The impact of a blood-culture diagnostic stewardship intervention on utilization rates and antimicrobial stewardship
Melinda C. Wang, Kelvin Zhou, Sabra Shay, James Herlihy, Muhammad A. Siddique, Sergio Trevino Castillo, Todd Lasco, Miriam Barrett, Mayar Al Mohajer
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.
Topics & Concepts
Antimicrobial stewardshipStewardship (theology)Blood cultureIntensive care medicineIntervention (counseling)AntimicrobialMedicineEnvironmental healthBusinessNursingMicrobiologyPolitical scienceAntibioticsBiologyAntibiotic resistancePoliticsLawBacterial Identification and Susceptibility TestingAntibiotic Use and ResistanceComplementary and Alternative Medicine Studies