Diagnostic Stewardship Cuts Blood Cultures, Antibiotic Use in PICU
THURSDAY, May 5, 2022 (HealthDay News) -- In the pediatric intensive care unit (PICU), multidisciplinary diagnostic stewardship interventions can reduce blood culture and antibiotic use, according to a study published online May 2 in JAMA Pediatrics.
Charlotte Z. Woods-Hill, M.D., from the Children's Hospital of Philadelphia, and colleagues examined the association of a 14-site multidisciplinary PICU blood culture collaborative with culture rate, antibiotic use, and patient outcomes in a prospective quality improvement (QI) study. The QI program focused on blood culture practices in the PICU.
The researchers found that the blood culture rate was 149.4 per 1,000 patient-days/month preimplementation and 100.5 per 1,000 patient-days/month postimplementation across the 14 PICUs, representing a relative reduction of 33 percent. The rate of broad-spectrum antibiotic use decreased from 506 to 440 days per 1,000 patient-days/month (13 percent relative reduction) comparing the periods before and after implementation. The rate of broad-spectrum antibiotic initiation decreased from 58.1 to 53.6 initiations/1,000 patient-days/month, which was an 8 percent relative reduction. In addition, there was a 36 percent relative reduction in the rates of central line-associated bloodstream infection, from 1.8 to 1.1 per 1,000 central venous line days/month. Before and after implementation, mortality, length of stay, readmission, sepsis, and severe sepsis/septic shock were similar.
"Our study confirms that diagnostic stewardship is a promising strategy to augment antimicrobial stewardship programs and reduce antibiotic overuse," the authors write.
Several authors disclosed financial ties to the pharmaceutical industry.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Related Posts
Pandemic-Linked Rise in Crime Hit America’s Poor Neighborhoods Hardest
TUESDAY, Dec. 14, 2021 (HealthDay News) -- Poor neighborhoods of color bore the...
Structural Brain MRI Measures Compared for Youth With, Without ADHD
TUESDAY, Feb. 15, 2022 (HealthDay News) -- Children aged 9 to 10 years with...
Health Highlights: July 12, 2022
Abortion bans could put lives of cancer patients in jeopardy. Many treatments...
Liver Cancer in Top Five Causes of Cancer Deaths in 90 Countries
THURSDAY, Oct. 13, 2022 (HealthDay News) -- Liver cancer is a major cause of...