期刊
AMERICAN JOURNAL OF CLINICAL PATHOLOGY
卷 130, 期 6, 页码 870-876出版社
OXFORD UNIV PRESS INC
DOI: 10.1309/AJCPVMDQU2ZJDPBL
关键词
Bloodstream infection; Gram staining; Timeliness; Positive blood culture; Outcomes
类别
资金
- bioMerieux, Durham, NC
Gram stains of positive blood cultures are the most important factor influencing appropriate therapy. The sooner appropriate therapy is initiated, the better. Therefore, it is reasonable to expect that the sooner Gram stains are performed, the better. To determine the value of timely Gram stains and whether improvement in Gram stain turnaround time (TAT) is feasible, we compared data for matched pairs of patients with cultures processed promptly (<1 hour TAT) with data for patients with cultures not processed promptly (>= 1 hour TAT) and then monitored TAT by control charting. In 99 matched pairs, average difference in time to detection of positive blood cultures within a pair of patients was less than 0.1 hour. For the less than 1 hour TAT group, the average TAT and crude mortality were 0.1 hour and 10.1%, respectively; for the 1 hour or longer TAT group, they were 3.3 hours and 19.2%, respectively (P < .0001 and P = .0389, respectively). After multifaceted efforts, we achieved significant improvement in the TAT for Gram stains.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据