Prospective Review of Clostridioides difficile Testing Indications to Inform Local Laboratory Stewardship Initiatives

Summary: We conducted a prospective chart review to determine the prevalence of and reasons for inappropriate Clostridioides difficile test-ordering at a tertiary care hospital. Inappropriate orders accounted for 54% of all tests. The two primary aetiologies of inappropriate test-ordering were an al...

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Bibliographic Details
Main Authors: Noah Reich (Author), Michael Payne (Author), Azra Sharma (Author), Sylvie Champagne (Author), Marc G. Romney (Author), Michelle Hinch (Author), Victor Leung (Author), Christopher F. Lowe (Author)
Format: Book
Published: Elsevier, 2019-06-01T00:00:00Z.
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Summary:Summary: We conducted a prospective chart review to determine the prevalence of and reasons for inappropriate Clostridioides difficile test-ordering at a tertiary care hospital. Inappropriate orders accounted for 54% of all tests. The two primary aetiologies of inappropriate test-ordering were an alternative reason for diarrhoea (34%) and an asymptomatic patient (20%). These results highlight the need to focus diagnostic stewardship of C. difficile testing on pre-analytical factors. Keywords: Clostridioides difficile, Infections, Diagnostic Stewardship, Pre-analytical, Laxative
Item Description:2590-0889
10.1016/j.infpip.2019.100017