Attribution of infections

There will always be a delay between an actual infection and the time at which the infection is confirmed by the lab, or manifests so it can be determined without lab clarification (for diagnoses where we allow that.

Diagnoses with specific attribution rules

We have specific attribution rules as documented in their pages for the following diagnoses:

• Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)
• Pneumonia, ventilator-associated (VAP)
• Iatrogenic, infection, urinary catheter
• Template:ICD10 Guideline Iatrogenic deals with attribution of surgical infections

there may be others dx right now that my search for 48 did not find because maybe they use a 12 hr or 17 hour... rule. Collectors, can you think of any? Ttenbergen 15:38, 2020 March 25 (CDT)

• SMW

• Cargo

• Categories

Attribution for all other infections

What is the attribution rule for our program on MRSA colonization? For example if a patient comes from SOGH ICU to the Concordia and tests positive for MRSA in less than 24 hours I would attribute this colonization to the SOGH not the Concordia. Is that correct? If we will have such a rule at all, could it be one that applies to infections in general and would therefore live in Template: ICD10 Guideline Infection. Also, we would want to make sure that "attribution" as a concept doesn't get muddled - if we search for that there are several hits, and we use other terms like "gets credit" elsewhere I believe. And in Lab and culture reports... Allan confirmed that all the attributions should be the same and can be moved into that infection template. Ttenbergen 14:09, 2018 October 29 (CDT) This will mean that I pull the 48hr rule out of the following and instead put it into Template:ICD10 Guideline Infection that is applied to all infections, and/or Infections in ICD10 which is referenced by the template: Does anyone think making this one rule for all will be a problem?

• SMW

• Cargo

• Categories

Julie, the above question specifically affects some projects you work with as well - do you think unifying this rule will be a problem for any of them? if there are specific rules already in place (e.g. VAP, CLI, etc.) we should follow them. Those which don't have perhaps those are the ones we can unify. --JMojica 14:51, 2020 March 20 (CDT)

• SMW

• Cargo

• Categories