Sepsis due to Enterococcus
ICD-10 A41.81 is a billable code used to indicate a diagnosis of sepsis due to enterococcus.
Sepsis due to Enterococcus is a severe systemic infection characterized by the presence of Enterococcus bacteria in the bloodstream, leading to a dysregulated host response. Enterococcus species, particularly Enterococcus faecalis and Enterococcus faecium, are part of the normal intestinal flora but can become pathogenic, especially in immunocompromised patients or those with underlying health conditions. The clinical presentation of sepsis includes fever, chills, tachycardia, hypotension, and altered mental status. Patients may require intensive care unit (ICU) admission for close monitoring and aggressive management, including intravenous fluids, vasopressors, and broad-spectrum antibiotics. The management of sepsis due to Enterococcus is complicated by the potential for antibiotic resistance, necessitating careful antimicrobial stewardship to optimize treatment while minimizing the risk of further resistance development. Early recognition and prompt treatment are critical to improving outcomes in patients with this serious condition.
Detailed microbiological data, treatment plans, and patient history.
Patients with recurrent infections, those with complex medical histories, and cases of antibiotic-resistant infections.
Documentation must clearly indicate the organism and its susceptibility profile.
Comprehensive notes on patient monitoring, interventions, and response to treatment.
Patients requiring ICU admission for severe sepsis or septic shock.
Accurate recording of vital signs and treatment protocols is essential.
Used when blood cultures are taken to identify Enterococcus.
Document the source of the culture and results.
Infectious disease specialists should ensure cultures are properly documented.
Identifying Enterococcus is crucial for appropriate antibiotic therapy, especially given the potential for resistance. It also helps in understanding the source of infection and guiding further management.
