title: The Impact of Implementation of Rapid QuickFISH Testing for Detection of Coagulase-Negative Staphylococci at a Community-Based Hospital.
abstract: OBJECTIVE
  A study was conducted to evaluate the impact of implementing the Staphylococcus QuickFISH assay (AdvanDx, Woburn, MA), which rapidly detects and differentiates Staphylococcus aureus from coagulase-negative staphylococci (CoNS), together with an antimicrobial stewardship program on treating patients suspected of having sepsis.
  
  
  METHODS
  Two patient groups showing CoNS in positive blood cultures were evaluated by either conventional or QuickFISH testing with respect to turnaround time (TAT) for microorganism identification following Gram stain. Length of hospital stay (LOS) and days on the antibiotic vancomycin (DOV) were also compared.
  
  
  RESULTS
  QuickFISH identification test accuracy was 100% compared with conventional testing. Average values for TAT, LOS, and DOV were all decreased as the result of QuickFISH testing; for acute-care patients hospitalized for 10 days or less, the main population of interest for this study, these three measures were all reduced significantly following implementation of QuickFISH vs conventional testing (P < .001, P = .0484, and P = .0084, respectively). Based on certain assumptions, QuickFISH testing also led to substantial cost savings.
  
  
  CONCLUSIONS
  The QuickFISH assay, with its ability to provide timely and actionable results nearly simultaneously with the Gram stain, in conjunction with an effective antimicrobial stewardship program, has been adopted as standard of care at our community-based hospital.
authors.affiliation: From the Microbiology Laboratory, Winter Haven Hospital, Winter Haven, FL denise.koncelik@baycare.org.
authors.forename: Denise L
authors.initials: DL
authors.lastname: Koncelik
authors.affiliation: Hospital Pharmacy, Winter Haven Hospital, Winter Haven, FL.
authors.forename: Jovino
authors.initials: J
authors.lastname: Hernandez
mesh_terms: D001431:Bacteriological Techniques / Q000379:methods; D003030:Coagulase / Q000302:isolation & purification*; D006764:Hospitals, Community; D006801:Humans; D017404:In Situ Hybridization, Fluorescence / Q000379:methods*; D010865:Pilot Projects; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013210:Staphylococcus / Q000302:isolation & purification*
chemical_list: D003030:Coagulase
keywords: Antimicrobial stewardship; Assay turnaround time; QuickFISH assay; Staphylococcus bacteremia