Attribution of infections: Difference between revisions

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== Attribution for all other infections ==

~~{{Discuss |~~

* A chronic-type infection (e.g. TB) which is first discovered in hospital BUT presumably was actually present on admission is governed by the rules of [[Template:ICD10 Guideline Como vs Admit]] -- i.e. coded as an admit dx.

*~~Is the following correct~~, then:

**But do note that rarely, a person can acquire such a chronic-type infection in hospital, and if THAT is thought to have happened, then code it as a comorbid dx.

~~<blockquote> A decided that~~ an infection that ~~is discovered~~ '''within the first 48 hrs after admission''' ~~should be coded~~ as an [[Admit Diagnosis]], and ~~an infection~~ discovered after ~~that~~ as an [[Acquired Diagnosis]].

*For an acute-type infection (e.g. bacterial cellulitis) first identified '''after''' admission (the start of the current database record) to choose admit vs. comorbid dx, you should try to figure out whether it was actually present at admission or actually began after admission.

~~</blockquote>~~

**Typically there will be at least a guess by the team about this. If not, then you can default to the guideline that if it was firstdiscovered '''within the first 48 hrs after admission''' to code it as an [[Admit Diagnosis]], and if discovered >48 hrs after admission to code it as as an [[Acquired Diagnosis]].

}}

=== ~~attribution~~ doesn't apply to colonization ===

=== Attribution doesn't apply to colonization ===

See [[Colonized with organism (not infected)#Colonizations are not attributed to any units]]

@@ Line 16: / Line 16: @@
 == Attribution for all other infections ==
-{{Discuss |
+* A chronic-type infection (e.g. TB) which is first discovered in hospital BUT presumably was actually present on admission is governed by the rules of [[Template:ICD10 Guideline Como vs Admit]] -- i.e. coded as an admit dx.
-*Is the following correct, then:
+**But do note that rarely, a person can acquire such a chronic-type infection in hospital, and if THAT is thought to have happened, then code it as a comorbid dx.
-<blockquote> A decided that an infection that is discovered '''within the first 48 hrs after admission''' should be coded as an [[Admit Diagnosis]], and an infection discovered after that as an [[Acquired Diagnosis]].
+*For an acute-type infection (e.g. bacterial cellulitis) first identified '''after''' admission (the start of the current database record) to choose admit vs. comorbid dx, you should try to figure out whether it was actually present at admission or actually began after admission.
-</blockquote>
+**Typically there will be at least a guess by the team about this.  If not, then you can default to the guideline that if it was firstdiscovered '''within the first 48 hrs after admission''' to code it as an [[Admit Diagnosis]], and if discovered >48 hrs after admission to code it as as an [[Acquired Diagnosis]].
-}}
-=== attribution doesn't apply to colonization ===
+=== Attribution doesn't apply to colonization ===
 See [[Colonized with organism (not infected)#Colonizations are not attributed to any units]]