bacteremia
Conditions
Interventions
1) Intervention 1 Antibiotic therapy based on the microorganism identification by conventional method and Filmarray system
2) Intervention 2 Antibiotic therapy based on the microorganism identificat
Sponsors
Hitachi General Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Patients with positive blood cultures who are hospitalized in the incentive care unit or high care unit in the Hitachi General Hospital. 2) Patients whose antibiotic treatment intensivists and antibiotic stewardship team choose.
Exclusion criteria
Exclusion criteria: 1) Suspected persistent bacteremia (positive blood cultures of the same bacteria based on gram stain examination) within the past week. 2) If no bacteria is shown on gram stain examination despite positive blood cultures. 3) If more than 48 hours have passed after positive blood cultures. 4) Receiving palliative care without antibiotic therapy. 5) If patients are not hospitalized in the ICU/HCU (due to death or transfer to another hospital/department).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration between the identification of positive blood cultures and the initiation of appropriate antibiotic therapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) 28 day-mortality 2) Duration of ICU stay 3) Duration of hospital stay 4) Total cost of antimicrobial agents | — |
Countries
Japan
Contacts
Public ContactHideki Hashimoto
Hitachi General Hospital Division of Emergency and Intensive Care Medicine/Department of Infectious Diseases
Outcome results
None listed