Predictors of Time to Effective and Optimal Antimicrobial Therapy in Patients With Positive Blood Cultures Identified via Molecular Rapid Diagnostic Testing

被引:5
作者
Beganovic, Maya [1 ]
Timbrook, Tristan T. [2 ,3 ]
Wieczorkiewicz, Sarah M. [1 ]
机构
[1] Advocate Lutheran Gen Hosp, Dept Pharm, 1775 Dempster St, Park Ridge, IL 60068 USA
[2] Univ Utah Hlth, Dept Pharm, Salt Lake City, UT USA
[3] Salt Lake City Vet Affairs Med Ctr, Salt Lake City, UT USA
关键词
antimicrobial stewardship; bloodstream infections; metrics; predictors; rapid diagnostic testing; DESORPTION IONIZATION-TIME; STEWARDSHIP TEAM; CLINICAL IMPACT; INTERVENTION; OUTCOMES;
D O I
10.1093/ofid/ofy350
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Antimicrobial stewardship (AMS) programs integrated with rapid diagnostic tests optimize patient outcomes and reduce time to effective therapy (TTET) and time to optimal therapy (TTOT). This study identifies predictors of TTET and TTOT among patients with positive blood cultures and identifies limitations to current TTOT definitions and outcomes.
引用
收藏
页数:4
相关论文
共 12 条
[1]   Randomized Trial of Rapid Multiplex Polymerase Chain Reaction-Based Blood Culture Identification and Susceptibility Testing [J].
Banerjee, Ritu ;
Teng, Christine B. ;
Cunningham, Scott A. ;
Ihde, Sherry M. ;
Steckelberg, James M. ;
Moriarty, James P. ;
Shah, Nilay D. ;
Mandrekar, Jayawant N. ;
Patel, Robin .
CLINICAL INFECTIOUS DISEASES, 2015, 61 (07) :1071-1080
[2]  
Barlam TF, 2016, CLIN INFECT DIS, V62, pE51, DOI 10.1093/cid/ciw118
[3]  
Beganovic M, 2017, J CLIN MICROBIOL, V55, P1437, DOI [10.1128/JCM.02245-16, 10.1128/jcm.02245-16]
[4]   The impact of a multidisciplinary antimicrobial stewardship team on the timeliness of antimicrobial therapy in patients with positive blood cultures: a randomized controlled trial [J].
Cairns, Kelly A. ;
Doyle, Joseph S. ;
Trevillyan, Janine M. ;
Horne, Kylie ;
Stuart, Rhonda L. ;
Bushett, Nicole ;
Yong, Michelle K. ;
Kelley, Peter G. ;
Dooley, Michael J. ;
Cheng, Allen C. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2016, 71 (11) :3276-3283
[5]   Assessment of Rapid-Blood-Culture-Identification Result Interpretation and Antibiotic Prescribing Practices [J].
Donner, Linsey M. ;
Campbell, W. Scott ;
Lyden, Elizabeth ;
Van Schooneveld, Trevor C. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2017, 55 (05) :1496-1507
[6]   Impact of Rapid Organism Identification via Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Combined With Antimicrobial Stewardship Team Intervention in Adult Patients With Bacteremia and Candidemia [J].
Huang, Angela M. ;
Newton, Duane ;
Kunapuli, Anjly ;
Gandhi, Tejal N. ;
Washer, Laraine L. ;
Isip, Jacqueline ;
Collins, Curtis D. ;
Nagel, Jerod L. .
CLINICAL INFECTIOUS DISEASES, 2013, 57 (09) :1237-1245
[7]   Clinical Impact and Provider Acceptability of Real-Time Antimicrobial Stewardship Decision Support for Rapid Diagnostics in Children With Positive Blood Culture Results [J].
Messacar, Kevin ;
Hurst, Amanda L. ;
Child, Jason ;
Campbell, Kristen ;
Palmer, Claire ;
Hamilton, Stacey ;
Dowell, Elaine ;
Robinson, Christine C. ;
Parker, Sarah K. ;
Dominguez, Samuel R. .
JOURNAL OF THE PEDIATRIC INFECTIOUS DISEASES SOCIETY, 2017, 6 (03) :267-274
[8]   Cost Analysis of Implementing Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry Plus Real-Time Antimicrobial Stewardship Intervention for Bloodstream Infections [J].
Patel, Twisha S. ;
Kaakeh, Rola ;
Nagel, Jerod L. ;
Newton, Duane W. ;
Stevenson, James G. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2017, 55 (01) :60-67
[9]   Integrating rapid diagnostics and antimicrobial stewardship improves outcomes in patients with antibiotic-resistant Gram-negative bacteremia [J].
Perez, Katherine K. ;
Olsen, Randall J. ;
Musick, William L. ;
Cernoch, Patricia L. ;
Davis, James R. ;
Peterson, Leif E. ;
Musser, James M. .
JOURNAL OF INFECTION, 2014, 69 (03) :216-225
[10]   Impact of QuickFISH in addition to antimicrobial stewardship on vancomycin use and resource utilization in cancer patients with coagulase-negative staphylococcal blood cultures [J].
Seo, S. K. ;
Gedrimaite, Z. ;
Paskovaty, A. ;
Seier, K. ;
Morjaria, S. ;
Cohen, N. ;
Riedel, E. ;
Tang, Y. W. ;
Babady, N. E. .
CLINICAL MICROBIOLOGY AND INFECTION, 2018, 24 (12) :1339.e7-1339.e12