Sepsis of newborn due to unspecified staphylococci
ICD-10 P36.30 is a billable code used to indicate a diagnosis of sepsis of newborn due to unspecified staphylococci.
Sepsis in newborns is a severe and potentially life-threatening condition characterized by the presence of bacteria in the bloodstream. In cases of sepsis due to unspecified staphylococci, the causative agent is not clearly identified, which complicates treatment and management. Newborns are particularly vulnerable due to their immature immune systems, making them susceptible to infections from various bacteria, including group B streptococcus and E. coli. Symptoms of sepsis may include lethargy, poor feeding, temperature instability, and respiratory distress. Early recognition and prompt treatment with antibiotics are critical to improving outcomes. The management of sepsis in neonates often requires admission to a Neonatal Intensive Care Unit (NICU) for close monitoring and supportive care. The coding of this condition requires careful documentation of clinical findings, laboratory results, and treatment protocols to ensure accurate representation of the patient's condition and the complexity of care provided.
Detailed clinical notes including vital signs, laboratory results, and treatment plans.
Newborns presenting with lethargy and poor feeding in the NICU, requiring sepsis workup.
Consideration of gestational age and birth weight, as these factors influence the risk of sepsis.
Comprehensive history and physical examination, including maternal history and delivery details.
Pediatric follow-up for a newborn discharged after treatment for sepsis.
Monitoring for long-term effects of sepsis and potential developmental delays.
Used when a newborn is evaluated for sepsis in the NICU.
Document the clinical findings and rationale for sepsis evaluation.
Neonatologists should ensure comprehensive documentation of the infant's condition.
Common causes include group B streptococcus, E. coli, and other bacterial infections. Early identification and treatment are crucial for improving outcomes.
