Pathogens

The pathogens are a list of possible entries that make up the sub-code for diagnoses categorized as Infection. Also referred to as: UPL, Universal Pathogen List. Pathogens are drawn from the S_Pathogens table on your PDA and in the CCMDB.mdb.

Pathogen Table

For the most up-to-date list of pathogens, see your PDA or Diagnosis code book. This is the list as of May 08 and for orientation only.

Special Codes

Could someone please fill in specifics about how or when these are to be used? Specifically, if we know specific bugs, are there any that should be coded implicitly even if there are others (ie precedence rules)?

59 other Aspiration (early presentation, documented aspiration)

Discussion

Can someone confirm for me again when it is appropriate to use code 59 from pathogen table?--MWaschuk 18:25, 2 March 2009 (CST)

Mixed results

• 60 mixed mixed bacteria
• 61 mixed mixed bacteria and yeast/fungus
• 62 mixed mixed bacteria with at least one resistant gram negative
• 63 mixed mixed bacteria with at least one resistant gram positive (MRSA, VISA, VRSA, VRE
• 64 mixed mixed resistant bacteria (either 86 or 87) with yeast/fungus

No results

• 65 other Negative Culture
• 92 other No Culture Sent

Bacteria

• • • g-ve = gram negative
    • g+ve = gram positive
    • R = Rod
    • C = coccus

• Acinetobacter g-ve R
• Actinobacillus actinomycetemcomitans g-ve C-B
• Bacteriods fragilis g-ve R
• Borrelia burgdorferi (Lyme disease)[[1]]

• Campylobacter g-ve R
• Citrobacter diversus g-ve R
• Citrobacter feundii g-ve R
• Clostridium botulinum g+ve R
• Clostridium difficle g+ve R
• Clostridium perfingens g+ve R
• Clostridium tentani g+ve R
• Corynebacterium diphtheriae g+ve R
• E Coli g-ve R
• Enterobacter g-ve R
• Enterococcus faecalis g+ve C
• Haemophlilus influenzae g-ve R C B
• Haemophilus ducreyi g-ve R
• Haemophilus parainfluenzae g-ve R
• Kebsiella pneumoniae g-ve R
• Legionella sp – legionella pneumophilia g-ve R [[2]]

• Listeria monocytogenes g+ve R
• Moraxella catarrhalis g-ve R
• Morganella morganii g+ve R
• Mycoplasma pneumoniae
• Neisseria gonorrhoeae g-ve C
• Proteus mirabilis g-ve R
• Pseudomonas aeruginosa g-ve R
• Salmonella g-ve R
• Serratia g-ve R
• Shigella g-ve R
• Staphylococcus aureus g+ve C
• Staphylococcus epidermidis g+ve C
• Streptococcus agalactiae Group B g+ve C
• Streptococcus pneumoniae g+ve C
• Streptococcus pyogenes Group A g+ve C
• Streptococcus viridans g+ve C
• Treponema pallidum (Syphilis)[[3]]

Fungi

Aspergillus species Blastomyces, Candida, Crytococcus, Histoplasma

Virus

Adenoviruses, Cytomegaloviruses, Epstein-Barr virus, Herpes simplex, Herpes zoster, West Nile

Parasites

Cryptosporidium, Giardia Lamblia, Malaria, Pneumocystis carinii (PCP), Toxoplasma gondii

Discussion / Notes

• will update this list with a table. (trish pending)
  • It would add more value to answer some of the questions than to make this a table. Ttenbergen 16:25, 6 May 2009 (CDT)

Data Integrity Rules

The CCMDB.mdb runs checks for the following:

• no infections without pathogens
• no non-infections with pathogens

For details, see the coding in Access.

Discussion

• Sputums for AFB (Acid Fast Bacilli). As per Dr. Kumar: a negative AFB culture is considered a negative culture and should not to be coded as NO C&S culture sent.--FLindell 15:33, 6 August 2008 (CDT)
  • Fran, what's an AFB, and how does this entry relate to the pathogens? Can you give a little more detail? Thanks--Ttenbergen 16:09, 6 August 2008 (CDT)
    • AFB is defined as Acid Fast Bacilli, which is a laboratory test used to identify certain types of bacteria such as mycobacteria that cause TB. There was a question from data collectors about how to capture this sputum sample. I guess the fact that the sputum sample is used to categorize the pathogen is why the discussion was placed here.--JHutton 12:49, 11 August 2008 (CDT)

• How do we code scabies ?cellulitis other parasite? Please let me know ThanksSKiesman 13:30, 17 November 2008 (CST)
  • Don't code. We haven't been tracking incidence of scabies nor are we going to start. TOstryzniuk 21:21, 17 November 2008 (CST)