Pathogens: Difference between revisions
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Ttenbergen (talk | contribs) →coding when there is no culture: there is a question here |
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For details, see the coding in Access. | For details, see the coding in Access. | ||
== | == coding when there is no culture == | ||
{{Discussion}} | {{Discussion}} | ||
*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) | *** Would you not just code this as [[No Culture Sent or Resulted]] or [[Unknown Pathogen]]? Ttenbergen 10:03, 2014 September 18 (CDT) Ttenbergen 14:44, 2016 February 8 (CST) | ||
Revision as of 14:44, 8 February 2016
The pathogens are a list of possible entries that make up the sub-code for diagnoses categorized as Infection.
- Refer to: UPL - Universal Pathogen List, for a list of "bugs" we track.
- The pathogen subcodes are drawn from the table S_Pathogens table in CCMDB.mdb.
The 5 day post discharge RULE for Culture report follow up
Follow up all culture reports up to 5 days after discharge from unit. If pathogen is still not available then, enter Unknown Pathogen.
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)?
Template:CCMDB Data Integrity Checks
The CCMDB.mdb runs checks for the following:
- no infections without pathogens
- no non-infections with pathogens
For details, see the coding in Access.
coding when there is no culture
- 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?
- Would you not just code this as No Culture Sent or Resulted or Unknown Pathogen? Ttenbergen 10:03, 2014 September 18 (CDT) Ttenbergen 14:44, 2016 February 8 (CST)
- Con, could you get a coding consult from Dr. Embil?