Accès ouvert
2026
article
OpenAlex
Katarzyna Stoj, David Kuang, Barbara G. Ross, Adam L Gouveia et autres
Abstract Background Inappropriate urine cultures (UCx) performed in children lead to false-positive results, asymptomatic bacteriuria detection, unnecessary antibiotic use, and increased healthcare costs. To reduce unnecessary UCx in our hospital network, we implemented a diagnostic stewardship initiative utilizing reflex urine testing in …
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Accès ouvert
2025
article
OpenAlex
Harjot Kaur Singh, Barbara G. Ross, S. Ting, Chloe A. Teasdale et autres
BACKGROUND: bloodstream infection (HO-MRSA BSI) could inform future prevention strategies for HO-MRSA BSI. METHODS: We performed a retrospective cohort study of HO-MRSA BSI reported to NHSN from 2020-2023 at a system of 9 acute care hospitals located in New York City. The …
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2025
article
OpenAlex
Karen P. Acker, Xiaoyue Ma, Hannah J. Joyce, W. G. Shin et autres
BACKGROUND: Obtaining urine cultures (UCx) in the absence of symptoms and inflammation can result in misdiagnosis of urinary tract infections (UTIs) and inappropriate use of antibiotics. Reflex UCx is a diagnostic stewardship strategy in which a UCx is performed only if a …
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Accès ouvert
2025
article
OpenAlex
Harjot Kaur Singh, Adam L Gouveia, Barbara G. Ross, David Kuang et autres
Abstract Background Secondary vancomycin prophylaxis (VP) is one strategy to reduce recurrent C. difficile infection (CDI). Clinical decision support (CDS) was implemented in the electronic health record (Epic®) in 2020 to remind providers about eligibility for VP at time of prescription of …
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Accès ouvert
2025
article
OpenAlex
Lisa M. Saiman, Karen P. Acker, Harjot Kaur Singh, Lars F. Westblade et autres
Abstract Background Obtaining a urine culture (UCx) in the absence of urinary symptoms and inflammation has been shown to result in misdiagnosis and over treatment of urinary tract infections (UTIs) and catheter-associated UTIs in adults. Reflex UCx is a diagnostic stewardship strategy …
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Accès ouvert
2023
article
OpenAlex
Harjot Kaur Singh, Barbara G. Ross, MARGARET M. QUINN, David P. Calfee et autres
Abstract Background Hospital-onset bacteremia (HOB) is a quality metric proposed by CDC. HOB caused by methicillin-resistant Staphylococcal aureus (MRSA) is reported to Centers for Medicare and Medicaid services through the National Healthcare Safety Network (NHSN), yet few studies have described HOB-MRSA epidemiology. …
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Accès ouvert
2019
article
OpenAlex
Barbara G. Ross, William G. Greendyke, Philip Zachariah, Matthew S. Simon et autres
Abstract Background Distinguishing between Clostridioides difficile infection (CDI) and asymptomatic colonization with a PCR-based test can be difficult and can lead to unnecessary antibiotic use, longer lengths of stay and inflated hospital-onset (HO) CDI rates. Additionally, inappropriate testing for CDI complicates this …
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