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胃肠道聚合酶链反应检测板对成年住院患者抗生素使用的影响

Impact of gastrointestinal polymerase chain reaction panels on antibiotic utilization in hospitalized adult patients.

作者信息

Kelly Gillean A, Iordanov Roumen, Franklin Alex, Ahmed Amna, Srinivasan Krithika, Hayon Jesica, Lasco Todd, Amini Rosie, Shay Sabra, Kulkarni Prathit A, Al Mohajer Mayar

机构信息

Baylor College of Medicine, School of Medicine, Houston, Texas.

University of Texas Health Science Center at Houston, School of Public Health, Houston, Texas.

出版信息

Antimicrob Steward Healthc Epidemiol. 2023 Aug 2;3(1):e135. doi: 10.1017/ash.2023.174. eCollection 2023.

DOI:10.1017/ash.2023.174
PMID:37592964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10428147/
Abstract

Multiplex stool polymerase chain reaction (PCR) panels offer rapid comprehensive testing for patients with infectious diarrhea. We compared antibiotic utilization among hospitalized patients with suspected infectious diarrhea who underwent diagnostic testing with either a stool culture or stool PCR panel. No significant differences in antibiotic utilization were identified.

摘要

多重粪便聚合酶链反应（PCR）检测板可为感染性腹泻患者提供快速全面的检测。我们比较了接受粪便培养或粪便PCR检测板诊断检测的疑似感染性腹泻住院患者的抗生素使用情况。未发现抗生素使用存在显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21d0/10428147/c6195875c3ca/S2732494X23001742_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21d0/10428147/c6195875c3ca/S2732494X23001742_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21d0/10428147/c6195875c3ca/S2732494X23001742_fig1.jpg

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本文引用的文献

1
A randomized control trial of a multiplex gastrointestinal PCR panel versus usual testing to assess antibiotics use for patients with infectious diarrhea in the emergency department.一项关于多重胃肠道聚合酶链反应检测组合与常规检测对比的随机对照试验，以评估急诊科感染性腹泻患者的抗生素使用情况。
J Am Coll Emerg Physicians Open. 2022 Jan 15;3(1):e12616. doi: 10.1002/emp2.12616. eCollection 2022 Feb.
2
Impact of Gastrointestinal Panel Implementation on Health Care Utilization and Outcomes.胃肠道panel 实施对医疗保健利用和结果的影响。
J Clin Microbiol. 2019 Feb 27;57(3). doi: 10.1128/JCM.01775-18. Print 2019 Mar.
3
Metrics for quantifying antibiotic use in the hospital setting: results from a systematic review and international multidisciplinary consensus procedure.
量化医院环境中抗生素使用的指标：系统评价和国际多学科共识程序的结果。
J Antimicrob Chemother. 2018 Jun 1;73(suppl_6):vi50-vi58. doi: 10.1093/jac/dky118.
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Diagnostic yield of stool culture and predictive factors for positive culture in patients with diarrheal illness.腹泻病患者粪便培养的诊断率及培养阳性的预测因素。
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ACG Clinical Guideline: Diagnosis, Treatment, and Prevention of Acute Diarrheal Infections in Adults.ACG 临床指南：成人急性腹泻感染的诊断、治疗和预防。
Am J Gastroenterol. 2016 May;111(5):602-22. doi: 10.1038/ajg.2016.126. Epub 2016 Apr 12.
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Multiplex polymerase chain reaction tests for detection of pathogens associated with gastroenteritis.用于检测与肠胃炎相关病原体的多重聚合酶链反应检测
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Comparison of the EntericBio multiplex PCR system with routine culture for detection of bacterial enteric pathogens.比较 EntericBio 多重 PCR 系统与常规培养检测肠道细菌病原体的效果。
J Clin Microbiol. 2009 Nov;47(11):3449-53. doi: 10.1128/JCM.01026-09. Epub 2009 Sep 2.
8
Limited value of routine stool cultures in patients receiving antibiotic therapy.抗生素治疗患者常规粪便培养的价值有限。
Am J Clin Pathol. 2005 Jan;123(1):92-5. doi: 10.1309/eqp21kembb6ehg9b.