icd 10 code for eaec

by Paula Dare MD 9 min read

EntryH01312 Disease
PathogenEscherichia coli (EAEC) [GN:eck elo]
Other DBsICD-11: 1A03.Y ICD-10: A04.4 MeSH: D004927
ReferencePMID:11871803
AuthorsOkeke IN, Nataro JP
11 more rows

Full Answer

What is ICD 10 used for?

Used for medical claim reporting in all healthcare settings, ICD-10-CM is a standardized classification system of diagnosis codes that represent conditions and diseases, related health problems, abnormal findings, signs and symptoms, injuries, external causes of injuries and diseases, and social circumstances.

What does ICD - 10 stand for?

The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.

What is difference between ICD 9 and ICD 10?

What's the difference between ICD 9 and ICD 10? ICD-10 emphasis on modern technology devices being used for various procedures, while ICD-9 codes are unable to reflect the use of modern day equipment. Hence, the basic structural difference is that ICD-9 is a 3-5 character numeric code while the ICD-10 is a 3-7 character alphanumeric code. Click to read further detail.

What are the common ICD 10 codes?

ICD-10-CM CATEGORY CODE RANGE SPECIFIC CONDITION ICD-10 CODE Diseases of the Circulatory System I00 –I99 Essential hypertension I10 Unspecified atrial fibrillation I48.91 Diseases of the Respiratory System J00 –J99 Acute pharyngitis, NOS J02.9 Acute upper respiratory infection J06._ Acute bronchitis, *,unspecified J20.9 Vasomotor rhinitis J30.0

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What is the ICD-10-CM code for E coli?

2 for Escherichia coli [E. coli ] as the cause of diseases classified elsewhere is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases .

What is the ICD-10 code for ESBL E coli UTI?

ICD-10 code Z16. 12 for Extended spectrum beta lactamase (ESBL) resistance is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

How do you code e coli bacteremia?

coli] A41. 51.

Do you treat EPEC with antibiotics?

Current guidelines recommend either trimethoprim/sulfamethoxazole, norfloxacin, or ciprofloxacin for definitive antibiotic therapy of EPEC diarrhea in adults [3].

What is ESBL E. coli?

Some germs, such as Escherichia coli (E. coli) and Klebsiella, produce an enzyme called extended spectrum beta-lactamase (ESBL). This enzyme makes the germ harder to treat with antibiotics. ESBL can cause a variety of illnesses, including: Urinary tract infections (UTIs)

What is the ESBL infection?

What is an ESBL infection? ESBL stands for extended spectrum beta-lactamase. It's an enzyme found in some strains of bacteria. ESBL-producing bacteria can't be killed by many of the antibiotics that doctors use to treat infections, like penicillins and some cephalosporins. This makes it harder to treat.

What is the difference between bacteremia and sepsis?

Bacteremia is the presence of bacteria in the blood, hence a microbiological finding. Sepsis is a clinical diagnosis needing further specification regarding focus of infection and etiologic pathogen, whereupon clinicians, epidemiologists and microbiologists apply different definitions and terminology.

Is bacteremia coded as sepsis?

81, Bacteremia, is a symptom code with an Exclude1 note stating it can't be used with sepsis and that additional documentation related to the cause of the infection, i.e., gram-negative bacteria, salmonella, etc., would be needed for correct code assignment.

What is the ICD-10-CM code for bacteremia?

ICD-10 code R78. 81 for Bacteremia is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

Do you treat EAEC?

Because of these factors, the antibiotic of choice to treat EAEC-induced diarrhea is ciprofloxacin, an antibiotic with bactericidal activity against a wide spectrum of bacteria.

What disease does EPEC cause?

Enteropathogenic Escherichia coli (EPEC) is a gram-negative bacterial pathogen that adheres to intestinal epithelial cells, causing diarrhoea. It constitutes a significant risk to human health and remains an important cause of infant mortality in developing countries.

