A Novel Comprehensive Algorithm for Evaluation of PICU Patients With New Fever or Instability.

ABSTRACT:

Objectives

There is variation in microbiology testing among PICU patients with fever offering opportunities to reduce avoidable testing and treatment. Our objective is to describe the development and assess the impact of a novel comprehensive testing algorithm to support judicious testing practices and expanded diagnostic differentials for PICU patients with new fever or instability.

Design

A mixed-methods quality improvement study.

Setting

Single-center academic PICU and pediatric cardiac ICU.

Subjects

Admitted PICU patients and physicians.

Interventions

A multidisciplinary team developed a clinical decision-support algorithm.

Measurements and main results

We evaluated blood, endotracheal, and urine cultures, urinalyses, and broad-spectrum antibi

SUBMITTER: Sick-Samuels AC 

PROVIDER: S-EPMC10392890 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature