Hospital-acquired pneumonia (HAP) in ICD10: Difference between revisions
Ttenbergen (talk | contribs) m minor tweak so this shows on Allan's list right |
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==RE:A pt with CAP on admission== | ==RE:A pt with CAP on admission== | ||
{{Discussion}} | {{Discussion}} | ||
Can a patient with unresolved CAP ever be coded as HAP if ETC cultures become positive for a new bug or is it always going to be CAP? | |||
Do you need to follow guidelines for cultures like for the VAP cultures? | |||
Do we need to be on the same page as infection control in our coding? Mryna Dyck and the infection control nurse at the Concordia wouldn't include patients who have had CAP on admission as developing HAP.[[User:GHall|GHall]] 08:27, 2018 August 16 (CDT) | |||
{{DiscussAllan | If a patient with CAP on admission isn't ventilated for days then has to go on a ventilator then less than 48 hour ventilated develops a positive culture(quantitive bronchoscopically obtained) and a change in respiratory status can this be called HAP? Or are you saying it's CAP the whole admission? It seems according to the VAP quidelines patients with CAP can develop VAP under the right conditions so couldn't they also get HAP? Are you saying patients with CAP can never get HAP? | {{DiscussAllan | If a patient with CAP on admission isn't ventilated for days then has to go on a ventilator then less than 48 hour ventilated develops a positive culture(quantitive bronchoscopically obtained) and a change in respiratory status can this be called HAP? Or are you saying it's CAP the whole admission? It seems according to the VAP quidelines patients with CAP can develop VAP under the right conditions so couldn't they also get HAP? Are you saying patients with CAP can never get HAP? | ||