Implementation of Rapid Diagnostic Testing without Active Stewardship Team Notification for Gram-Positive Blood Cultures in a Community Teaching Hospital [Clinical Therapeutics]

In community hospitals, antimicrobial stewardship team notification of rapid diagnostic testing (RDT) results may not be feasible. A retrospective, quasi-experimental study was conducted evaluating 252 adult inpatients with blood cultures positive for Gram-positive cocci in clusters (pre-RDT n=143, post-RDT n=109). Median time to appropriate therapy was significantly shorter in the post-RDT group (15 vs. 0 hr, p <0.001), and mean length of stay for patients with Coagulase-negative staphylococcus was significantly shorter (10.5 vs. 7.7 days, p=0.015).

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