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
• Nosocomial infection, NOS

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)

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Attribution for all other infections

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) Whatever such a rule would be should be written in Template: ICD10 Guideline Infection so that users of infection codes are aware of it. 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 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. If I interpret this right I would write it as An infection doesn't become apparent the moment it happens; this means that an infection discovered shortly after admission should not generally be coded as an Acquired Diagnosis, since it likely happened before the patient arrived on the current ward, and should instead be coded as an Admit Diagnosis. To be consistent, we have decided that an infection that is discovered within the first 48 hrs after admission should be coded as an Admit Diagnosis, and an infection discovered after that as an Acquired Diagnosis. Does anyone think making this one rule for all will be a problem?

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attribution doesn't apply to colonization

See Colonized with organism (not infected)#Colonizations are not attributed to any units