Does EPEC cause bloody diarrhea?

EPEC (enteropathogenic E. coli): childhood diarrhea, caused by E. coli bacteria (many different serotypes) that can attach to gastrointestinal tissues, especially in infants, and produces a watery or bloody diarrhea in infants by producing a toxin similar to that produced by the bacterium named Shigella dysenteriae.

What is EAEC in the intestinal tract?

The pathogenesis of EAEC involves the aggregation of and adherence of the bacteria to the intestinal mucosa, where they elaborate enterotoxins and cytotoxins that damage host cells and induce inflammation that results in diarrhea . EAEC is now recognized as an emerging enteric pathogen.

What is EAEC in a bacterial pathotype?

Enteroaggregative Escherichia coli ( EAEC or EAggEC) are a pathotype of Escherichia coli which cause acute and chronic diarrhea in both the developed and developing world. They may also cause urinary tract infections. EAEC are defined by their "stacked-brick" pattern of adhesion to the human laryngeal epithelial cell line HEp-2. The pathogenesis of EAEC involves the aggregation of and adherence of the bacteria to the intestinal mucosa, where they elaborate enterotoxins and cytotoxins that damage host cells and induce inflammation that results in diarrhea .

What was the cause of the EAEC outbreak?

The putative cause of the outbreak were sprouted fenugreek seeds.

Where is EAEC most commonly found?

Enteroaggregative Escheichia coli (EAEC) is most commonly found in developing countries due to less developed industrial base and low human development (HDI) compared to other countries. India, Jamaica and Mexico are the most commonly risked countries.

How fast can a molecular test detect EAEC?

Microarray-based platforms can identify EAEC and AMR genes in two hours or less with high sensitivity and specificity, but the size of the test panel (i.e., total pathogens and AMR genes) is limited. Newer metagenomics-based infectious disease diagnostic platforms are currently being developed to overcome the various limitations of culture and all currently available molecular diagnostic technologies.

What is the most effective antibiotic for E. coli?

Antibiotics is a type of medicine that is used to destroy or inhibit the growth of microorganisms. Studies have suggested that fluoroquinolone, especially ciprofloxacin, may be the most effective antibiotic when treating Enteroaggregative E.coli (EAEC) infections, patients treated with ciprofloxacin had significant reductions in duration ...

Is EAEC an enteric pathogen?

EAEC is now recognized as an emerging enteric pathogen. In particular, EAEC are reported as the second most common cause of traveler's diarrhea, second only to Enterotoxigenic E. coli, and a common cause of diarrhea amongst pediatric populations.

What are the stages of EAEC?

Extrapolating from the observations de-scribed above, we propose a three-stage model ofEAEC pathogenesis. Stage I involves initialadherence to the intestinal mucosa and themucus layer; this initial adherence is apparentlymediated by the AAF fimbriae. Stage II comprisesenhanced mucus production, apparently leading tothe deposit of a thick mucus-containing biofilmencrusted with EAEC. The blanket maypromote persistent colonization and nutrientmalabsorption. Stage III, suggested fromhistopathologic and molecular evidence, in-cludes the elaboration of toxins or inflamma-tion, which result in damage to the mucosa andintestinal secretion. Malnourished hosts maybe unable to repair the mucosal damage andmay thus become prone to the persistentdiarrhea syndrome.

Is EAEC a pathogen?

Bothsporadic diarrhea and outbreaks (possiblyfoodborne) have been described. The mechanismsof pathogenesis are being elucidated; likely notall EAEC strains are equally pathogenic. Themechanism of the association between EAEC andmalnutrition is not entirely clear, althoughplausible pathogenetic models can be proposed.Malnutrition predisposes to persistent diarrhea(61,62); whether this is due to impaired hostimmunity (preventing normal killing of patho-gens) or to altered intestinal physiology(predisposing to more severe infections) is notknown. However, it seems also plausible thatasymptomatic colonization with EAEC may leadto malnutrition caused by increased metabolicdemand secondary to intestinal inflammation,persistent mucosal damage due to cytotoxins,and/or the presence of a barrier to the absorptionof nutrients imposed by the mucus/bacteriabiofilm. A vicious cycle may thus operate whereinmalnutrition and infection perpetuate andenable each other (Figure 4). The pathophysi-ologic machinery that propels children through

What is EAEC in biology?

