Pathogens

The pathogens are a list of possible entries that make up the sub-code for diagnoses categorized as Infections. Pathogens are drawn from the S_Pathogens table on your PDA and in the CCMDB.mdb.

Pathogen Table

• For the most up-to-date list of pathogens, see your PDA or Diagnosis code book. This is the list as of May 08 and for orientation only.
• will update this with a table.

Bacteria

• • • g-ve = gram negative
    • g+ve = gram positive
    • R = Rod
    • C = coccus

• Acinetobacter g-ve R
• Actinobacillus actinomycetemcomitans g-ve C-B
• Bacteriods fragilis g-ve R
• Borrelia burgdorferi (Lyme disease)[[1]]

• Campylobacter g-ve R
• Citrobacter diversus g-ve R
• Citrobacter feundii g-ve R
• Clostridium botulinum g+ve R
• Clostridium difficle g+ve R
• Clostridium perfingens g+ve R
• Clostridium tentani g+ve R
• Corynebacterium diphtheriae g+ve R
• E Coli g-ve R
• Enterobacter g-ve R
• Enterococcus faecalis g+ve C
• Haemophlilus influenzae g-ve R C B
• Haemophilus ducreyi g-ve R
• Haemophilus parainfluenzae g-ve R
• Kebsiella pneumoniae g-ve R
• Legionella sp – legionella pneumophilia g-ve R [[2]]

• Listeria monocytogenes g+ve R
• Moraxella catarrhalis g-ve R
• Morganella morganii g+ve R
• Mycoplasma pneumoniae
• Neisseria gonorrhoeae g-ve C
• Proteus mirabilis g-ve R
• Pseudomonas aeruginosa g-ve R
• Salmonella g-ve R
• Serratia g-ve R
• Shigella g-ve R
• Staphylococcus aureus g+ve C
• Staphylococcus epidermidis g+ve C
• Streptococcus agalactiae Group B g+ve C
• Streptococcus pneumoniae g+ve C
• Streptococcus pyogenes Group A g+ve C
• Streptococcus viridans g+ve C
• Treponema pallidum (Syphilis)[[3]]

Fungi

Aspergillus species Blastomyces, Candida, Crytococcus, Histoplasma

Virus

Adenoviruses, Cytomegaloviruses, Epstein-Barr virus, Herpes simplex, Herpes zoster, West Nile

Parasites

Cryptosporidium, Giardia Lamblia, Malaria, Pneumocystis carinii (PCP), Toxoplasma gondii

Data Integrity Rules

The CCMDB.mdb runs checks for the following:

• no infections without pathogens
• no non-infections with pathogens

For details, see the coding in Access.

Discussion

• how do we capture neuro syphyllis??? The pathogen that causes syphyllis treponema pallidum is not on the available pathogen list. 59990 was used as an alternative. please help--JHutton 14:38, 12 June 2008 (CDT)
• New codes added. Please see CCMDB.mdb Change Log October 29, 2008TOstryzniuk 21:46, 17 November 2008 (CST)

• Sputums for AFB (Acid Fast Bacilli). As per Dr. Kumar: a negative AFB culture is considered a negative culture and should not to be coded as NO C&S culture sent.--FLindell 15:33, 6 August 2008 (CDT)
  • Fran, what's an AFB, and how does this entry relate to the pathogens? Can you give a little more detail? Thanks--Ttenbergen 16:09, 6 August 2008 (CDT)
    • AFB is defined as Acid Fast Bacilli, which is a laboratory test used to identify certain types of bacteria such as mycobacteria that cause TB. There was a question from data collectors about how to capture this sputum sample. I guess the fact that the sputum sample is used to categorize the pathogen is why the discussion was placed here.--JHutton 12:49, 11 August 2008 (CDT)
      • The pathogen list can only encode pathogens that were found, not negative findings, right? If that is the case, and if no other pathogen is found, would you not code this as a 68 - Unknown pathogen? Trish? Ttenbergen 13:33, 12 August 2008 (CDT)
• How do we code scabies ?cellulitis other parasite? Please let me know ThanksSKiesman 13:30, 17 November 2008 (CST)
  • Don't code. We haven't been tracking incidence of scabies nor are we going to start. TOstryzniuk 21:21, 17 November 2008 (CST)