Sepsis of newborn due to Escherichia coli
ICD-10 P36.4 is a billable code used to indicate a diagnosis of sepsis of newborn due to escherichia coli.
Sepsis in newborns due to Escherichia coli (E. coli) is a serious condition characterized by a systemic inflammatory response to infection. E. coli is a common pathogen responsible for early-onset sepsis, particularly in preterm infants and those with low birth weight. The infection can occur during labor and delivery, often transmitted from the mother’s genitourinary tract. Clinical manifestations may include temperature instability, lethargy, poor feeding, respiratory distress, and hypotension. Diagnosis is typically confirmed through blood cultures and clinical evaluation. Early recognition and prompt treatment with appropriate antibiotics are critical to improving outcomes. The management of E. coli sepsis may also involve supportive care in a neonatal intensive care unit (NICU), including fluid resuscitation and monitoring for complications such as organ dysfunction. Understanding the risk factors, clinical presentation, and treatment protocols is essential for healthcare providers involved in neonatal care.
Detailed documentation of clinical signs, laboratory results, and treatment protocols is essential. Include maternal history and any risk factors for infection.
Common scenarios include a preterm infant presenting with lethargy and temperature instability shortly after birth, requiring immediate evaluation for sepsis.
Consider the need for multidisciplinary collaboration in managing sepsis, including infectious disease specialists and neonatologists.
Documentation should include a thorough history and physical examination, with emphasis on the infant's response to treatment and any complications.
Pediatric scenarios may involve follow-up care for a newborn discharged after treatment for E. coli sepsis, monitoring for developmental milestones.
Pediatric coders should be aware of the long-term implications of neonatal sepsis on growth and development.
Used when a newborn with E. coli sepsis requires intensive monitoring and management in the NICU.
Document the time spent in critical care and the complexity of medical decision-making.
Neonatologists should ensure that all critical care services are well-documented to support billing.
Common signs include temperature instability, lethargy, poor feeding, respiratory distress, and hypotension. Early recognition is crucial for effective management.
