Omphalitis without hemorrhage
ICD-10 P38.9 is a billable code used to indicate a diagnosis of omphalitis without hemorrhage.
Omphalitis is an infection of the umbilical stump that can occur in newborns, typically within the first week of life. It is characterized by inflammation and infection of the umbilical cord and surrounding tissue. The condition can arise due to poor hygiene practices during cord care, leading to bacterial colonization and subsequent infection. Symptoms may include redness, swelling, and discharge from the umbilical area, and in severe cases, systemic signs of infection such as fever or lethargy may develop. Omphalitis can lead to serious complications if not treated promptly, including sepsis, which can be life-threatening. Management typically involves appropriate antibiotic therapy and meticulous care of the umbilical stump to prevent further infection. Early recognition and treatment are crucial to prevent complications and ensure the health of the newborn.
Detailed notes on the clinical presentation, treatment plan, and response to therapy.
Neonates presenting with umbilical redness and discharge in the NICU.
Consider the need for cultures if systemic infection is suspected.
Thorough history and physical examination findings related to umbilical cord care.
Outpatient follow-up for a newborn with a history of omphalitis.
Monitor for long-term effects or complications from the infection.
Used when a newborn with omphalitis requires critical care due to systemic infection.
Document the critical nature of the condition and interventions performed.
Neonatologists should ensure all critical care elements are documented.
Common signs include redness, swelling, and discharge from the umbilical stump, along with possible systemic symptoms like fever or lethargy.
