TY - JOUR
T1 - Impact of mandatory nucleic acid amplification test (NAAT) testing approval on hospital-onset Clostridioides difficile infection (HO-CDI) rates
T2 - A diagnostic stewardship intervention
AU - McCormick, Winston L.
AU - Jackson, Gail
AU - Andrea, Sarah B.
AU - Whitehead, Valerie
AU - Chargualaf, Tiffany L.
AU - Touzard-Romo, Francine
N1 - Publisher Copyright:
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America.
PY - 2024/1/10
Y1 - 2024/1/10
N2 - Misclassification of Clostridioides difficile colonization as hospital-onset C. difficile infection (HO-CDI) can lead to unnecessary treatment of patients and substantial financial penalties for hospitals. We successfully implemented mandatory C. difficile PCR testing approval as a strategy to optimize testing, which was associated with a significant decline in the monthly incidence of HO-CDI rates and lowering of our standardized infection ratio to 0.77 (from 1.03) 18 months after this intervention. Approval request served as an educational opportunity to promote mindful testing and accurate diagnosis of HO-CDI.
AB - Misclassification of Clostridioides difficile colonization as hospital-onset C. difficile infection (HO-CDI) can lead to unnecessary treatment of patients and substantial financial penalties for hospitals. We successfully implemented mandatory C. difficile PCR testing approval as a strategy to optimize testing, which was associated with a significant decline in the monthly incidence of HO-CDI rates and lowering of our standardized infection ratio to 0.77 (from 1.03) 18 months after this intervention. Approval request served as an educational opportunity to promote mindful testing and accurate diagnosis of HO-CDI.
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U2 - 10.1017/ice.2023.92
DO - 10.1017/ice.2023.92
M3 - Article
C2 - 37424227
AN - SCOPUS:85165091413
SN - 0899-823X
VL - 45
SP - 106
EP - 109
JO - Infection control and hospital epidemiology
JF - Infection control and hospital epidemiology
IS - 1
ER -