Comparison of the performance of a clinical classification tree versus clinical gestalt in predicting sepsis with extended-spectrum beta-lactamase–producing gram-negative rods

A clinical decision tree was developed using point-of-care characteristics to identify patients with culture-proven sepsis due to extended-spectrum β-lactamase–producing Enterobacterales (ESBL-PE). We compared its performance with the clinical gestalt of emergency department (ED) clinicians and hosp...

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Bibliographic Details
Main Authors: Hayden L. Smith, Mohamed A. Elfeki, Dana Lowry, Rebecca Sabates, Molly Ropte, Katherine R. Sittig, Stephanie Finch, Kristina Braun, William Pruett, Aaron Wasson, Kenna Fischman, Jennifer Peterson, Rossana Rosa
Format: Article
Language:English
Published: Cambridge University Press 2022-01-01
Series:Antimicrobial Stewardship & Healthcare Epidemiology
Online Access:https://www.cambridge.org/core/product/identifier/S2732494X21002539/type/journal_article
Description
Summary:A clinical decision tree was developed using point-of-care characteristics to identify patients with culture-proven sepsis due to extended-spectrum β-lactamase–producing Enterobacterales (ESBL-PE). We compared its performance with the clinical gestalt of emergency department (ED) clinicians and hospital-based clinicians. The developed tree outperformed ED-based clinicians but was comparable to inpatient-based clinicians.
ISSN:2732-494X