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Journal of Clinical Microbiology, January 2003, p. 495-497, Vol. 41, No. 1
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.1.495-497.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Detection and Treatment of Bloodstream Infection: Laboratory Reporting and Antimicrobial Management

Erik L. Munson,1 Daniel J. Diekema,1,2 Susan E. Beekmann,1 Kimberle C. Chapin,3 and Gary V. Doern1*

Division of Medical Microbiology, Department of Pathology,1 Division of Infectious, Diseases, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, Iowa,2 Division of Medical Microbiology, Department of Laboratory Medicine, Lahey Clinic, Burlington, Massachusetts3

Received 1 July 2002/ Returned for modification 6 August 2002/ Accepted 14 October 2002

We analyzed antimicrobial use in 509 episodes of clinically significant bloodstream infection to assess the impact that microbiology laboratory reporting had on antimicrobial management. Most therapy interventions occurred at the time of phlebotomy and after notification of Gram stain results by telephone. Release of antimicrobial susceptibility data had the least impact on antimicrobial management.

* Corresponding author. Mailing address: Department of Pathology, Clinical Microbiology Laboratories, 200 Hawkins Dr., C606 GH, Iowa City, IA 52242. Phone: (319) 356-8616. Fax: (319) 356-4916. E-mail: gary-doern{at}uiowa.edu.

Journal of Clinical Microbiology, January 2003, p. 495-497, Vol. 41, No. 1
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.1.495-497.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.



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