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Sepsis of Newborn due to Other and Unspecified Streptococci

Sepsis in Premature Infants


Presentation

  • The procedure includes aerobic agar-based isolation of bacteria or other cultivable organisms present, and quantitation of types present based on morphologic criteria.[codemap.com]
  • Microscopic examination: polymorphonuclear leukocytes (PMN) were, respectively, absent/present/abundant in 180/130/25 treated (T) and in 2,567/1,032/90 untreated (NT) newboms.[karger.com]
  • Severe sepsis may be present on admission, but the diagnosis may not be confirmed until sometime after admission. If the documentation is not clear whether severe sepsis was present on admission, the provider should be queried.[codelay.com]
  • Editor's note: This information was originally presented during HCPro's audio conference " Sepsis Coding: Learn Documentation Improvement Techniques to Ensure Accurate Coding ."[hcpro.com]
Sepsis
  • Sepsis of newborn due to other streptococci P36.2 Sepsis of newborn due to Staphylococcus aureus P36.3 Sepsis of newborn due to other and unspecified staphylococci P36.30 Sepsis of newborn due to unspecified staphylococci P36.39 Sepsis of newborn due[icd10coded.com]
  • Code Classification Certain conditions originating in the perinatal period ( P00–P96 ) Infections specific to the perinatal period ( P35-P39 ) Bacterial sepsis of newborn ( P36 ) Version 2019 Non-Billable Code Information for Patients Sepsis Sepsis is[icdlist.com]
  • Parent Code: P36 - Bacterial sepsis of newborn[icd.codes]
  • Chapter 1 Bacterial sepsis of Newborn Newborn sepsis From Section I.C.16. f. Bacterial sepsis of Newborn Category P36, Bacterial sepsis of newborn, includes congenital sepsis.[codelay.com]
  • […] due to other streptococci P36.2 Sepsis of newborn due to staphylococcus aureus P36.30 Sepsis of newborn due to unspecified staphylococci P36.39 Sepsis of newborn due to other staphylococci P36.4 Sepsis of newborn due to Escherichia coli P36.5 Sepsis[aapc.com]
Asymptomatic
  • Excludes2 asymptomatic human immunodeficiency virus [HIV] infection status ( Z21 ) congenital gonococcal infection ( A54 .-) congenital pneumonia ( P23 .-) congenital syphilis ( A50 .-) human immunodeficiency virus [HIV] disease ( B20 ) infant botulism[icd10coded.com]
  • Preventive Services Task Force has concluded that screening for asymptomatic bacteriuria outside of the narrow indication for pregnant women is generally not indicated.[codemap.com]
  • Infections specific to the perinatal period (P35-P39) Includes: infections acquired in utero or during birth Excludes: asymptomatic human immunodeficiency virus [HIV] infection status ( Z21 ) congenital: · gonococcal infection ( A54.- ) · pneumonia ([apps.who.int]
Streptococcal Infection
  • Infections Also called: Strep Strep is short for Streptococcus, a type of bacteria.[icdlist.com]
  • […] diseases Certain staphylococcal or streptococcal diseases Acute rheumatic fever 1B51 Streptococcal pharyngitis H00333 Streptococcal infection 1B53 Meningitis due to Streptococcus H00333 Streptococcal infection 12 Diseases of the respiratory system Lung[genome.jp]
  • Group B streptococcal infections. In: Wilson CB, Nizet V, Maldonado YA, Remington JS, Klein JO, eds. Remington and Klein's Infectious Diseases of the Fetus and Newborn Infant. 8th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 12.[medlineplus.gov]
  • infection, unspecified site 2016 2017 2018 2019 Billable/Specific Code congenital sepsis P36.10 Newborn (infant) (liveborn) (singleton) Z38.2 ICD-10-CM Diagnosis Code Z38.2 Single liveborn infant, unspecified as to place of birth 2016 2017 2018 2019[icd10data.com]
  • infection ) · Neonatal conjunctivitis Other Perinatal mortality ( Stillbirth, Infant mortality ) · Neonatal withdrawal M : OBS phys / devp / memb mthr / fetu / infc, epon proc, drug( 2A / G2C )[dictionnaire.sensagent.leparisien.fr]
