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Gram Negative Bacteremia | Classification for Severity of Underlying Illness

Purpose: To classify the underlying disease in a patient with gram-negative bacteremia using the scheme of McCabe and Jackson.

Description

McCabe and Jackson used a simple classification for underlying disease in patients with gram-negative bacteremia. This is a relatively crude method for stratifying patients with bacteremia. The authors are from the University of Illinois College of Medicine.


 

Underlying Condition

Example

Classification

fulminant

acute leukemia in blastic phase, rapidly progressive disease

rapidly fatal

irreversible with death expected within the next 4 years despite optimum therapy

metastatic carcinoma, malignant lymphoma, chronic renal failure without transplant)

ultimately fatal

chronic or acute reversible; death not expected within the next 4 years

diabetes, obstetrical condition, gastrointestinal disorder, genitourinary disorder

nonfatal

 

where:

• The is no classification for "none" (no underlying condition).

• I am not sure if advanced old age would be considered an ultimately fatal condition.

• A person could have a mixed classification with disorders in more than 1 of the classifications.

 


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Specialty

Objective

ICD-10