Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives

We conducted a prospective chart review to determine the prevalence of and reasons for inappropriate Clostridioides difficile test-ordering at a tertiary care hospital. Inappropriate orders accounted for 54% of all tests. The two primary aetiologies of inappropriate test-ordering were an alternative...

Descripción completa

Detalles Bibliográficos
Autores principales: Reich, Noah, Payne, Michael, Sharma, Azra, Champagne, Sylvie, Romney, Marc G., Hinch, Michelle, Leung, Victor, Lowe, Christopher F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Short Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8335927/
https://www.ncbi.nlm.nih.gov/pubmed/34368678
http://dx.doi.org/10.1016/j.infpip.2019.100017
_version_ 1783733225445654528
author Reich, Noah
Payne, Michael
Sharma, Azra
Champagne, Sylvie
Romney, Marc G.
Hinch, Michelle
Leung, Victor
Lowe, Christopher F.
author_facet Reich, Noah
Payne, Michael
Sharma, Azra
Champagne, Sylvie
Romney, Marc G.
Hinch, Michelle
Leung, Victor
Lowe, Christopher F.
author_sort Reich, Noah
collection PubMed
description We conducted a prospective chart review to determine the prevalence of and reasons for inappropriate Clostridioides difficile test-ordering at a tertiary care hospital. Inappropriate orders accounted for 54% of all tests. The two primary aetiologies of inappropriate test-ordering were an alternative reason for diarrhoea (34%) and an asymptomatic patient (20%). These results highlight the need to focus diagnostic stewardship of C. difficile testing on pre-analytical factors.
format Online
Article
Text
id pubmed-8335927
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-83359272021-08-05 Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives Reich, Noah Payne, Michael Sharma, Azra Champagne, Sylvie Romney, Marc G. Hinch, Michelle Leung, Victor Lowe, Christopher F. Infect Prev Pract Short Report We conducted a prospective chart review to determine the prevalence of and reasons for inappropriate Clostridioides difficile test-ordering at a tertiary care hospital. Inappropriate orders accounted for 54% of all tests. The two primary aetiologies of inappropriate test-ordering were an alternative reason for diarrhoea (34%) and an asymptomatic patient (20%). These results highlight the need to focus diagnostic stewardship of C. difficile testing on pre-analytical factors. Elsevier 2019-08-05 /pmc/articles/PMC8335927/ /pubmed/34368678 http://dx.doi.org/10.1016/j.infpip.2019.100017 Text en © 2019 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Short Report
Reich, Noah
Payne, Michael
Sharma, Azra
Champagne, Sylvie
Romney, Marc G.
Hinch, Michelle
Leung, Victor
Lowe, Christopher F.
Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives
title Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives
title_full Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives
title_fullStr Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives
title_full_unstemmed Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives
title_short Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives
title_sort prospective review of clostridioides difficile testing indications to inform local laboratory stewardship initiatives
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8335927/
https://www.ncbi.nlm.nih.gov/pubmed/34368678
http://dx.doi.org/10.1016/j.infpip.2019.100017
work_keys_str_mv AT reichnoah prospectivereviewofclostridioidesdifficiletestingindicationstoinformlocallaboratorystewardshipinitiatives
AT paynemichael prospectivereviewofclostridioidesdifficiletestingindicationstoinformlocallaboratorystewardshipinitiatives
AT sharmaazra prospectivereviewofclostridioidesdifficiletestingindicationstoinformlocallaboratorystewardshipinitiatives
AT champagnesylvie prospectivereviewofclostridioidesdifficiletestingindicationstoinformlocallaboratorystewardshipinitiatives
AT romneymarcg prospectivereviewofclostridioidesdifficiletestingindicationstoinformlocallaboratorystewardshipinitiatives
AT hinchmichelle prospectivereviewofclostridioidesdifficiletestingindicationstoinformlocallaboratorystewardshipinitiatives
AT leungvictor prospectivereviewofclostridioidesdifficiletestingindicationstoinformlocallaboratorystewardshipinitiatives
AT lowechristopherf prospectivereviewofclostridioidesdifficiletestingindicationstoinformlocallaboratorystewardshipinitiatives

Ejemplares similares