电子临床决策支持系统指导急诊科血培养管理：应对全国血培养介质短缺。

IF 3 4区医学 Q2 INFECTIOUS DISEASES

Infection Control and Hospital Epidemiology Pub Date : 2025-05-16 DOI:10.1017/ice.2025.83

Kullaya Takkavatakarn, Gopi Patel, Wonsuk Oh, Melissa Gitman, Michael Nowak, Brendan Connell, Jonathan Nover, Lili Chan, Girish Nadkarni, Roopa Kohli-Seth, Nicholas Gavin, Bernard Camins, Ankit Sakhuja

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引用次数: 0

摘要

在全国培养瓶短缺期间，cdss指导下的6个急诊科的管理与每1000次急诊科就诊的每日血培养利用率中位数显著降低相关，从141.5 （IQR:127.6-155.3）降至77.9 (IQR:68.3-86.3)，并将诊断率从6.2%（IQR:4.7%-7.6%）提高到8.8%(IQR:6.1%-11.5%)，而不影响住院时间或死亡率。

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Electronic clinical decision support system guided blood culture stewardship in emergency departments: response to the national blood culture media shortage.

CDSS-guided stewardship in six EDs during national culture bottles shortage was associated with significant reduction in median daily blood culture utilization per 1,000 ED visits from 141.5 (IQR:127.6-155.3) to 77.9 (IQR:68.3-86.3) and increased diagnostic yield from 6.2%(IQR:4.7%-7.6%) to 8.8%(IQR:6.1%-11.5%), without impacting length of stay or mortality.

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来源期刊

Infection Control and Hospital Epidemiology 医学-传染病学

CiteScore

6.40

自引率

6.70%

发文量

289

审稿时长

3-8 weeks

期刊介绍： Infection Control and Hospital Epidemiology provides original, peer-reviewed scientific articles for anyone involved with an infection control or epidemiology program in a hospital or healthcare facility. Written by infection control practitioners and epidemiologists and guided by an editorial board composed of the nation''s leaders in the field, ICHE provides a critical forum for this vital information.