社区教学医院中不通过主动管理团队通知实施革兰氏阳性血培养快速诊断检测。
Implementation of Rapid Diagnostic Testing without Active Stewardship Team Notification for Gram-Positive Blood Cultures in a Community Teaching Hospital.
机构信息
Department of Pharmacy Services, Mercy Health Saint Mary's, Grand Rapids, Michigan, USA
Department of Pharmacy Services, Mercy Health Saint Mary's, Grand Rapids, Michigan, USA.
出版信息
Antimicrob Agents Chemother. 2018 Oct 24;62(11). doi: 10.1128/AAC.01334-18. Print 2018 Nov.
Abstract
In community hospitals, antimicrobial stewardship team notification of rapid diagnostic testing (RDT) results may not be feasible. A retrospective quasi-experimental study was conducted evaluating 252 adult inpatients with blood cultures positive for Gram-positive cocci in clusters (pre-RDT, = 143; post-RDT, = 109). The median time to appropriate therapy was significantly shorter in the post-RDT group (15 versus 0 h, < 0.001), and the mean length of stay for patients with coagulase-negative staphylococcus was significantly shorter (10.5 versus 7.7 days; = 0.015).
摘要
在社区医院，抗菌药物管理团队可能无法获知快速诊断检测（RDT）的结果。本回顾性准实验研究纳入了 252 例血培养阳性的成人住院患者，革兰阳性球菌呈簇状生长（RDT 前，n=143；RDT 后，n=109）。RDT 后组患者获得恰当治疗的中位时间显著缩短（15 小时 vs. 0 小时，<0.001），凝固酶阴性葡萄球菌患者的平均住院时间也显著缩短（10.5 天 vs. 7.7 天；=0.015）。
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