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OFFERING INFORMATION ON HIV/AIDS TREATMENT, PREVENTION, AND RESEARCH

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Last Reviewed: June 14, 2018

What is an opportunistic infection (OI)?

Opportunistic infections (OIs) are infections that occur more often or are more severe in people with weakened immune systems than in people with healthy immune systems. People with weakened immune systems include people living with HIV or people receiving chemotherapy.

OIs are caused by a variety of germs (viruses, bacteria, fungi, and parasites). OI-causing germs can spread in the air; in saliva, semen, blood, urine, or feces (poop); or in contaminated food and water. Here are examples of common HIV-related OIs:

Why do people with HIV get OIs?

Once a person is infected with HIV, the virus begins to multiply and to damage the immune system. A weakened immune system makes it harder for the body to fight off HIV-related OIs.

HIV medicines prevent HIV from damaging the immune system. But if a person with HIV does not take HIV medicines, HIV infection can gradually destroy the immune system and advance to . Many OIs, for example, certain forms of pneumonia and tuberculosis (TB) , are considered AIDS-defining conditions . AIDS-defining conditions are infections and cancers that are life-threatening in people with HIV.

Are OIs common in people with HIV?

Before HIV medicines were available to treat HIV infection, OIs were the main cause of illness and death in people with HIV. HIV medicines are now widely used in the United States so fewer people with HIV get OIs. By preventing HIV from damaging the immune system, HIV medicines reduce the risk of OIs.

However, OIs are still a problem for many people with HIV. Some people with HIV get OIs for the following reasons:

What can people with HIV do to prevent getting an OI?

For people with HIV, the best protection against OIs is to take HIV medicines every day.

People living with HIV can also take the following steps to reduce their risk of getting an OI.

Avoid contact with the germs that can cause OIs. The germs that can cause OIs can spread in the feces of people and animals. To prevent OIs, don’t touch animal feces. Wash your hands with warm, soapy water after touching anything soiled with human feces, for example, a dirty diaper.

Avoid contact with the germs that can cause OIs.

Today, we’re excited to share a preview release of Hubs by Mozilla , a new way to get together online within Mixed Reality, right in your browser. Hubs is the first experiment we’re releasing as part of our Social Mixed Reality efforts , and we think it showcases the potential for the web to become the best, most accessible platform to bring people together around the world in this new medium.

What we're releasing

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we are releasing today is a very early version that allows you to easily create web-based rooms to meet with others within Mixed Reality. Create a room with a single click, and then just share the link with someone. It’s that simple.

When they open the link on their phone or PC, they’ll join you in the room as an avatar.

If they have a VR headset, they can enter the room in Mixed Reality. All with no app downloads, walled gardens, or content gatekeepers, and on any device you wish — and most importantly, through source software that respects your privacy and is built on web standards. We'll be sharing a dedicated post with more details about our approach to ensuring privacy in Mixed Reality soon.

When using a Mixed Reality headset with Hubs, you’ll be able to interact online in a whole new way. Instead of through a screen, you will be spending time together in what feels like a real place. You can make eye contact, high five, laugh together, or just explore. It’s up to you, and it all happens right in your browser just like any other website.

We’ve included support for all VR devices available today, and will support the all-in-one devices coming out this year. We also have an Get Authentic Original Logo Socks In White Melange White HUF Cheap Sale Choice Cheap For Cheap JYK04o
, which will bring support for AR to Hubs. And even if you don’t have a headset yet, you can still join in on your PC or phone.

As part of this preview release, we’re including a set of robot-styled avatars and a number of scenes you can choose from when you create your room. Each of these is optimized to be able to run well on a variety of devices, from high end PCs to mobile phones. When in the room, you can see one another, move around, and pick up and throw virtual objects. And of course, you can hear each other’s voices with fully spatialized audio, so it sounds like you are in a real place.

We hope that you’ll try using this preview of Hubs to spend time with far away friends and family, or introduce it to your communities as a new way to get together. We’ve been extremely encouraged by the progress we’ve made so far, but we’re just getting started. If you’d like to be informed of improvements we make to Hubs, please join our mailing list .

What's coming next

There are a number of efforts already underway to extend what you can do with Hubs, and we will be rolling out new releases on a regular basis. Here are some of the things we are working on:

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, we think creating your first virtual space to spend time in should be as easy as creating your first website. We’ve already shown off some early work towards a space construction kit to reducing the barrier to creating virtual spaces. Needless to say, spaces created with this kit will be designed to work well with Hubs, so that you can quickly share a link to have others meet you there. You will also be free to use your own fully custom scenes with Hubs.

The severity of bronchopneumonia can range from mild to severe, and the prognosis is basically determined according to the severity of the underlying disease.

In order to properly code for pneumonia, the coder needs to review the provider’s documentation for the type of pneumonia and its causative organism. It is up to the physician to specifically state the relationship between the pneumonia and the cause.

If the causative organism is not documented, the coder must use the ‘unspecified’ code. Furthermore, if the documentation is unclear, ambiguous, or inconclusive, the coder should consult with the physician.

In ICD-10, pneumonia code categories can be found in Chapter 10., Diseases of the Respiratory System (J00-J99), and specifically in J09-J18 Influenza and pneumonia. There are several code categories and combination codes for pneumonia. If an underlying condition caused the pneumonia, the documentation should also indicate that.

When assigning the ICD-10 code, the coder needs to apply all coding guidelines.

Documentation states:

Note: Pneumococcal pneumonia is also known as Streptococcus pneumoniae is also known as Pneumococcal pneumonia.

When the documentation states acute right lower lobe pneumonia or pneumonia in the right lower lobe, the coder cannot assume it is lobar pneumonia. They are not the same. Lobar pneumonia is a specific diagnosis, whereas pneumonia in the right lower lobe refers to the location of the pneumonia.

Likewise, if the diagnosis provided is pneumonia and there is no further detail provided, J18.9 should be assigned.

As stated previously, lobular pneumonia is also referred to as bronchopneumonia and is different from lobar pneumonia.

Be sure to read all the notes that correspond with each code, such as “Code First: associated influenza, if applicable (J09.X1, J10.0-, J11.0-),” “Code Also: associated abscess, if applicable (J85.1,),” “Excludes1” and “Excludes2,” and “Use additional” regarding tobacco use.

Pneumonia is a serious and potentially fatal condition. Therefore, the coder must assign the specific ICD-10 code that reflects the severity, acuity and risk of mortality. In addition, the coder must understand the different types of pneumonia, such as lobar pneumonia and bronchopneumonia. Finally, the coder needs to be able to apply the coding guidelines and select the appropriate code based on what is documented, such as Pneumonia due to Streptococcus pneumoniae or Pneumococcal pneumonia.

Debbie Jones is an administrative specialist for CCO, who has a passion for writing about medical coding and healthcare. She is the writer behind Medical Coding Buff , a new blog about medical coding.

References:

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