Chills
  • People with weakened immune systems Infants and children The elderly People with chronic illnesses, such as diabetes, AIDS, cancer, and kidney or liver disease People suffering from a severe burn or physical trauma Common symptoms of sepsis are fever, chills[icdlist.com]
  • These findings may also be noted in upper UTI with additional systemic symptoms (for example, fever, chills, lethargy); or pain in the costovertebral, abdominal, or pelvic areas.[codemap.com]
  • Elderly patients have similar symptoms to those stated for adults, but the first apparent symptoms are often confusion along with chills, weakness, possibly faster breathing, and a dusky skin appearance.[medicinenet.com]
Surgical Procedure
  • In surgical procedures involving major manipulations of the genitourinary tract, preoperative examination to detect occult infection may be indicated in selected cases (for example, prior to renal transplantation, manipulation or removal of kidney stones[codemap.com]
  • procedure on mother P00.7 Fetus and newborn affected by other medical procedures on mother, not elsewhere classified P00.8 Fetus and newborn affected by other maternal conditions P00.9 Fetus and newborn affected by unspecified maternal condition P01.0[whatdotheyknow.com]
  • procedure on mother Excl.: caesarean section for present delivery (P03.4) damage to placenta from amniocentesis, caesarean section or surgical induction (P02.1) previous surgery to uterus or pelvic organs (P03.8) termination of pregnancy, fetus (P96.4[embryology.med.unsw.edu.au]
Pharyngitis
  • Entry H00333 Disease Name Streptococcal infection Subgroup Group A streptococcal pharyngitis [DS: H01424 ] Invasive streptococcal disease [DS: H01426 ] Necrotizing fasciitis [DS: H01455 ] Scarlet fever [DS: H01515 ] Erysipelas [DS: H01517 ] Description[genome.jp]
  • Gastritis and duodenitis 2193 J01.9 Acute sinusitis, unspecified 2186 Q24.0 Dextrocardia 2139 J18.8 Other pneumonia, organism unspecified 2104 L02 Cutaneous abscess, furuncle and carbuncle 2068 E46 Unspecified protein-energy malnutrition 2047 J02 Acute pharyngitis[pps.ivant.com]
  • […] sepsis A32.8 Other forms of listeriosis A32.81 Oculoglandular listeriosis A32.82 Listerial endocarditis A32.89 Other forms of listeriosis A32.9 Listeriosis, unspecified A33 Tetanus neonatorum A34 Obstetrical tetanus A35 Other tetanus A36 Diphtheria A36.0 Pharyngeal[eicd10.com]
Failure to Thrive
  • Brief resolved unexplained event -- BRUE (Medical Encyclopedia) Crying - excessive (0-6 months) (Medical Encyclopedia) Failure to thrive (Medical Encyclopedia) Hemorrhagic disease of the newborn (Medical Encyclopedia) Hyperglycemia - infants (Medical[icdlist.com]
Intestinal Disease
  • diseases A07.0 Balantidiasis A07.1 Giardiasis [lambliasis] A07.2 Cryptosporidiosis A07.3 Isosporiasis A07.4 Cyclosporiasis A07.8 Other specified protozoal intestinal diseases A07.9 Protozoal intestinal disease, unspecified A08 Viral and other specified[eicd10.com]
Hypotension
  • Septic shock is a condition in which overwhelming infection causes a dangerous drop in systolic blood pressure ( hypotension ).[medicinenet.com]
  • When sepsis is accompanied by organ dysfunction, hypoperfusion, or hypotension, the sepsis is considered severe. Septic shock ensues when hypotension develops despite adequate fluid replacement.[clinchem.aaccjnls.org]
Ecthyma
  • NIH: National Institute of Allergy and Infectious Diseases Ecthyma (Medical Encyclopedia) Erysipelas (Medical Encyclopedia) Group B streptococcal septicemia of the newborn (Medical Encyclopedia) Group B streptococcus - pregnancy (Medical Encyclopedia)[icdlist.com]
Exanthema
  • […] subitum [sixth disease] B08.20 Exanthema subitum [sixth disease], unspecified B08.21 Exanthema subitum [sixth disease] due to human herpesvirus 6 B08.22 Exanthema subitum [sixth disease] due to human herpesvirus 7 B08.3 Erythema infectiosum [fifth disease[eicd10.com]

