Cunha B A, Gurevich I, Tafuro P
Hosp Physician. 1986 Nov;22(11):19-21.
A significant number of bacterial cultures are ordered by health care professionals each day, yet the actual utilization of culture results, either for determining specific diagnoses or for targeting antimicrobial therapy, is much lower than would be anticipated. A multifactorial study was conducted to determine the rate of "appropriate" usage of culture results in a community teaching hospital. The effect of several variables on culture utilization was analyzed, including: initiator of the request for culture (physician or nurse); hospital service requesting the culture; and culture site. Utilization of results differed considerably within all three variables, yet the general conclusion could be drawn that cost-effectiveness would be significantly improved if hospital personnel gave careful consideration to the need for microbiologic cultures before they request them.
医疗保健专业人员每天都会开出大量的细菌培养检查单，但无论是用于确定具体诊断还是指导抗菌治疗，培养结果的实际利用率都远低于预期。开展了一项多因素研究，以确定社区教学医院中培养结果的“合理”使用率。分析了几个变量对培养检查单使用情况的影响，包括：培养检查单的申请发起者（医生或护士）；申请培养检查的医院科室；以及培养部位。在所有这三个变量中，结果的利用率差异很大，但可以得出一个总体结论：如果医院工作人员在申请微生物培养检查之前仔细考虑其必要性，成本效益将得到显著提高。
