University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Hospital Medicine


Dr. Mary Walton, DMSc, PA-C


Molecular rapid diagnostic tests (mRDTs) for blood culture identification have resulted in improved outcomes for patients with bloodstream infections but have been mostly studied in large academic medical centers with ample resources. Small and community-based hospitals face many obstacles and often lack robust antimicrobial stewardship programs and access to infectious diseases physicians and pharmacists. The aim of this article is to review the literature on the implementation of blood culture mRDTs and the resulting outcomes in these settings encompassing varying degrees of antimicrobial stewardship programs and implementation plans. Despite the obstacles, rapid blood culture diagnostics can be successfully implemented in small and community-based hospitals.


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