Table 2 Guide for Classifying Appropriate Antibiotic Prescription: using ICD-10 codes to classify appropriate diagnosis of disease according to the symptoms and signs presented in the patients in the sample
ICD-10 code | Criteria for Appropriate Antibiotic Prescription |
|---|---|
H65 Nonsuppurative otitis media H66 Suppurative and nonspecified otitis media | H65 must meet both conditions: presence of Acute Bilateral Otitis media AND age < 2 H65 or H66 with presence of otorrhea |
J01 Acute sinusitis | Must meet all conditions: Fever of >38C°, purulent discharge and facial pain |
JO2 Acute pharyngitis JO3 Acute tonsillitis | Must meet 3 of the following CENTOR criteria: Presence of tonsilar exudate Presence of painful anterior cervical lymphadenopathy or lymphadenitis Fever (> 38°) Absence of cough |
JOO Acute nasopharyngitis [common cold] JO1 Acute sinusitis JO2 Acute pharyngitis JO3 Acute tonsillitis JO4 Acute laryngitis and tracheitis JO5 Acute obstructive laryngitis [croup] and epiglotitis JO6 Acute upper respiratory infections of multiple and unspecified sites J10 Influenza due to other identified influenza virus J11 Influenza due to unidentified influenza virus | Must meet any of the following criteria: Presence of one or more of the following comorbidities: Cardiac, Pulmonary, Renal, Hepatic, Neuromuscular, Immunosuppression, Cystic Fibrosis, Diabetes Mellitus. - OR Age < 2 years old AND history of prematurity OR Age > 65 years old AND presence of cough AND two or more of the following: ▪ Hospitalized in 2014 ▪ Diabetes mellitus ▪ History of cardiac arrest ▪ Current use of corticosteroids OR Age > 80 years old AND presence of cough AND one or more of the following: ▪ Hospitalized in 2014 ▪ Diabetes mellitus ▪ History of cardiac arrest ▪ Current use of corticosteroids |