Table 1.
Intervention Type and Outcome from Interdisciplinary Microbiology Plate Rounds
Intervention Type* | N (%) |
---|---|
Antibiotic allergy | 3 (3.5) |
Bug-drug mismatch | 2 (2.4) |
Clarification of specimen ordering/handling | 1 (1.2) |
Clinical liaison services | 36 (42.4) |
Infection vs colonization | 4 (4.7) |
MDR organism | 19 (22.3) |
Mixed cultures | 5 (5.9) |
Rapid diagnostics | 5 (5.9) |
Reporting | 15 (17.6) |
Intervention Outcome | N (%) |
Avoid inappropriate antimicrobial de-escalation | 1 (1.2) |
Avoid inappropriate antimicrobial escalation | 3 (3.5) |
Avoid treatment of colonization | 1 (1.2) |
Avoid unnecessary microbiology workup | 12 (14.1) |
Clarify culture reporting | 15 (17.6) |
Clarify microbiology workup | 19 (22.4) |
De-escalated spectrum of activity | 8 (9.4) |
Ensure appropriate therapy for MDR organism | 6 (7.1) |
Initiate therapy | 1 (1.2) |
No change | 7 (8.2) |
Optimize therapy | 11 (12.9) |
Reduced duration of therapy | 1 (1.2) |
Abbreviations: MDR, multidrug resistant.
*Individual interventions could qualify for multiple types of intervention.