious disease}}{{ICD10 category|Antibiotic resistance}}
 == 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
 | exception_type = CA
 | 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}}
-=== 48 hr rule ===
+{{ICD10 Guideline Infection}}
-*[https://en.wikipedia.org/wiki/Antistaphylococcal_penicillinsAnti-staph penicillins]
+{{ICD10 Guideline Combined dx AB resistance}}
-{{Discuss | who = all | question  =
-* 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?
-** If we will have such a rule at all, could it be one that applies to infections in general and would therefore live in [[Template: ICD10 Guideline Infection]]. Also, we would want to make sure that "attribution" as a concept doesn't get muddled - if we search for that there are several hits, and we use other terms like "gets credit" elsewhere I believe. And in [[Lab and culture reports]]...
-*** Allan confirmed that all the attributions should be the same and can be moved into that infection template. Ttenbergen 14:09, 2018 October 29 (CDT)
-**** This will mean that I pull the 48hr rule out of the following and instead put it into [[Template:ICD10 Guideline Infection]] that is applied to all infections, and/or [[Infections in ICD10]] which is referenced by the template:
-* [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)]]
-* [[Pneumonia, ventilator-associated (VAP)]]
-* [[CAP-Community Acquired Pneumonia]]
-* [[HAP-Hospital Acquired Pneumonia]]
-* [[Iatrogenic, infection, urinary catheter]]
-* there may be others dx right now that my search for 48 did not find because maybe they use a 12 hr or 17 hour... rule. Collectors, can you think of any? Ttenbergen 23:10, 2018 October 30 (CDT)
-Also affected are :
-* [[QA Infection CLI]]
-Does anyone think making this one rule for all will be a problem?
-}}
-{{Discuss | who = Julie | question = * Julie, the above question specifically affects some projects you work with as well - do you think unifying this rule will be a problem for any of them? }}
 == Alternate ICD10s to consider coding instead or in addition ==
 {{ListICD10Category | categoryName = Antibiotic resistance}}
+== Candidate [[Combined ICD10 codes]] ==
 *[[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 ==
 * [[Isolation, infectious]]