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

Published online by Cambridge University Press:  13 December 2023

Melinda C. Wang Open the ORCID record for Melinda C. Wang [Opens in a new window] ,
Kelvin J. Zhou Open the ORCID record for Kelvin J. Zhou [Opens in a new window] ,
Sabra L. Shay ,
James P. Herlihy ,
Muhammad A. Siddique ,
Sergio Trevino Castillo Open the ORCID record for Sergio Trevino Castillo [Opens in a new window] ,
Todd M. Lasco ,
Miriam Barrett  and
Mayar Al Mohajer
Melinda C. Wang*
Affiliation:
Department of Medicine, Baylor College of Medicine, Houston, Texas
Kelvin J. Zhou
Affiliation:
Department of Medicine, Baylor College of Medicine, Houston, Texas
Sabra L. Shay
Affiliation:
Premier Inc, Department of Clinical Intelligence, Charlotte, North Carolina
James P. Herlihy
Affiliation:
Department of Medicine, Baylor College of Medicine, Houston, Texas Baylor St Luke’s Medical Center, Houston, Texas
Muhammad A. Siddique
Affiliation:
Department of Medicine, Baylor College of Medicine, Houston, Texas Baylor St Luke’s Medical Center, Houston, Texas
Sergio Trevino Castillo
Affiliation:
Department of Medicine, Baylor College of Medicine, Houston, Texas Baylor St Luke’s Medical Center, Houston, Texas
Todd M. Lasco
Affiliation:
Baylor St Luke’s Medical Center, Houston, Texas Department of Pathology, Baylor College of Medicine, Houston, Texas
Miriam Barrett
Affiliation:
Baylor St Luke’s Medical Center, Houston, Texas
Mayar Al Mohajer
Affiliation:
Department of Medicine, Baylor College of Medicine, Houston, Texas Baylor St Luke’s Medical Center, Houston, Texas
*
Corresponding author: Melinda C. Wang; Email: melinda.wang@bcm.edu
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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.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 45 , Issue 5 , May 2024 , pp. 670 - 673
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

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