Detection and treatment of bloodstream infection: laboratory reporting and antimicrobial management.
We analyzed antimicrobial use in 509 episodes of clinically significant bloodstream infection to assess the impact that microbiology laboratory reporting had on antimicrobial management. Most therapy interventions occurred at the time of phlebotomy and after notification of Gram stain results by telephone. Release of antimicrobial susceptibility data had the least impact on antimicrobial management.
Munson
Erik L
EL
Division of Medical Microbiology, Department of Pathology, University of Iowa College of Medicine, Iowa City, Iowa 55242, USA.
Diekema
Daniel J
DJ
Beekmann
Susan E
SE
Chapin
Kimberle C
KC
Doern
Gary V
GV
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D016470:Bacteremia / Q000188:drug therapy* / Q000382:microbiology / Q000401:mortality; D001419:Bacteria / Q000302:isolation & purification; D016469:Fungemia / Q000188:drug therapy* / Q000382:microbiology / Q000401:mortality; D005658:Fungi / Q000302:isolation & purification; D006801:Humans; D013997:Time Factors
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents