Literature DB >> 29305285

National Healthcare Safety Network laboratory-identified Clostridium difficile event reporting: A need for diagnostic stewardship.

Clare Rock1, Zoi Pana2, Surbhi Leekha3, Polly Trexler4, Jennifer Andonian4, Avinash Gadala4, Karen C Carroll5, Lisa L Maragakis6.   

Abstract

We describe the proportion of health care facility-onset Clostridium difficile infection (HO-CDI) National Healthcare Safety Network laboratory-identified events at our facility that were deemed nontrue HO-CDIs. Reasons included testing in a patient without significant diarrhea or with recent laxative use, or delayed testing. Standardized infection ratios using only true HO-CDI in the numerator were improved compared with publically reported standardized infection ratios. A prioritization matrix identifies which clinical services could benefit most from directed diagnostic stewardship interventions.
Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  Facility reimbursement; Facility reputation; Health care-onset infection; Inappropriate testing; Nucleic acid amplification tests

Mesh：

Substances：

Year:  2018        PMID： 29305285      PMCID： PMC6734925          DOI： 10.1016/j.ajic.2017.10.011

Source DB:  PubMed          Journal:  Am J Infect Control        ISSN： 0196-6553            Impact factor:   2.918


  11 in total

1.  It Is Not about the Assay: Preanalytical Screening Is the Key to Reducing Clostridioides difficile Infection.

Authors:  Siu-Kei Chow; Azita Naderpour; Julianna Van Enk
Journal:  J Clin Microbiol       Date:  2019-01-30       Impact factor: 5.948

2.  Use of Computerized Clinical Decision Support for Diagnostic Stewardship in Clostridioides difficile testing: an Academic Hospital Quasi-Experimental Study.

Authors:  Anne E Friedland; Sara Brown; Danielle R Glick; Martha C Lusby; Daniel Lemkin; Surbhi Leekha
Journal:  J Gen Intern Med       Date:  2019-01       Impact factor: 5.128

3.  The impact of an electronic medical record nudge on reducing testing for hospital-onset Clostridioides difficile infection.

Authors:  Jessica R Howard-Anderson; Mary Elizabeth Sexton; Chad Robichaux; Zanthia Wiley; Jay B Varkey; Sujit Suchindran; Benjamin Albrecht; K Ashley Jones; Scott K Fridkin; Jesse T Jacob
Journal:  Infect Control Hosp Epidemiol       Date:  2020-02-10       Impact factor: 3.254

4.  Increased Clinical Specificity with Ultrasensitive Detection of Clostridioides difficile Toxins: Reduction of Overdiagnosis Compared to Nucleic Acid Amplification Tests.

Authors:  Johanna Sandlund; Joel Estis; Phoebe Katzenbach; Niamh Nolan; Kirstie Hinson; Jennifer Herres; Troy Pero; Gwyn Peterson; Jeung-Mi Schumaker; Craig Stevig; Rhonda Warren; Tsubasa West; Siu-Kei Chow
Journal:  J Clin Microbiol       Date:  2019-10-23       Impact factor: 5.948

Review 5.  Diagnostic Stewardship in the Pediatric Intensive Care Unit.

Authors:  Anna C Sick-Samuels; Charlotte Woods-Hill
Journal:  Infect Dis Clin North Am       Date:  2022-03       Impact factor: 5.982

6.  Improving Stewardship of Clostridioides difficile Testing with EMR and Provider Phone Calls.

Authors:  Joseph Joslin; Elizabeth Ablah; Hayrettin Okut; Lauren Bricker; Maha Assi
Journal:  Kans J Med       Date:  2022-04-29

7.  The Role of Diagnostic Stewardship in Clostridioides difficile Testing: Challenges and Opportunities.

Authors:  Frances J Boly; Kimberly A Reske; Jennie H Kwon
Journal:  Curr Infect Dis Rep       Date:  2020-02-17       Impact factor: 3.725

8.  Incidence and Risk Factors for Inappropriate Use of Non-Culture-Based Fungal Assays: Implication for Diagnostic Stewardship.

Authors:  Hiroshi Ito; Koh Okamoto; Shinya Yamamoto; Marie Yamashita; Yoshiaki Kanno; Daisuke Jubishi; Mahoko Ikeda; Sohei Harada; Shu Okugawa; Kyoji Moriya
Journal:  Open Forum Infect Dis       Date:  2021-12-06       Impact factor: 3.835

9.  Impact of Case-Specific Education and Face-to-Face Feedback to Prescribers and Nurses in the Management of Hospitalized Patients With a Positive Clostridium difficile Test.

Authors:  Valeria Fabre; Theodore Markou; Anna Sick-Samuels; Clare Rock; Edina Avdic; Stephanie Shulder; Kathryn Dzintars; Heather Saunders; Jennifer Andonian; Sara E Cosgrove
Journal:  Open Forum Infect Dis       Date:  2018-09-10       Impact factor: 3.835

10.  Clinical impact of a Clostridioides (Clostridium) difficile bedside infectious disease stewardship intervention.

Authors:  María Olmedo; Maricela Valerio; Elena Reigadas; Mercedes Marín; Luis Alcalá; Patricia Muñoz; Emilio Bouza
Journal:  JAC Antimicrob Resist       Date:  2020-08-11
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