Low Sensitivity of International Classification of Diseases, Tenth Revision Coding for Culture-Confirmed Candidemia Cases in an Active Surveillance System: United States, 2019-2020

Kaitlin Benedict; Jeremy A W Gold; Emily N Jenkins; Jeremy Roland; Devra Barter; Christopher A Czaja; Helen Johnston; Paula Clogher; Monica M Farley; Andrew Revis; Lee H Harrison; Laura Tourdot; Sarah Shrum Davis; Erin C Phipps; Christina B Felsen; Brenda L Tesini; Gabriela Escutia; Rebecca Pierce; Alexia Zhang; William Schaffner; Meghan Lyman

doi:10.1093/ofid/ofac461

Low Sensitivity of International Classification of Diseases, Tenth Revision Coding for Culture-Confirmed Candidemia Cases in an Active Surveillance System: United States, 2019-2020

Open Forum Infect Dis. 2022 Sep 7;9(9):ofac461. doi: 10.1093/ofid/ofac461. eCollection 2022 Sep.

Authors

Kaitlin Benedict¹, Jeremy A W Gold¹, Emily N Jenkins^{1

2}, Jeremy Roland³, Devra Barter⁴, Christopher A Czaja⁴, Helen Johnston⁴, Paula Clogher⁵, Monica M Farley^{6

7}, Andrew Revis^{7

8

9}, Lee H Harrison¹⁰, Laura Tourdot¹¹, Sarah Shrum Davis¹², Erin C Phipps^{12

13}, Christina B Felsen¹⁴, Brenda L Tesini¹⁴, Gabriela Escutia¹⁵, Rebecca Pierce¹⁵, Alexia Zhang¹⁵, William Schaffner¹⁶, Meghan Lyman¹

Affiliations

¹ Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
² ASRT, Inc., Atlanta, Georgia, USA.
³ California Emerging Infections Program, Oakland, California, USA.
⁴ Colorado Department of Public Health and Environment, Denver, Colorado, USA.
⁵ Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, Connecticut, USA.
⁶ Emory University School of Medicine, Atlanta, Georgia, USA.
⁷ Atlanta VA Medical Center, Atlanta, Georgia, USA.
⁸ Georgia Emerging Infections Program, Atlanta, Georgia, USA.
⁹ Foundation for Atlanta Veterans Education and Research, Atlanta, Georgia, USA.
¹⁰ Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
¹¹ Minnesota Department of Health, St. Paul, Minnesota, USA.
¹² New Mexico Emerging Infections Program, Albuquerque, New Mexico, USA.
¹³ University of New Mexico, Albuquerque, New Mexico, USA.
¹⁴ University of Rochester School of Medicine, Rochester, New York, USA.
¹⁵ Public Health Division, Oregon Health Authority, Portland, Oregon, USA.
¹⁶ Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Abstract

We evaluated healthcare facility use of International Classification of Diseases, Tenth Revision (ICD-10) codes for culture-confirmed candidemia cases detected by active public health surveillance during 2019-2020. Most cases (56%) did not receive a candidiasis code, suggesting that studies relying on ICD-10 codes likely underestimate disease burden.

Keywords: candidemia; candidiasis; international classification of diseases; public health surveillance; sepsis.

Published by Oxford University Press on behalf of Infectious Diseases Society of America 2022.