Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia.
Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. JAMA Netw Open. 2022;5(6):e2218172. doi:10.1001/jamanetworkopen.2022.18172.
Inappropriate antibiotic prescribing can result in patient harm and costly antibiotic-resistant infections. Health record review of 1,477 patients admitted from the emergency department for suspected bacteremia infection revealed that 11.6% were misdiagnosed at infection site, and 3.1% did not have any infection. Misdiagnosis was not associated with worse short-term clinical outcomes but was associated with potentially inappropriate broad-spectrum antibiotic use.