EAEC are characterized by the ability to aggregate intimately with each other, adhere to human HEp-2 cells, and also attach to abiotic surfaces when grown in tissue culture plates. In this growth environment, EAEC colonies resemble “stacked bricks” when viewed by light microscopy.

How does EAEC work?

In humans, EAEC elicits an inflammatory response that is initiated by the interaction of flagellin and Toll-like receptor 5 that in turn results in the recruitment of inflammatory cells to the gut by interleukin 8 and other cytokines. In mice, the EAEC pic serine protease is not only mucinolytic and assists with establishing infection but may actually facilitate the use of mucin as a source carbon by EAEC [ 20] when other nutrients are unavailable or exhausted. A related serine protease, the plasmid-encoded toxin pet causes rounding and extrusion of enterocytes in human tissue explants. How EAEC survives the hostile environment of the gut is unknown. Evasion of host immunity may be related to the ability of EAEC to produce tightly aggregated colonies in the absence of dispersin and aggregin and its ability to form a layer of thick biofilm that can interfere with the penetration of colicins, phages, antibacterial peptides, such as lactoferrin, specific and nonspecific immunoglobulin A, and possibly antibiotics.

How many genes are in E. coli?

coli strains, we have learned that 551 genes are EAEC-specific [ 21] and that many of these genes are known or are putative novel virulence factors not previously identified in EAEC, including the presence of elements characteristic of type 2 secretion systems typically associated with the export of the heat-labile toxin of ETEC and colonization factors that are similar to the acfD of Vibrio. In addition, analysis of the EAEC genome has shown the presence of type 3 secretory system components that include intimin-like genes of enteropathogenic E. coli and relatives of the ipaH protein of Shigella, as well as evidence for type 5 and type 6 secretory system elements. How well these and other genes are represented in other strains that show preferential selectivity for the small intestine or the colon and originate from diverse regions in the world remains to be determined.

What is the main source of EAEC?

Contaminated food appears to be the main source of EAEC infection and has been implicated in several foodborne outbreaks of diarrhea [ 6, 7 ]. In Mexico, EAEC is commonly found in food, including desserts and salsa [ 8, 9 ], and may explain the high rates of EAEC-related travelers' diarrhea seen in US visitors to that country.

Does EAEC cause mucosal changes?

In contrast to the streptomycin-treated murine model of EAEC infection [ 20 ], in which pathologic changes do not occur and which thus serves as a model for the study of EAEC colonization in the colon, an important observation of the Roche study is the finding that in colonic tissues, chronic infection with EAEC leads to inflammatory changes in the mucosa and depletion of mucin in goblet cells. Nevertheless, the development of additional models for the study of EAEC in the small bowel is still needed.

Is EAEC a reservoir?

Although a typical EAEC has been identified in calves, piglets, and horses [ 19 ], animals have not been implicated as a source or reservoir for human infection. In the study by Roche et al [ 12 ], 2 well-characterized strains of typical EAEC possessing distinct adhesin fimbriae, demonstrate in the mouse model a difference in pathogenicity, suggesting that EAEC host species-specificity may be adhesinspecific.

Is E. coli enterotoxigenic?

In several regions of the world, EA EC surpasses enterotoxigenic E. coli ( ETEC) as the most common bacterial pathogen identified in diarrheal stool samples and in the United States; this emerging pathogen is becoming increasingly recognized as a leading cause of sporadic diarrhea in otherwise healthy adults and children [ 4, 5 ].

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