Antimicrobial Prescribing Practices in Response to Different Clostridium difficile Diagnostic Methodologies

被引:16
作者
Sydnor, Emily R. M. [1 ,3 ]
Lenhart, Abigail [2 ]
Trollinger, Brandon [3 ]
Avdic, Edina [3 ]
Maragakis, Lisa L. [1 ]
Carroll, Karen C. [1 ,4 ]
Cosgrove, Sara E. [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Div Infect Dis, Baltimore, MD 21205 USA
[2] Oregon Hlth & Sci Univ, Dept Gen Internal Med, Portland, OR 97201 USA
[3] Johns Hopkins Univ Hosp, Johns Hopkins Hlth Syst, Baltimore, MD 21287 USA
[4] Johns Hopkins Univ, Sch Med, Dept Pathol, Div Med Microbiol, Baltimore, MD 21205 USA
基金
美国国家卫生研究院;
关键词
TOXIN-A; ASSAY; CULTURE; DIARRHEA; ANTIGEN;
D O I
10.1086/662381
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We evaluated treatment decisions and antimicrobial use related to 2 testing algorithms for Clostridium difficile infection (CDI). Our findings suggest that a 2-step testing algorithm using rapid polymerase chain reaction confirmatory testing leads to decreased unnecessary anti-CDI antimicrobial use. In addition, a significant proportion of patients with confirmed CDI were not treated according to recommended guidelines. Infect Control Hosp Epidemiol 2011; 32(11): 1133-1136
引用
收藏
页码:1133 / 1136
页数:4
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