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The Performance of Direct Disk Diffusion for Community Acquired Bacteremia due to Gram-Negative Bacilli and Its Impact on Physician Treatment Decisions
المؤلفون المشاركون
Penney, Carla
Daley, Peter
Comerford, Adam
Umali, Jurgienne
المصدر
Canadian Journal of Infectious Diseases and Medical Microbiology
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-04-06
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Direct disk diffusion susceptibility testing provides faster results than standard microtitre susceptibility.
The direct result may impact patient outcome in sepsis if it is accurate and if physicians use the information to promptly and appropriately change antibiotic treatment.
Objective.
To compare the performance of direct disk diffusion with standard susceptibility and to consider physician decisions in response to these early results, for community acquired bacteremia with Gram-negative Bacilli.
Methods.
Retrospective observational study of all positive blood cultures with Gram-negative Bacilli, collected over one year.
Physician antibiotic treatment decisions were assessed by an infectious diseases physician based on information available to the physician at the time of the decision.
Results.
89 bottles growing Gram-negative Bacilli were included in the analysis.
Direct disk diffusion agreement with standard susceptibility varied widely.
In 47 cases (52.8%), the physician should have changed to a narrower spectrum but did not, in 18 cases (20.2%), the physician correctly narrowed from appropriate broad coverage, and in 8 cases (9.0%), the empiric therapy was correct.
Discussion.
Because inoculum is not standardized, direct susceptibility results do not agree with standard susceptibility results for all drugs.
Physicians do not act on direct susceptibility results.
Conclusion.
Direct susceptibility should be discontinued in clinical microbiology laboratories.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Daley, Peter& Comerford, Adam& Umali, Jurgienne& Penney, Carla. 2016. The Performance of Direct Disk Diffusion for Community Acquired Bacteremia due to Gram-Negative Bacilli and Its Impact on Physician Treatment Decisions. Canadian Journal of Infectious Diseases and Medical Microbiology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1099999
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Daley, Peter…[et al.]. The Performance of Direct Disk Diffusion for Community Acquired Bacteremia due to Gram-Negative Bacilli and Its Impact on Physician Treatment Decisions. Canadian Journal of Infectious Diseases and Medical Microbiology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1099999
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Daley, Peter& Comerford, Adam& Umali, Jurgienne& Penney, Carla. The Performance of Direct Disk Diffusion for Community Acquired Bacteremia due to Gram-Negative Bacilli and Its Impact on Physician Treatment Decisions. Canadian Journal of Infectious Diseases and Medical Microbiology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1099999
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1099999
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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