the identified bacteria were reported
directly to the treating clinicians whereas for patients in the Usual Care
group, data were entered into the hospital's laboratory information system
as usual. Medical records of enrolled patients were analyzed for
demographics, comorbid conditions, location within the hospital,
antimicrobial use, length of hospitalization, mortality, and other factors
to understand the impact of the rapid PNA FISH results on patient care and
outcomes. Significant comparison results for the two groups are listed
below.
Comparison of Data for Notification of PNA FISH (NPF) group vs. Usual
Care (UC) group
-- Total of 202 patients enrolled in study; 101 in NPF group vs. 101 in
UC group
-- 61 patients with S. aureus; 32 in NPF group vs. 29 in UC group
-- 141 patient with CoNS; 69 in NPF vs. 72 in UC group
-- 44 patients in ICU vs. 158 in non-ICU
-- 53% reduction in overall mortality; 8 deaths in NPF group vs. 17
deaths in UC group
-- 80% reduction in mortality rate for intensive care unit (ICU)
patients; 10% (2 deaths) for NPF group vs. 48% (11 deaths) for UC group
-- 82% reduction in mortality rate for ICU patients with S. aureus; 10%
for NPF group vs. 56% for UC group
-- 67% reduction in median antibiotic use after notification of
results; median of 1 day for NPF group vs. 3 days for UC group
-- 100% reduction in median antibiotic use for CoNS patients after
notification of; 0 days for NPF group vs. 2.5 days for UC group
-- Trend toward $19,441 reduction in median hospital charges; $72,932
median charges for NPF group vs. $92,373 for UC group
"Rapid delivery of PNA FISH data from the laboratory to treating
clinicians was associated with reduced mortality in ICU patients," said
lead author Shmuel Shoham, M.D., Section of Infectious Diseases and
Director of Transplant Infectious Diseases at Washington Hospital Center.
"There was also a trend toward reduced length of
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SOURCE AdvanDx Copyright©2008 PR Newswire. All rights reserved | |
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