Evidence map›Paper›PMID 31660401›Full record

ArticleOpen forum infectious diseases2019

Centralized Communication of Blood Culture Results Leveraging Antimicrobial Stewardship and Rapid Diagnostics.

Shelby Shemanski, Nicholas Bennett, Cynthia Essmyer, Kevin Kennedy, Donna M Buchanan, Andrew Warnes, Sarah Boyd

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shelby ShemanskiSaint Luke's Pharmacy, Saint Luke's Health System, Kansas City, Missouri.ORCID 0000-0001-9919-1844
Nicholas BennettAntimicrobial Stewardship Program, Saint Luke's Health System, Kansas City, Missouri.
Cynthia EssmyerDepartment of Microbiology, Saint Luke's Health System, Kansas City, Missouri.
Kevin KennedyDepartment of Research, Saint Luke's Health System, Kansas City, Missouri.
Donna M BuchananResearch Administration, Department of Biomedical and Health Informatics, University of Missouri-Kansas City School of Medicine, Saint Luke's Health System, Kansas City, Missouri.
Andrew WarnesInfectious Diseases, Saint Luke's Health System, Kansas City, Missouri.
Sarah BoydInfectious Diseases, Saint Luke's Health System, Kansas City, Missouri.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to determine if integrating antimicrobial stewardship program (ASP) personnel with rapid diagnostic testing resulted in improved outcomes for patients with positive blood cultures.

methodBeginning in 2016, Saint Luke's Health System (SLHS) implemented a new process where all positive blood cultures were communicated to ASP personnel or SLHS pharmacy staff. Pharmacists then became responsible for interpreting results, assessing patient specific information, and subsequently relaying culture and treatment information to providers. This was a multisite, pre-post, quasi-experimental study (Pre: August to December 2014; Post: August to December 2016). Patients 18 years of age and older with a positive blood culture during admission were included (2014, n = 218; 2016, n = 286). Coprimary outcomes of time to optimal and appropriate therapy were determined from time of culture positivity via gram stain. Secondary outcomes focused on clinical, process, and fiscal endpoints. A pre-post intervention physician survey was conducted to assess the impact on antimicrobial decision making and perceived effect on patient outcomes.

resultsThere was no difference in time to appropriate therapy groups (

conclusionsAn ASP-led blood culture communication process for patients with positive blood cultures was shown to improve time to optimal therapy, support physicians in their decision making on critical lab data, and improve the care for hospitalized patients.

Indexed as

antimicrobial stewardshiprapid diagnostics

Identifiers

PMID31660401
PMCPMC6736069

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.