학술논문

Reductions in Clostridium difficile Infection (CDI) Rates Using Real-Time Automated Clinical Criteria Verification to Enforce Appropriate Testing.

Document Type

article

Author

Quan, Kathleen A; Yim, Jennifer; Merrill, Doug; Khusbu, Usme; Madey, Keith; Dickey, Linda; Dangodara, Amish A; Rudkin, Scott E; O'Brien, Margaret; Thompson, Daniel; Parekh, Nimisha; Albers, C Gregory; Wilson, William C; Thrupp, Lauri; Bittencourt, Cassiana E; Huang, Susan S; Gohil, Shruti K

Source

Infection control and hospital epidemiology. 39(5)

Subject

Humans
Clostridium Infections
Diarrhea
Diagnostic Tests
Routine
Cohort Studies
Decision Support Systems
Clinical
Academic Medical Centers
Real-Time Polymerase Chain Reaction
Clostridioides difficile
Medical and Health Sciences
Epidemiology

Language

Abstract

C. difficile PCR testing identifies both colonized and infected patients, making it critical to only test patients that meet clinical criteria for C. difficile infection (CDI). We implemented an automated order-entry protocol that reduced inappropriate testing by 64% and hospital-onset (HO) CDI Standardized Infection Ratio (SIR) from 1.62 to 0.82.

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