Microbiological testing (blood and urine cultures) in patients discharged from the emergency department
Conditions
Interventions
Group 1: This is a prospective cohort study with a 7-day follow-up period. Patients who have had a blood or urine culture taken as part of their routine care in the emergency department and are subseq
Sponsors
Zentrale Notaufnahme Charité Universitätsmedizin Berlin
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Age = 18 years -Collection of a blood or urine culture during the emergency department visit -Outpatient management (discharge from the emergency department) -Ability to provide informed consent -Availability for follow-up (telephone contact available)
Exclusion criteria
Exclusion criteria: Language barrier
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of positive microbiological findings in patients discharged from the emergency department who received a blood culture within 7 days after discharge Frequency of positive microbiological findings in patients discharged from the emergency department who received a urine culture within 7 days after discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| - Time interval between physician order and dispatch of the culture to the laboratory - Type of positive microbiological findings and frequency of result communication to the affected patients - Percentage of cases with therapeutic consequences in the emergency department (frequency and type of antibiotic therapies) -Percentage of outpatient patients in whom the microbiological result (positive or negative) led to a therapeutic or clinical consequence within 7 days (e.g., initiation, modification, or discontinuation of antibiotic therapy; deliberate withholding of antibiotics in the case of a negative result; repeat medical consultation or recommendation for reassessment) - Outcomes: return visits to the emergency department within 7 days; additional physician contact within 7 days related to the test results; duration of antibiotic therapy (assessed via review of the documentation system and telephone follow-up) | — |
Countries
Germany
Contacts
Public ContactMartin Möckel
Zentrale Notaufnahme Charité Campus Virschow Klinikum
Outcome results
None listed