Treatment

  • Other types of treatment, such as respirators or kidney dialysis, may be necessary. Sometimes, surgery is needed to clear up an infection.[icdlist.com]
  • Prevention of infections and early diagnosis and treatment of sepsis are the best ways to prevent sepsis or reduce the problems sepsis causes.[medicinenet.com]
  • This disease can be life threatening without prompt treatment. Possible complications include: Disseminated intravascular coagulation (DIC): A serious disorder in which the proteins that control blood clotting are abnormally active.[medlineplus.gov]
  • ] Clindamycin hydrochloride [DR: D02132 ] Other DBs ICD-11: 1B51 1B53 CA40.07 ICD-10: A40 A49.1 G00.2 J02.0 J03.0 J15.3 J15.4 M60.0A P36.0 P36.1 MeSH: D013290 Reference (drug) Authors Papadakis MA and McPhee SJ (ed) Title Current Medical Diagnosis & Treatment[genome.jp]
  • Thus, bacteriological results of GA, if considered out of the clinical context, cannot be an argument for treatment. 1994 S. Karger AG, Basel Article / Publication Details First-Page Preview[karger.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • National Coverage Determination Procedure Code: 8XXXX Urine Culture, Bacterial CMS Policy Number: 190.12 Back to NCD List Description: A bacterial urine culture is a laboratory procedure performed on a urine specimen to establish the probable etiology[codemap.com]

Epidemiology

  • Epidemiologic studies can be used to estimate the prevalence of the disease in a particular clinical setting.[clinchem.aaccjnls.org]
  • For example, for the two studies used different epidemiological assumptions regarding three more serious diseases (pneumonia, bacteremia and meningitis).[canada.ca]
  • The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use.[embryology.med.unsw.edu.au]
  • Epidemiology of group B streptococcal disease in the United States: shifting paradigms. Clin Microbiol Rev 1998 ;11: 497 - 513 2. Boyer KM, Gotoff SP.[nejm.org]
Sex distribution
Age distribution

Pathophysiology

  • "Coders have the ability to gain some of the pathophysiology knowledge to read the record and be able to abstract what's important."[hcpro.com]
  • Currently, criteria for neonatal sepsis usually include documentation of infection in a newborn infant with a serious systemic illness in which noninfectious explanations for the abnormal pathophysiologic state are excluded or unlikely.[clinchem.aaccjnls.org]

Prevention

  • Doctors try to treat the infection, sustain the vital organs, and prevent a drop in blood pressure. Many patients receive oxygen and intravenous (IV) fluids. Other types of treatment, such as respirators or kidney dialysis, may be necessary.[icdlist.com]
  • Centers for Disease Control and Prevention 1. March of Dimes[americanpregnancy.org]
  • Prevention of early-onset neonatal group B streptococcal disease with selective intrapartum chemoprophylaxis. N Engl J Med 1986 ;314: 1665 - 1669 3. Prevention of perinatal group B streptococcal disease: a public health perspective.[nejm.org]
  • Prevention of infections and early diagnosis and treatment of sepsis are the best ways to prevent sepsis or reduce the problems sepsis causes.[medicinenet.com]
  • In all cases, proper hand washing by nursery caregivers, visitors, and parents can help prevent the spread of the bacteria after the infant is born. Early diagnosis can help decrease the risk for some complications.[medlineplus.gov]

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