Evaluating outpatient diagnostic stewardship of comprehensive polymerase chain reaction Clostridioides difficile testing in a regional health system.

ABSTRACT:

Objective

We examined the use of comprehensive and targeted polymerase chain reaction (PCR) of Clostridioides difficile infection (CDI) among immunocompetent patients with and without CDI risk factors across different outpatient settings. A priori, we expected patients with higher CDI risk to be associated with targeted testing to reflect providers incorporating pretest risk factors in their choice of test assay.

Design

Retrospective analysis of adult patients from clinic, emergency room, and non-medically acute inpatient settings.

Setting

A tertiary academic medical center offering inpatient and outpatient medical, surgical, mental health, and rehabilitation services to Veterans across the Puget Sound region.

Patients

Immunocompetent adult patients with

SUBMITTER: Golovaty I 

PROVIDER: S-EPMC10540176 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature