Impact Of Rejection Of Low-Quality Wound Swabs On Antimicrobial Prescribing: A Controlled Before-After Study

Xavier Marchand-Senécal, Ian A Brasg,Robert Kozak,Marion Elligsen,Christie Vermeiren,Antoine J Corbeil, Kevin R Barker,Kevin Katz,Jeff E Powis,Wayne L Gold,Jerome A Leis

OPEN FORUM INFECTIOUS DISEASES（2021）

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摘要

In this controlled before-after study, wound swabs were only processed for culture, identification, and susceptibility testing if a quality metric, determined by the Q score, was met. Rejection of low-quality wound swabs resulted in a modest decrease in reflexive antibiotic initiation while reducing laboratory workload and generating few clinician requests.

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关键词

antimicrobial stewardship, bacterial swab, diagnostic stewardship, Q score, resource stewardship, wound culture

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