![](/images/graphics-bg.png)
Development and Validation of a Decision-Making Stratification Algorithm to Optimize the Use of Rapid Diagnostic Testing for Patients with Staphylococcus Bacteremia
Joint Authors
Alhifany, Abdullah
Almangour, Thamer A.
Tabb, Deanne E.
Source
Canadian Journal of Infectious Diseases and Medical Microbiology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141605