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Colonized with organism (not infected): Difference between revisions

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== Additional Info ==
== Additional Info ==
*This code indicates only what it says, colonized BUT NOT INFECTED, with an organism.
*This code indicates only what it says, colonized BUT NOT INFECTED, with an organism. Do not use this code if there is an actual infection (symptomatic or not), for those use the proper infection code.
*If present on admission, code as a [[Comorbid Diagnosis]], not as an [[Admit Diagnosis]]. If applicable, still code [[Isolation, infectious]] in [[CCI Picklist]] .
*We are only tracking colonization with the following organisms that infection prevention and control is interested in:
** MRSA ([https://en.wikipedia.org/wiki/Methicillin-resistant_Staphylococcus_aureus Methicillin-resistant Staphylococcus aureus])
** CPE ([https://en.wikipedia.org/wiki/Carbapenem-resistant_enterobacteriaceae Carbapenemase-producing enterobacteriaceae])
*There ARE lots of other bugs that can colonize various parts of the body, almost all of which CAN also cause infection.  There is a smallish list of bugs that NEVER colonize and are always believed to be active infectious agent, e.g. Mycobacterium TB, Legionella, Ebola, SARS-2 (i.e. COVID-19).


Do not use this code if there is an actual, symptomatic infection, for those use the proper infection code.
{{ICD10 Guideline MRSA}}
 
We are only tracking colonization with the following organisms that infection prevention and control is interested in:
*MRSA
 
The following bugs are isolated but these are '''not''' in the category of colonized only (not infected):<!-- as pre email from Jennifer Forman, infection control nurse, to Laura 2018-11-28 -->
 
* Adenovirus
* AMR-GNB
* Bocavirus
* C.auris
* C.diff
* Coronavirus
* CPE
* Diphtheria
* GAS (invasive only)
* Herpes zoster
* Human metapneumovirus
* Influenza
* Measles
* Meningococcus(Neisseria meningitides)
* MERSCoV
* Monkeypox
* [[MRSA]]
* MTB
* [[Mumps]]
* Mycoplasma pneumonia
* Norovirus
* Parainfluenza
* Pertussis
* Plague
* Poliomyelitis
* Rhinovirus
* Rotavirus
* RSV
* [[Rubella virus (German measles virus)]]
* SARSCoV
* Scabies‏‎ (see [[Infestation, NOS]])
* Smallpox
* Syphilis
* Vaccinia
* Varicella zoster
* Viral hemorrhagic fevers
* VRSA


{{Discuss | who = All | question = *  Are all of these actually things that can colonize without infection? We should only list those here that can. I started adding in links but then decided to hold off in case a lot of them drop off this list. Ttenbergen 15:34, 2018 November 28 (CST) }}
=== No [["set MRSA Colonized" button]] needed ===
* Not required as it is still not nearly as common as MRSA. The same rule applies for determining if it is an active infection for all of the colonized organisms, this is within the MRSA template localized infection vs colonization. <!-- [[User:Lkaita|Lisa Kaita]] 10:50, 7 August 2025 (CDT) -->


{{Discuss | who = Tina | question = make sure this is consistent with [[Lab and culture reports]] }}
=== Colonizations are not attributed to any units ===
 
We don't have any reports that attribute colonization to any units, so [[Attribution of infections]] doesn't apply.
{{ICD10 Guideline MRSA}}


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
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