血液培养诊断管理干预对使用率和抗菌药物管理的影响

Infection Control & Hospital Epidemiology Pub Date : 2023-12-13 DOI:10.1017/ice.2023.265

Melinda C. Wang, Kelvin J. Zhou, Sabra L. Shay, James P. Herlihy, Muhammad A. Siddique, Sergio Trevino Castillo, Todd M. Lasco, Miriam Barrett, Mayar Al Mohajer

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引用次数: 0

摘要

血液培养过度使用与成本增加和抗菌药物使用过量有关。我们在成人重症监护病房（ICU）实施了一项干预措施，将基于 DISTRIBUTE 算法的教育与对传染病和 ICU 提供者的限制相结合。我们的干预措施在不影响安全指标的情况下减少了血液培养的使用。

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The impact of a blood-culture diagnostic stewardship intervention on utilization rates and antimicrobial stewardship

Blood-culture overutilization is associated with increased cost and excessive antimicrobial use. We implemented an intervention in the adult intensive care unit (ICU), combining education based on the DISTRIBUTE algorithm and restriction to infectious diseases and ICU providers. Our intervention led to reduced blood-culture utilization without affecting safety metrics.

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Infection Control & Hospital Epidemiology

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