Pathogens: Difference between revisions
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*At the Vic, sputum and urine cultures are rarely ordered. Even when pathogen is unknown, antibiotic course is started and completed. A +ve urinalysis or infiltrates on CXR and other UTI or pneumonic infectious process symptoms are sufficient enough reasons to treat. This makes sense for N5 and S5 when admissions are generally those of the older adult, with a number from PCHs. Antibiotics are chosen based on likely pathogens, despite absent cultures. I've been coding them as infections. Should I stop? Thanks. | *At the Vic, sputum and urine cultures are rarely ordered. Even when pathogen is unknown, antibiotic course is started and completed. A +ve urinalysis or infiltrates on CXR and other UTI or pneumonic infectious process symptoms are sufficient enough reasons to treat. This makes sense for N5 and S5 when admissions are generally those of the older adult, with a number from PCHs. Antibiotics are chosen based on likely pathogens, despite absent cultures. I've been coding them as infections. Should I stop? Thanks. | ||
**Con, could you get a coding consult from Dr. Embil? | **Con, could you get a coding consult from Dr. Embil? | ||
*** Would you not just code this as [[No Culture Sent or Resulted]] or [[Unknown Pathogen]]? Ttenbergen 10:03, 2014 September 18 (CDT) | |||