Impact of bacteremia prediction rule in CAP: Before and after study.

ABSTRACT:

Objective

In cases of community acquired pneumonia (CAP), it has been known that blood cultures have low yields and rarely affect clinical outcomes. Despite many studies predicting the likelihood of bacteremia in CAP patients, those results have been rarely implemented in clinical practice, and use of blood culture in CAP is still increasing. This study evaluated impact of implementing a previously derived and validated bacteremia prediction rule.

Methods

In this registry-based before and after study, we used piecewise regression analysis to compare the blood culture rate before and after implementation of the prediction rule. We also compared 30-day mortality, emergency department (ED) length of stay, time-interval to initial antibiotics after ED arrival, and any changes to

SUBMITTER: Kim B 

PROVIDER: S-EPMC7127687 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature