The impact of a blood-culture diagnostic stewardship intervention on utilization rates and antimicrobial stewardship

Author:

Wang Melinda C.ORCID,Zhou Kelvin J.ORCID,Shay Sabra L.,Herlihy James P.,Siddique Muhammad A.,Trevino Castillo SergioORCID,Lasco Todd M.,Barrett Miriam,Al Mohajer Mayar

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.

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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.

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