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减少不必要尿液培养的临床决策支持菜单

Clinical decision support menu for reducing unnecessary urine cultures.

作者信息

Stensgard Erik, Masoud Bobbie, Gravely Amy, Drekonja Dimitri

机构信息

Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA.

University of Minnesota Medical School, Minneapolis, MN, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2024 May 27;4(1):e91. doi: 10.1017/ash.2024.47. eCollection 2024.

DOI:10.1017/ash.2024.47
PMID:38807934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11131005/
Abstract

A clinical decision support menu requiring selection of urine culture (UC) indication within outpatient and inpatient settings of a large integrated health care system significantly reduced UC sample collection. Clear documentation of selected UC indication in most post-intervention cases affirms its potential as an effective diagnostic stewardship strategy.

摘要

在一个大型综合医疗系统的门诊和住院环境中，一个需要选择尿培养（UC）指征的临床决策支持菜单显著减少了UC样本采集。在大多数干预后病例中，所选UC指征的清晰记录证实了其作为一种有效诊断管理策略的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6653/11131005/89d76365015e/S2732494X24000470_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6653/11131005/d12a28036d00/S2732494X24000470_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6653/11131005/89d76365015e/S2732494X24000470_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6653/11131005/d12a28036d00/S2732494X24000470_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6653/11131005/89d76365015e/S2732494X24000470_fig2.jpg

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本文引用的文献

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Perceptions of an automated benchmarking dashboard for antimicrobial stewardship programs among antimicrobial stewards within the veterans' health administration: a multicenter qualitative study.退伍军人健康管理局内抗菌药物管理项目的抗菌药物管理者对自动化基准仪表盘的认知：一项多中心定性研究
Antimicrob Steward Healthc Epidemiol. 2023 Jul 10;3(1):e118. doi: 10.1017/ash.2023.203. eCollection 2023.
2
Choosing wisely initiative for reducing urine cultures for asymptomatic bacteriuria and catheter-associated asymptomatic bacteriuria in an 11-hospital safety net system.在一个拥有11家医院的安全网系统中，开展明智选择行动以减少无症状菌尿和导尿管相关无症状菌尿的尿培养检查。
Am J Infect Control. 2023 Apr;51(4):461-465. doi: 10.1016/j.ajic.2023.01.005. Epub 2023 Mar 2.
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Principles of diagnostic stewardship: A practical guide from the Society for Healthcare Epidemiology of America Diagnostic Stewardship Task Force.诊断管理原则：美国医疗保健流行病学学会诊断管理工作组实用指南。
Infect Control Hosp Epidemiol. 2023 Feb;44(2):178-185. doi: 10.1017/ice.2023.5.
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Can Electronic Clinical Decision Support Systems Improve the Diagnosis of Urinary Tract Infections? A Systematic Review and Meta-Analysis.电子临床决策支持系统能否改善尿路感染的诊断？一项系统评价与Meta分析
Open Forum Infect Dis. 2022 Dec 28;10(1):ofac691. doi: 10.1093/ofid/ofac691. eCollection 2023 Jan.
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Analysis of an Antibiotic Stewardship Program for Asymptomatic Bacteriuria in the Veterans Affairs Health Care System.退伍军人事务部医疗保健系统无症状菌尿抗生素管理计划分析。
JAMA Netw Open. 2022 Jul 1;5(7):e2222530. doi: 10.1001/jamanetworkopen.2022.22530.
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Development and implementation of a clinical decision support tool for treatment of uncomplicated urinary tract infections in a family medicine resident clinic.开发和实施一种临床决策支持工具，用于在家庭医学住院医师诊所治疗非复杂性尿路感染。
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Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America.临床实践指南：无症状细菌尿管理 2019 年美国传染病学会更新版。
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