Research Article

Development and Validation of a Decision-Making Stratification Algorithm to Optimize the Use of Rapid Diagnostic Testing for Patients with Staphylococcus Bacteremia

Table 1

Patients who met inclusion criteria for rapid diagnostic testing.

AgeGenderEmpiric therapyIsolated microorganismPlan madeTime to optimal antibiotic therapy (hours) using culture based methodExpected time avoided (hours) to optimal antibiotic therapy using the molecular diagnostic test

61FVancomycinMSSAChanged to nafcillin7874
68MVancomycinCoNSVancomycin discontinued4442
32FVancomycin and levofloxacinCoNSDischarged from EDn/a
78FVancomycinCoNSVancomycin discontinued3028
74FVancomycin and doxycyclineCoNSVancomycin discontinued and patient discharged4947
49MVancomycinCoNSDischarged from EDn/a
80FVancomycin and ceftriaxoneMicrococcusVancomycin discontinued2826
85FVancomycin and piperacillin/tazobactamCoNSVancomycin discontinued2220
29MVancomycinCoNSVancomycin discontinued3129

F = female, M = male, MSSA = methicillin-susceptible Staphylococcus aureus, CoNS = coagulase-negative staphylococci, and ED = emergency department. Patients were called to return for emergency department evaluation, to assess clinical status and repeat blood cultures.