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Evaluation of computerized clinical decision support system to reduce unnecessary nasal methicillin-resistant Staphylococcus aureus (MRSA) polymerase chain reaction (PCR) testing

Published online by Cambridge University Press:  12 December 2023

Duc N. Huynh Open the ORCID record for Duc N. Huynh [Opens in a new window] ,
Punit J. Shah Open the ORCID record for Punit J. Shah [Opens in a new window] ,
Sage B. Greenlee Open the ORCID record for Sage B. Greenlee [Opens in a new window] ,
S. Wesley Long Open the ORCID record for S. Wesley Long [Opens in a new window]  and
Muhammad Yasser Alsafadi
Duc N. Huynh
Affiliation:
Department of Pharmacy, Houston Methodist Sugar Land Hospital, Sugar Land, Texas
Punit J. Shah*
Affiliation:
Department of Pharmacy, Houston Methodist Sugar Land Hospital, Sugar Land, Texas
Sage B. Greenlee
Affiliation:
Department of Pharmacy, University of Utah Health, Salt Lake City, Utah
S. Wesley Long
Affiliation:
Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, Texas
Muhammad Yasser Alsafadi
Affiliation:
Department of Infectious and Diseases, Houston Methodist Hospital, Houston, Texas
*
Corresponding author: Punit J. Shah; Email: pjshah@houstonmethodist.org
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Abstract

Our health system implemented a novel clinical decision-support system to reduce unnecessary duplicate nasal methicillin-resistant Staphylococcus aureus (MRSA) polymerase chain reaction (PCR) orders. In an 8-month period, the rate of duplicate MRSA PCR orders within 7 days declined from 4.7% (370 of 7,861) to 1.2% (120 of 9,833).

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 45 , Issue 4 , April 2024 , pp. 537 - 539
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Fabre, V, Davis, A, Diekema, DJ, et al. Principles of diagnostic stewardship: a practical guide from the Society for Healthcare Epidemiology of America Diagnostic Stewardship Task Force. Infect Control Hosp Epidemiol 2023;44:178–185.CrossRefGoogle Scholar
Curren, EJ, Lutgring, JD, Kabbani, S, et al. Advancing diagnostic stewardship for healthcare-associated infections, antibiotic resistance, and sepsis. Clin Infect Dis 2022;74:723–728.CrossRefGoogle ScholarPubMed
Turner, SC, Seligson, ND, Parag, B, Shea, KM, Hobbs, ALV. Evaluation of the timing of MRSA PCR nasal screening: how long can a negative assay be used to rule out MRSA-positive respiratory cultures? Am J Health Syst Pharm 2021;78 suppl 2:S57–S61.CrossRefGoogle Scholar
Paule, SM, Mehta, M, Hacek, DM, Gonzalzles, TM, Robicsek, A, Peterson, LR. Chromogenic media vs real-time PCR for nasal surveillance of methicillin-resistant Staphylococcus aureus: impact on detection of MRSA-positive persons. Am J Clin Pathol 2009;131:532–539.CrossRefGoogle ScholarPubMed
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