Abstract
Abstract
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.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Microbiology (medical),Epidemiology
Reference9 articles.
1. Nosocomial infection and fatality in medical and surgical intensive care unit patients;Craven;Arch Intern Med,1988
2. A diagnostic stewardship intervention to improve blood culture use among adult nonneutropenic inpatients: the DISTRIBUTE study;Fabre;J Clin Microbiol,2020
3. Antibiotic resistance—the need for global solutions;Laxminarayan;Lancet Infect Dis,2013
4. A 25-year study of nosocomial bacteremia in an adult intensive care unit;Edgeworth;Crit Care Med,1999
5. 1. Diagnostic stewardship: a guide to implementation in antimicrobial resistance surveillance sites. World Health Organization website. https://apps.who.int/iris/handle/10665/251553. Accessed February 4, 2023.