Development and Validation of a Decision-Making Stratification Algorithm to Optimize the Use of Rapid Diagnostic Testing for Patients with Staphylococcus Bacteremia

المؤلفون المشاركون

Alhifany, Abdullah
Almangour, Thamer A.
Tabb, Deanne E.

المصدر

Canadian Journal of Infectious Diseases and Medical Microbiology

العدد

المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-5، 5ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2017-05-30

دولة النشر

مصر

عدد الصفحات

5

التخصصات الرئيسية

الأحياء

الملخص EN

Purpose.

To evaluate whether introducing rapid diagnostic testing in conjunction with implementing a stratification algorithm for testing eligibility would be an appropriate clinical and cost saving approach.

Method.

An internal concurrent 4-month observational study was performed.

Positive blood cultures continued to be worked up in accordance with standard of care.

An additional call to the infectious disease (ID) pharmacy service occurred for all positive blood cultures with Gram-positive cocci in clusters (GPCC).

The ID pharmacy service investigated each case using a prespecified stratification algorithm to minimize unnecessary use of rapid identification testing.

Results.

43 patients with GPCC were screened.

Only nine patients met inclusion criteria for QuickFISH™ testing.

The average expected time avoided to optimize antibiotic therapy is 35±16 hours.

If the QuickFISH test had been indiscriminately implemented for all cases, the cost for performing this test would have been $5,590.

However, using the prespecified algorithm, only 9 patients were tested for a projected cost of $1,170.

Conclusion.

Introducing rapid diagnostic testing in conjunction with implementing patient stratification algorithm for rapid identification of GPCC from blood cultures in addition to the ID pharmacy intervention will provide a positive impact on the clinical and economic outcomes in our health care setting.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Almangour, Thamer A.& Alhifany, Abdullah& Tabb, Deanne E.. 2017. Development and Validation of a Decision-Making Stratification Algorithm to Optimize the Use of Rapid Diagnostic Testing for Patients with Staphylococcus Bacteremia. Canadian Journal of Infectious Diseases and Medical Microbiology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1141605

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Almangour, Thamer A.…[et al.]. Development and Validation of a Decision-Making Stratification Algorithm to Optimize the Use of Rapid Diagnostic Testing for Patients with Staphylococcus Bacteremia. Canadian Journal of Infectious Diseases and Medical Microbiology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1141605

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Almangour, Thamer A.& Alhifany, Abdullah& Tabb, Deanne E.. Development and Validation of a Decision-Making Stratification Algorithm to Optimize the Use of Rapid Diagnostic Testing for Patients with Staphylococcus Bacteremia. Canadian Journal of Infectious Diseases and Medical Microbiology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1141605

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1141605