Antibiotic Indications
Top Clinical Syndromes (Last 7 Days)
No reviewed syndromes in the last 7 days
0
Pending Review
38
Reviewed
About This Module
The Antibiotic Indications module provides automated classification of antibiotic indication appropriateness using ICD-10 based assessment following the Chua et al. methodology with pediatric inpatient modifications.
Classification Categories
| Category | Code | Meaning |
|---|---|---|
| Always | A | Antibiotic indicated - documented bacterial infection |
| Sometimes | S | May need antibiotics - clinical judgment required |
| Never | N | No antibiotic indication - likely inappropriate |
| Prophylaxis | P | Surgical or medical prophylaxis indication |
| Febrile Neutropenia | FN | Neutropenia + fever - empiric therapy indicated |
Three-Layer Appropriateness Model
Layer 1: Indication
Is there ANY indication for antibiotics?
ImplementedLayer 2: Agent
Is THIS antibiotic appropriate for the indication?
Phase 2Layer 3: Duration
Is the DURATION appropriate?
Phase 3Special Logic
- Febrile Neutropenia: Automatically detected when neutropenia code (D70.x) + fever
- Surgical Prophylaxis: Validated against 55+ CPT codes with agent/duration recommendations
- Pediatric Modifications: Inpatient-specific overrides (e.g., bacteremia R78.81: N → A)