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 list with a table. (trish pending)

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]]

Discussion

Can someone confirm for me again when it is appropriate to use code 59 from pathogen table?--MWaschuk 18:25, 2 March 2009 (CST)

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

• 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)

• 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)