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Infection prevention in practice
Dec, 2024;6 (4): 100416.

Use of ICD-9-CM coding for identifying antibiotic prescriptions during hospitalization: a Delphi consensus model.

Agnese Comelli, Camilla Genovese, Giulia Renisi, Luigia Scudeller, Martina Zanforlini, Giulia Macaluso, Arianna Mazzone, Antonio Muscatello, Giorgio Bozzi, Alessia Zoncada, Angelo Pan, Marianna Rossi, Paolo Bonfanti, Stefania Chiappetta, Salvatore Casari, Marco Ripa, Antonella Castagna, Liana Signorini, Francesco Castelli, Margherita Chiamenti, Giulia Carla Marchetti, Barbara Castiglioni, Fabio Franzetti, Elena Graziano, Paolo Grossi, Paola Morelli, Michele Bartoletti, Chiara Molteni, Stefania Piconi, Marco Merli, Massimo Puoti, Davide Ricaboni, Luigi Pusterla, Chiara Cerri, Angelo Regazzetti, Laura Soavi, Marco Rizzi, Marco Franzetti, Stefano Rusconi, Erika Asperges, Raffaele Bruno, Monica Schiavini, Andrea Gori, Simone Schiatti, Alessandra Bandera
Author Information
  1. Agnese Comelli: Infectious Diseases Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  2. Camilla Genovese: Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
  3. Giulia Renisi: Infectious Diseases Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  4. Luigia Scudeller: Scientific Direction, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  5. Martina Zanforlini: Regional Company for Innovation and Purchasing Aria S.p.A., Milan, Italy.
  6. Giulia Macaluso: Regional Company for Innovation and Purchasing Aria S.p.A., Milan, Italy.
  7. Arianna Mazzone: Regional Company for Innovation and Purchasing Aria S.p.A., Milan, Italy.
  8. Antonio Muscatello: Infectious Diseases Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  9. Giorgio Bozzi: Infectious Diseases Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  10. Alessia Zoncada: Infectious Diseases, ASST di Cremona, Cremona, Italy.
  11. Angelo Pan: Infectious Diseases, ASST di Cremona, Cremona, Italy.
  12. Marianna Rossi: Infectious Diseases Unit, Foundation IRCCS San Gerardo dei Tintori, Monza, Italy.
  13. Paolo Bonfanti: Infectious Diseases Unit, Foundation IRCCS San Gerardo dei Tintori, Monza, Italy.
  14. Stefania Chiappetta: Infectious Diseases Unit, Carlo Poma Hospital, ASST Mantova, Mantua, Italy.
  15. Salvatore Casari: Infectious Diseases Unit, Carlo Poma Hospital, ASST Mantova, Mantua, Italy.
  16. Marco Ripa: Infectious Diseases Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  17. Antonella Castagna: Infectious Diseases Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  18. Liana Signorini: University Department of Infectious and Tropical Diseases, ASST Spedali Civili, Brescia, Italy.
  19. Francesco Castelli: University Department of Infectious and Tropical Diseases, ASST Spedali Civili, Brescia, Italy.
  20. Margherita Chiamenti: Department of Health Sciences, Clinic of Infectious Diseases, ASST Santi Paolo E Carlo, Milan, Italy.
  21. Giulia Carla Marchetti: Infectious Diseases Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  22. Barbara Castiglioni: Infectious Diseases Unit, ASST Valle Olona, Busto Arsizio Hospital, Busto Arsizio, Italy.
  23. Fabio Franzetti: Infectious Diseases Unit, ASST Valle Olona, Busto Arsizio Hospital, Busto Arsizio, Italy.
  24. Elena Graziano: University Department of Infectious and Tropical Diseases Unit, ASST Sette Laghi, Varese, Italy.
  25. Paolo Grossi: University Department of Infectious and Tropical Diseases Unit, ASST Sette Laghi, Varese, Italy.
  26. Paola Morelli: Infectious Disease Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.
  27. Michele Bartoletti: Infectious Disease Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.
  28. Chiara Molteni: Infectious Diseases Unit, Alessandro Manzoni Hospital, ASST Lecco, Lecco, Italy.
  29. Stefania Piconi: Infectious Diseases Unit, Alessandro Manzoni Hospital, ASST Lecco, Lecco, Italy.
  30. Marco Merli: Infectious Diseases, Hospital Niguarda, Milan, Italy.
  31. Massimo Puoti: Infectious Diseases, Hospital Niguarda, Milan, Italy.
  32. Davide Ricaboni: Division of Infectious Diseases, ASST Lariana, Como, Italy.
  33. Luigi Pusterla: Division of Infectious Diseases, ASST Lariana, Como, Italy.
  34. Chiara Cerri: UOC Di Malattie Infettive E Tropicali - Ospedale Delmati di Sant'Angelo Lodigiano, ASST Di Lodi, Lodi, Italy.
  35. Angelo Regazzetti: UOC Di Malattie Infettive E Tropicali - Ospedale Delmati di Sant'Angelo Lodigiano, ASST Di Lodi, Lodi, Italy.
  36. Laura Soavi: Infectious Diseases Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
  37. Marco Rizzi: Infectious Diseases Unit, ASST Papa Giovanni XXIII, Bergamo, Italy.
  38. Marco Franzetti: Infectious Diseases Unit, Ospedale Civile di Legnano, ASST Ovest Milanese, Legnano, Italy.
  39. Stefano Rusconi: Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
  40. Erika Asperges: Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  41. Raffaele Bruno: Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  42. Monica Schiavini: Department of Infectious Diseases, Unit II, L. Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.
  43. Andrea Gori: Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
  44. Simone Schiatti: Regional Company for Innovation and Purchasing Aria S.p.A., Milan, Italy.
  45. Alessandra Bandera: Infectious Diseases Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
PMID: 39691840 DOI: 10.1016/j.infpip.2024.100416

Abstract

A Delphi consensus-seeking procedure was conducted to validate a list of ICD-9-CM codes that could help identify hospital admissions in which antimicrobials are more likely to be prescribed. The panel agreed to include 2967 codes out of 16229 (18.28%). Such codes could support AMS strategies by large-scale monitoring of drug consumption.

Keywords

AMS Antimicrobial prescription ICD9-CM

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Journal Article

Word Cloud

Created with Highcharts 10.0.0codesDelphiICD-9-CMAMSconsensus-seekingprocedureconductedvalidatelisthelpidentifyhospitaladmissionsantimicrobialslikelyprescribedpanelagreedinclude2967162291828%supportstrategieslarge-scalemonitoringdrugconsumptionUsecodingidentifyingantibioticprescriptionshospitalization:consensusmodelAntimicrobialprescriptionICD9-CM

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