Skip to main content Accessibility help
×
×
Home

Use of a best practice alert linking Clostridoides difficile infection test results to a severity-based treatment order set

  • Holly L. Reed (a1), Trevor C. Van Schooneveld (a2), Craig G. Reha (a1) and Scott J. Bergman (a1)
Abstract

We evaluated provider adherence to practice guidelines for inpatients diagnosed with Clostridoides difficile infection (CDI) before and after implementation of a best practice alert (BPA) linking a positive test result to guideline-based orders. After implementation of the BPA, guideline-based prescribing increased from 39.4% in 2013 to 67.7% in 2016 (P = .014).

Copyright
Corresponding author
Author for correspondence: Holly Reed, Email: Horeed@nebraskamed.com
References
Hide All
1. Cohen, SH, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridoides difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America and the Infectious Diseases Society of America. Clostridoides difficile 2010;31:431455.
2. Surawicz, CM, Brandt, LJ, Binion, DG, et al. Guidelines for diagnosis, treatment, and prevention of Clostridoides difficile infections. Am J Gastroenterol 2013;108:478498.
3. Wieczorkiewicz, S, Zatarski, R. Adherence to and outcomes associated with a Clostridoides difficile guideline at a large teaching institution. Hosp Pharm 2015;50:4250.
4. Brown, AT, Seifert, CF. Effect of treatment variation on outcomes in patients with Clostridoides difficile . Am J Med 2014;127:865870.
5. Zar, FA, Bakkanagari, SR, Moorthi, KM, Davis, MB. A comparison of vancomycin and metronidazole for the treatment of Clostridoides difficile–associated diarrhea, stratified by disease severity. Clin Infect Dis 2007;45:302307.
6. Stevens, VW, Nelson, RE, Schwab-Daugherty, EM, et al. Comparative effectiveness of vancomycin and metronidazole for the prevention of recurrence and death in patients with Clostridoides difficile infection. JAMA Intern Med 2017;177:546553.
7. Wright, A, Phansalkar, S, Bloomrosen, M, et al. Best practices in clinical decision support. The case of preventive care reminders. Appl Clin Inform 2010;1:331345.
8. Wenisch, JM, Schmid, D, Kuo, HW, et al. Prospective observational study comparing three different treatment regimens in patients with Clostridoides difficile infection. Antimicrob Agents Chemother 2012;56:19741978.
9. Revolinski, S. Implementation of a clinical decision support alert for the management of Clostridoides difficile infection. Antibiotics (Basel, Switzerland) 2015;4:667674.
10. McDonald, LC, Gerding, DN, Johnson, S, et al. Clinical practice guidelines for Clostridoides difficile infection in adults and children: 2017 update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA). Clostridoides difficile 2018;66(7):e1e48.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed