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ICD Hub / Certain infectious or parasitic diseases (A00–B99) / 1A03.0 - Enteropathogenic Escherichia coli infection
ICD-11

ICD-11 Codes
for 1A03.0 - Enteropathogenic Escherichia coli infection
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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What Causes Enteropathogenic E. coli Infections?

Enteropathogenic Escherichia coli (EPEC) infections are caused by specific pathogenic strains of the E. coli bacterium. Transmission typically occurs through the faecal-oral route, often via contaminated food or water, or contact with contaminated surfaces (fomites). Young children, especially those under two years of age, are particularly susceptible to EPEC infections. While less common, adults can also contract the infection, especially in environments with poor sanitation or through direct contact with infected individuals or contaminated sources.

Recognising the Signs of EPEC Infection

The presentation of enteropathogenic E. coli infection can vary, but common symptoms include acute, watery diarrhoea, often profuse. Other signs may include nausea, vomiting, abdominal pain, and a low-grade fever. In children, fever and vomiting can be more prevalent, while adults might experience more pronounced abdominal discomfort and a longer duration of diarrhoea. The severity can range from mild, self-limiting episodes to more severe cases with frequent bowel movements or persistent diarrhoea.

How Enteropathogenic E. coli Infection is Diagnosed

Confirming a diagnosis of enteropathogenic E. coli infection usually involves laboratory testing. The primary method is the identification of EPEC in a faecal sample. Advanced diagnostic tools, such as multiplex PCR assays, are increasingly used to detect EPEC and other enteric pathogens in stool specimens. Despite these advancements, the condition can sometimes be underdiagnosed in adults due to a lack of specific testing or recognition of its clinical significance.

Understanding Enteropathogenic Escherichia coli Infection (ICD-11 Code 1A03.0)

Enteropathogenic Escherichia coli infection, identified by ICD-11 code 1A03.0, is a gastrointestinal illness caused by specific strains of the gram-negative bacterium Escherichia coli (E. coli). This condition primarily affects the digestive system and is a significant cause of diarrheal disease, particularly in infants and young children in developing regions. While often associated with childhood illness, it can also affect adults, though it may be underreported in developed countries due to diagnostic challenges. The infection is characterised by inflammation of the intestines, leading to various symptoms.

Treatment Considerations for EPEC Infections

Management of enteropathogenic E. coli infection typically focuses on supportive care, especially for mild to moderate cases which are often self-limiting. Oral rehydration therapy is crucial to prevent or treat dehydration caused by diarrhoea. Antibiotic treatment is generally reserved for more severe or persistent cases, or in specific patient populations such as those who are immunocompromised or have prolonged symptoms. Common antibiotics that may be prescribed include ciprofloxacin, azithromycin, or levofloxacin. Clinicians consider factors like symptom severity, duration, co-morbidities, and the potential for antibiotic resistance when determining the most appropriate treatment plan.

ICD-11 Coding for Enteropathogenic E. coli Infection

The official ICD-11 code for Enteropathogenic Escherichia coli infection is 1A03.0. This code is used for accurate medical record documentation, billing, and epidemiological tracking. Common synonyms and related terms include EPEC infection, enteritis due to enteropathogenic E. coli, and colitis due to enteropathogenic E. coli. This specific code falls under the broader category of 1A03 Intestinal infections due to Escherichia coli. Accurate coding ensures proper reporting and facilitates health management.

Frequently asked questions

What is the ICD-11 classification meaning of 1A03.0?
1A03.0 is classified as 'Enteropathogenic Escherichia coli infection' under the broader category of 'Intestinal infections due to Escherichia coli'.
How does ICD-11 distinguish 1A03.0 from other Escherichia coli intestinal infections?
ICD-11 distinguishes 1A03.0 by identifying the specific 'enteropathogenic' strain of Escherichia coli, differentiating it from other specified strains like enterotoxigenic (1A03.1) or enteroinvasive (1A03.2) infections.
When should code 1A03.0 be used for documentation purposes in ICD-11?
Code 1A03.0 should be used when the medical documentation specifies an intestinal infection caused by the enteropathogenic strain of Escherichia coli.
Can additional details be added to the coding of 1A03.0 in ICD-11?
Yes, post-coordination in ICD-11 allows for the addition of details such as antibiotic resistance associated with the enteropathogenic Escherichia coli.
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