Urosepsis: Difference between revisions

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Urosepsis is a case of [[Septicemia/Bacteremia/Fungemia]] resulting from '''urinary tract infection'''. Urosepsis is '''not''' tracked in itself by the CCMDB as a diagnosis.  
*Urosepsis as a diagnosis is a LEGACY item that is no longer used as of Jan 1, 2019 (i.e. when we shifted diagnosis to ICD-10).
 
*The term "urosepsis" is not well defined, as it is used to mean various things, particularly either: (i) urinary tract infection, and/or (ii) sepsis with source being the urinary tract.
Physicians sometimes use the diagnosis urosepsis imprecisely to denote infection ranging from urinary tract infection to generalized sepsis which may result from such infection.
*For current coding, when the team notes "urosepsis" the data collector must:
 
**Verify the presence of one or another urinary tract infection, and appropriately code that infection.
If diagnosis is "urosepsis" then code as follows:
**Assess whether the patient has sepsis or septic shock, and appropriately code that entity.
*If '''localized bladder infection''' only and not systemic (in blood) code:
**If the team believes that the sepsis/septic shock is a consequence of the urinary tract infection, then link those two codes.
# [[Cystitis (Bladder Infection)]] - subcode with applicable pathogen
 
*If '''bladder infection''' & gone '''into bloodstream''', (which is urosepsis) then code:
# [[Septicemia/Bacteremia/Fungemia]]- subcode with applicable pathogen
# [[Cystitis (Bladder Infection)]] - subcode with applicable pathogen
 
*If '''kidney infection''' & gone '''into bloodstream''', code:
# [[Septicemia/Bacteremia/Fungemia]]- subcode with applicable pathogen
# [[Pyelonephritis (Kidney Infection/Abcess)]]
 
{{DiscussTask |
* Is this article based on "old rules" ie. [[Septicemia/Bacteremia/Fungemia]] is a legacy code, and article needs updating to include that sepsis may be combined with causative infections? Thanks! [[User:Ppiche|Pamela Piche]] 08:03, 2022 August 24 (CDT)
** As per history of this whole page is still based on the old coding schema. Is it actually needed in the new schema? I propose we turn this page into a link to [[Template:ICD10 Guideline Sepsis]] instead. [[User:Ttenbergen|Ttenbergen]] 09:32, 2022 August 24 (CDT)
}}
 


[[Category: Sepsis]]
[[Category: Sepsis]]

Revision as of 12:05, 27 October 2022

  • Urosepsis as a diagnosis is a LEGACY item that is no longer used as of Jan 1, 2019 (i.e. when we shifted diagnosis to ICD-10).
  • The term "urosepsis" is not well defined, as it is used to mean various things, particularly either: (i) urinary tract infection, and/or (ii) sepsis with source being the urinary tract.
  • For current coding, when the team notes "urosepsis" the data collector must:
    • Verify the presence of one or another urinary tract infection, and appropriately code that infection.
    • Assess whether the patient has sepsis or septic shock, and appropriately code that entity.
    • If the team believes that the sepsis/septic shock is a consequence of the urinary tract infection, then link those two codes.
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Urosepsis&oldid=157777"