Infections due to Clostridium difficile, MRSA or VRE: Discharge Abstract Database

Concept

Bacterial infections identified during a hospital stay due to Clostridium difficile (C. difficile), methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant enterococci (VRE).

C. difficile 

Selection criteria

A04.7

Identified as diagnosis type (2)

Exclusions

1. Abstracts with age on admission less than 1 year
2. Abstracts with a length of stay less than 3 days

MRSA

Selection criteria

A04.10

Identified as diagnosis type (2) AND U82.1 as diagnosis type (1) or (2) in the same diagnosis cluster

OR

Identified as diagnosis type (3) AND U82.1 as diagnosis type (1) or (2) AND T80.2, T81.4, T82.6, T82.7–, T83.5, T83.6, T84.5–, T84.6–, T84.7, T85.7 or T88.0 as diagnosis type (2) AND Y60–Y84 in the same diagnosis cluster

OR

Identified as diagnosis type (3) AND U82.1 as diagnosis type (1) or (2) AND O03.0, O03.5, O04.0, O04.5, O05.0, O05.5, O07.3 or O08.0– as diagnosis type (2) in the same diagnosis cluster

OR

Identified as diagnosis type (3) AND U82.1 as diagnosis type (1) or (2) AND O98.502 or O98.802 as diagnosis type (M), (1), (2), (W), (X) or (Y) in the same diagnosis cluster

A49.0
J15.2
G00.3
L00
M00.0–

Identified as diagnosis type (2) AND U82.1 as diagnosis type (1) or (2) in the same diagnosis cluster

B95.6

Identified as diagnosis type (3) AND U82.1 as diagnosis type (1) or (2) AND a site of infection code* as diagnosis type (2) in the same diagnosis cluster

Exclusions

Abstracts with a length of stay less than 2 days

VRE

Selection Criteria

A41.80*
A40.21

Identified as diagnosis type (2) AND U83.0 as diagnosis type (1) or (2) in the same diagnosis cluster

OR

Identified as diagnosis type (3) AND U83.0 as diagnosis type (1) or (2) AND T80.2, T81.4, T82.6, T82.7–, T83.5, T83.6, T84.5–, T84.6–, T84.7, T85.7 or T88.0 as diagnosis type (2) AND Y60–Y84 in the same diagnosis cluster

OR

Identified as diagnosis type (3) AND U83.0 as diagnosis type (1) or (2) AND O03.0, O03.5, O04.0, O04.5, O05.0, O05.5, O07.3 or O08.0– as diagnosis type (2) in the same diagnosis cluster

OR

Identified as diagnosis type (3) AND U83.0 as diagnosis type (1) or (2) AND O98.502 or O98.802 as diagnosis type (M), (1), (2), (W), (X) or (Y) in the same diagnosis cluster

B96.81*
B95.21^ǂ

Identified as diagnosis type (3) AND U83.0 as diagnosis type (1) or (2) AND a site of infection code* as diagnosis type (2) in the same diagnosis cluster

 * Before 2018-2019 data
^ǂ Starting with 2018-2019 data

Exclusions

Abstracts with a length of stay less than 2 days

Codes

Code descriptions

A04.7

Enterocolitis due to Clostridium difficile

A41.0

Sepsis due to Staphylococcus aureus

A41.80
A40.21

Sepsis due to Enterococcus

B95.6

Staphylococcus aureus as the cause of diseases classified to other chapters

B96.81
B95.21

Enterococcus as the cause of diseases classified to other chapters

A49.0

Staphylococcal infection, unspecified site

J15.2

Pneumonia due to Staphylococcus

G00.3

Staphylococcal meningitis

L00

Staphylococcal scalded skin syndrome

O03.0

Spontaneous abortion, incomplete, complicated by genital tract and pelvic infection

O03.5

Spontaneous abortion, complete or unspecified, complicated by genital tract and pelvic infection

O04.0

Medical abortion, incomplete, complicated by genital tract and pelvic infection

O05.0

Other abortion, incomplete, complicated by genital tract and pelvic infection

  O05.5

Other abortion, complete or unspecified, complicated by genital tract and pelvic infection

O07.3

Failed attempted abortion, complicated

O08.0–

Complication following abortion and ectopic and molar pregnancy; genital tract and pelvic infection

O98.502

Other viral diseases complicating pregnancy, childbirth and the puerperium; delivered with mention of postpartum complication

O98.802

Other maternal infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium; delivered with mention of postpartum complication

T80.2

Infections following infusion, transfusion and therapeutic injection

T81.4

Infection following a procedure, not elsewhere classified

T82.6

Infection and inflammatory reaction due to cardiac valve prosthesis

T82.7–

Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts

T83.5

Infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system

T83.6

Infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract

T84.5–

Infection and inflammatory reaction due to internal joint prosthesis

T84.6–

Infection and inflammatory reaction due to internal fixation device (any site)

T84.7

Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts

T85.7

Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts

T88.0

Infection following immunization

U82.1

Resistance to methicillin

U83.0

Resistance to vancomycin

Y60–Y84

Complications of medical or surgical care (refer to Appendix A of the Hospital Harm Indicator General Methodology Notes)