A Diagnostic Stewardship Intervention To Improve Blood Culture Use among Adult Nonneutropenic Inpatients: the DISTRIBUTE Study

著者: Valeria Fabre, Eili Klein, Alejandra Salinas, George Jones, Karen C. Carroll, Aaron M. Milstone, Joe Amoah, Yea‐Jen Hsu, Avinash Gadala, Sanjay V. Desai, Amit Goyal, David Furfaro, Jacquelyn W. Zimmerman, Susan Lin, Sara E. Cosgrove - Journal of Clinical Microbiology 2020 被引用: 66

Interventions to optimize blood culture (BCx) practices in adult inpatients are limited. We conducted a before-after study evaluating the impact of a diagnostic stewardship program that aimed to optimize BCx use in a medical intensive care unit (MICU) and five medicine units at a large academic center. The program included implementation of an evidence-based algorithm detailing indications for BCx use and education and feedback to providers about BCx rates and indication inappropriateness. Neutropenic patients were excluded.