diagnosing urosepsis

[monet]

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How do you diagnose urosepsis?
Where is the best place to find this information?

 

[VentdependenT]

Elderly patient with clinical signs of shock and the almighty mental status change.

Should be in any major clinical textbook. I always go with the Current series. Marino is fantastic as well.

 

[Idiopathic]

How about positive leukocytes in the urine combined with clinicial signs of infection + Gram (-) rod cultured from the blood.

 

[Seaglass]

That would be uro-bacteremia. To truly diagnose urosepsis you need to have . . . sepsis. That said, "urosepsis" is one of the most misapplied diagnoses I have ever encountered. I also believe that it cannot be coded for with an ICD-9 code, instead they code for pyelo or UTI and sepsis.