Volume 15, Number 5—May 2009
Dispatch
Evaluation of Surveillance Methods for Staphylococcal Toxic Shock Syndrome
Lindsey Lesher
, Aaron DeVries, Richard Danila, and Ruth Lynfield
, Aaron DeVries, Richard Danila, and Ruth Lynfield
Table 2
ICD-9 study codes used for staphylococcal toxic shock syndrome case ascertainment*
| Code | Associated diagnosis |
|---|---|
| Specific toxic shock syndrome code | |
| 040.89 or 040.82† |
Toxic shock syndrome |
| Nonspecific toxic shock syndrome codes | |
| 038.11 | Staphylococcus aureus septicemia |
| 038.19‡ | Other staphylococcal septicemia |
| 038.9 | Unspecified sepsis |
| 785.50 | Shock without mention of trauma |
| 785.59 or 785.52† | Sepsis |
*ICD-9, International Classification of Diseases, 9th Revision. †The code assigned to toxic shock syndrome changed from 040.89 to 040.82 on October 1, 2002, and the code assigned to sepsis changed from 785.59 to 785.52 on October 1, 2003. Although the codes changed, their associated diagnoses remained unchanged and are considered mutually exclusive. ‡Code eliminated after interim analysis of 627 medical records at 14 of 24 hospitals. Of 122 records receiving only this code, 40% had 0 case criteria, all had <3 criteria, and 88% had bacteremia with a staphylococcal species other than S. aureus.
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