Septicemia/Bacteremia/Fungemia: Difference between revisions
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{{DX tag | | {{DX tag |Infection | [[:Category: Medical Problem | Medical Problem]] | Septicemia (Bacteremia/Fungemia) | UPL (Universal Pathogen List) | [[4600 - Septicemia (Bacteremia/Fungemia)]] | No | 0 | '''Critical Care and Medicine''' |Currently Collected | |}} | ||
''Note: See also [[Septic Shock]], [[Severe Sepsis]]'' | ''Note: See also [[Septic Shock]], [[Severe Sepsis]]'' | ||
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==Examples== | ==Examples== | ||
''Physicians in general, follow their own varied and inconsistent guidelines when documenting the diagnosis of septicemia, severe sepsis or shock therefore it can be a challenge for data collectors particularly when the DX is septic shock or severe sepsis.'' The examples here provide a guideline for collectors on how to code. | |||
''Physicians in general, follow their own varied and inconsistent guidelines when documenting the diagnosis of septicemia, severe sepsis or shock therefore it can be a challenge for data collectors particularly when the DX is septic shock or severe sepsis.'' The examples here provide a guideline for collectors on how to code. | |||
===Patient admitted with urosepsis, treated, affecting blood culture results=== | ===Patient admitted with urosepsis, treated, affecting blood culture results=== | ||
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#''septicemia (46) – subcode (65) –negative culture (blood culture was sent & no bugs ID'd). | #''septicemia (46) – subcode (65) –negative culture (blood culture was sent & no bugs ID'd). | ||
#''urosepsis (51) – subcode (XX) type of bug ID’d'' | #''urosepsis (51) – subcode (XX) type of bug ID’d'' | ||
===Physician recording severe sepsis or septic shock when not all criteria are met=== | ===Physician recording severe sepsis or septic shock when not all criteria are met=== | ||
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====Instructions ==== | ====Instructions ==== | ||
If sepsis is the working DX that the physician is treating then this is what the collector must code as the DX. | If sepsis is the working DX that the physician is treating then this is what the collector must code as the DX. | ||
===Does this mean the definition has changed?=== | ===Does this mean the definition has changed?=== | ||
Change to these instructions raised the concern that it conflicts with pervious instructions from the collection guide. Trish stated that there was no change. Instead the change to this article was meant to clarify that "''Negative or inconclusive blood cultures do not preclude a diagnosis of septicemia in patients with clinical evidence of the condition.''" | Change to these instructions raised the concern that it conflicts with pervious instructions from the collection guide. Trish stated that there was no change. Instead the change to this article was meant to clarify that "''Negative or inconclusive blood cultures do not preclude a diagnosis of septicemia in patients with clinical evidence of the condition.''"17:12, 7 January 2009 (CST)-- | ||
There are concerns that this caveat will result in a lack of vigilance to only collect true septicemias rather than taking the doctor's word for it. | There are concerns that this caveat will result in a lack of vigilance to only collect true septicemias rather than taking the doctor's word for it. | ||
The change in these rules might result in over-reporting, but for research purposes over-reporting is much more easily corrected than under-reporting, since a patient can easily be excluded from research if chart review shows they do not match criteria. | The change in these rules might result in over-reporting, but for research purposes over-reporting is much more easily corrected than under-reporting, since a patient can easily be excluded from research if chart review shows they do not match criteria. | ||
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[[Category: Medical Problem]] | |||
[[Category:Diagnosis Coding]] | [[Category: Diagnosis Coding]] | ||
[[Category: Infection]] | [[Category: Infection]] | ||