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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: GIS11<br />

MultiStage: No<br />

DXCat Label: Food Poisoning: C. perfringens Specificity: A<br />

Etiology: Infection, Bacterial<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

1.01 Food poisoning due to C. perfringens Clostridium perfringens isolated from contaminated food [food culture reports]<br />

DX 0052-0053;<br />

1.02 with mild dehydration Stage 1.01<br />

STAGE 1.01 + GROUP<br />

AND estimated loss of ≥ 5% of ideal body weight in children ≤ 12 years old in 24 hours DEHYDRATION;<br />

OR estimated loss of ≥ 3% of ideal body weight in adults/adolescents in 24 hours<br />

2.01 with moderate dehydration Stage 1.01<br />

AND estimated loss of ≥ 10% of ideal body weight in children ≤ 12 years old in 24 hours<br />

OR estimated loss of ≥ 5% of ideal body weight in adults/adolescents in 24 hours<br />

3.01 with severe dehydration Stage 1.01<br />

AND estimated loss of ≥ 15% of ideal body weight in children ≤ 12 years old in 24 hours<br />

OR estimated loss of ≥ 7% of ideal body weight in adults/adolescents in 24 hours<br />

3.02 with enteritis necroticans or bloody diarrhea Stage 1.01-3.01<br />

AND gross blood in diarrhea fluid<br />

OR Clostridium perfringens type C isolated from contaminated food<br />

[food culture reports]<br />

OR enteritis necroticans [operative/pathology report or biopsy report]<br />

3.03 with renal failure Stage 2.01-3.02<br />

AND renal failure:<br />

3.04 with central nervous system involvement Stage 2.01-3.03<br />

AND disorientation:<br />

OR coma:<br />

3.05 with shock Stage 2.01-3.04<br />

AND shock:<br />

4.00 with death Stage 2.01-3.05<br />

AND death<br />

References:<br />

Anonymous. From the Centers for <strong>Disease</strong> Control and Prevention. Foodborne <strong>Disease</strong>s Active Surveillance Network, 1996. JAMA. 1997:277(17):1344-1345.<br />

NO;<br />

NO;<br />

STAGE 1.01-1.02 + (DX 5693,<br />

5781-5789);<br />

STAGE 1.01-3.02 + GROUP<br />

REN_FAIL_ACU;<br />

STAGE 1.01-3.03 + (GROUP COMA<br />

OR GROUP DISORIENT );<br />

STAGE 1.01-3.04 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) ;<br />

Butterton JR, Calderwood SB. Acute infectious diarrheal diseases and bacterial food poisoning. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL,<br />

Hauser SL, Longo, DL, eds. Harrison’s Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:796-801.<br />

Kasper DL, D.F. Zaleznik DF. Gas gangrene, antibiotic-associated colitis, and other clostridial infections. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper<br />

DL, Hauser SL, Longo, DL, eds. Harrison’s Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:906-910.<br />

McQuaid KR. Alimentary tract: diarrhea. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:542-<br />

547.<br />

Stephenson J. New approaches for detecting and curtailing foodborne microbial infections. JAMA. 1997:277(17):1337, 1339-1340.<br />

NO;<br />

Thursday, January 07, 2010 9:21:43 AM<br />

©2010 Thomson Reuters. All rights reserved.

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