Matches in SemOpenAlex for { <https://semopenalex.org/work/W4320502560> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W4320502560 endingPage "e634" @default.
- W4320502560 startingPage "e634" @default.
- W4320502560 abstract "Introduction. We aimed to determined the impact of an intervention using rapid chlamydia (CT)/gonorrhea (GC) testing on reducing unnecessary antibiotic use, undertreatment of CT and/or GC, and length of stay (LOS) in an urban safety-net pediatric emergency department. Methods. Before 2020, we tested for CT/GC using a batched nucleic acid amplification test, with results available the following day. Starting in January 2020, we implemented rapid nucleic acid amplification test. Our primary outcome variables were undertreatment and overtreatment. We defined undertreatment as GC and/or CT-positive patients who did not receive appropriate treatment. We defined overtreatment as GC or CT-negative patients who received antibiotics. The balancing measure was the LOS. Results. There were 758 patients evaluated in the preimplementation period (2019), 612 in the implementation period (2020), and 626 in the postimplementation period (2021). Postimplementation, overtreatment decreased from 18.4% to 8.1%. Undertreatment did not differ by period but was less common among those tested with rapid versus standard testing (12.7% versus 9.9%, P = 0.05). Median LOS increased from 166 minutes (preimplementation) to 187 minutes (implementation) and 202 minutes (postimplementation; P < 0.001). Conclusions. Rapid CT/GC testing reduced unnecessary antibiotic use but increased LOS due to patients waiting for the test results before being discharged. Given the rapid increases in CT/GC rates and antimicrobial resistance, health systems should consider implementing rapid testing to appropriately direct antimicrobials to patients most likely to benefit." @default.
- W4320502560 created "2023-02-14" @default.
- W4320502560 creator A5067970210 @default.
- W4320502560 creator A5071970698 @default.
- W4320502560 creator A5079443303 @default.
- W4320502560 date "2023-01-01" @default.
- W4320502560 modified "2023-10-01" @default.
- W4320502560 title "Improving Management of Suspected Chlamydia and Gonorrhea in Adolescents with a Rapid Diagnostic Test" @default.
- W4320502560 cites W1972809848 @default.
- W4320502560 cites W1978007200 @default.
- W4320502560 cites W2007229630 @default.
- W4320502560 cites W2014318273 @default.
- W4320502560 cites W2103583515 @default.
- W4320502560 cites W2108469410 @default.
- W4320502560 cites W2138938212 @default.
- W4320502560 cites W2538461871 @default.
- W4320502560 cites W2777561590 @default.
- W4320502560 cites W2800286318 @default.
- W4320502560 cites W2808863303 @default.
- W4320502560 cites W2898925048 @default.
- W4320502560 cites W2923225916 @default.
- W4320502560 cites W2949040568 @default.
- W4320502560 cites W3185444663 @default.
- W4320502560 cites W4206726183 @default.
- W4320502560 doi "https://doi.org/10.1097/pq9.0000000000000634" @default.
- W4320502560 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36798111" @default.
- W4320502560 hasPublicationYear "2023" @default.
- W4320502560 type Work @default.
- W4320502560 citedByCount "0" @default.
- W4320502560 crossrefType "journal-article" @default.
- W4320502560 hasAuthorship W4320502560A5067970210 @default.
- W4320502560 hasAuthorship W4320502560A5071970698 @default.
- W4320502560 hasAuthorship W4320502560A5079443303 @default.
- W4320502560 hasBestOaLocation W43205025601 @default.
- W4320502560 hasConcept C118552586 @default.
- W4320502560 hasConcept C126322002 @default.
- W4320502560 hasConcept C194828623 @default.
- W4320502560 hasConcept C195910791 @default.
- W4320502560 hasConcept C203014093 @default.
- W4320502560 hasConcept C2778082588 @default.
- W4320502560 hasConcept C2779134260 @default.
- W4320502560 hasConcept C2779166590 @default.
- W4320502560 hasConcept C2780122209 @default.
- W4320502560 hasConcept C2780724011 @default.
- W4320502560 hasConcept C2781369635 @default.
- W4320502560 hasConcept C3008058167 @default.
- W4320502560 hasConcept C3013748606 @default.
- W4320502560 hasConcept C501593827 @default.
- W4320502560 hasConcept C512399662 @default.
- W4320502560 hasConcept C524204448 @default.
- W4320502560 hasConcept C71924100 @default.
- W4320502560 hasConcept C86803240 @default.
- W4320502560 hasConcept C89423630 @default.
- W4320502560 hasConceptScore W4320502560C118552586 @default.
- W4320502560 hasConceptScore W4320502560C126322002 @default.
- W4320502560 hasConceptScore W4320502560C194828623 @default.
- W4320502560 hasConceptScore W4320502560C195910791 @default.
- W4320502560 hasConceptScore W4320502560C203014093 @default.
- W4320502560 hasConceptScore W4320502560C2778082588 @default.
- W4320502560 hasConceptScore W4320502560C2779134260 @default.
- W4320502560 hasConceptScore W4320502560C2779166590 @default.
- W4320502560 hasConceptScore W4320502560C2780122209 @default.
- W4320502560 hasConceptScore W4320502560C2780724011 @default.
- W4320502560 hasConceptScore W4320502560C2781369635 @default.
- W4320502560 hasConceptScore W4320502560C3008058167 @default.
- W4320502560 hasConceptScore W4320502560C3013748606 @default.
- W4320502560 hasConceptScore W4320502560C501593827 @default.
- W4320502560 hasConceptScore W4320502560C512399662 @default.
- W4320502560 hasConceptScore W4320502560C524204448 @default.
- W4320502560 hasConceptScore W4320502560C71924100 @default.
- W4320502560 hasConceptScore W4320502560C86803240 @default.
- W4320502560 hasConceptScore W4320502560C89423630 @default.
- W4320502560 hasIssue "1" @default.
- W4320502560 hasLocation W43205025601 @default.
- W4320502560 hasLocation W43205025602 @default.
- W4320502560 hasLocation W43205025603 @default.
- W4320502560 hasLocation W43205025604 @default.
- W4320502560 hasOpenAccess W4320502560 @default.
- W4320502560 hasPrimaryLocation W43205025601 @default.
- W4320502560 hasRelatedWork W1557942254 @default.
- W4320502560 hasRelatedWork W2004336841 @default.
- W4320502560 hasRelatedWork W2413108535 @default.
- W4320502560 hasRelatedWork W2417252685 @default.
- W4320502560 hasRelatedWork W2968261824 @default.
- W4320502560 hasRelatedWork W3094782366 @default.
- W4320502560 hasRelatedWork W4240946112 @default.
- W4320502560 hasRelatedWork W4292447422 @default.
- W4320502560 hasRelatedWork W4301185319 @default.
- W4320502560 hasRelatedWork W4381252745 @default.
- W4320502560 hasVolume "8" @default.
- W4320502560 isParatext "false" @default.
- W4320502560 isRetracted "false" @default.
- W4320502560 workType "article" @default.