Short report: impact of selective reporting of antibiotic susceptibility testing on antibiotic use in patients with bloodstream infection with Enterococcus faecalis

Introduction Bloodstream infections with Enterococcus faecalis are associated with relevant morbidity and mortality. Targeted antimicrobial therapy is essential. The choice of an adequate treatment may be challenging when susceptibility testing offers different options. Selective reporting of antibi...

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Published in:Infection 2023-10, Vol.51 (5), p.1557-1562
Main Authors: Geismann, Florian, Handschuh, Stefan, Malfertheiner, Maximilian, Salzberger, Bernd, Bauernfeind, Stilla, Hitzenbichler, Florian, Simon, Michaela, Caplunik-Pratsch, Aila, Schneider-Brachert, Wulf, Wiest, Clemens, Ruegamer, Tamara, Mohr, Arno
Format: Article
Language:English
Subjects:
Ampicillin
Antibiotics
Blood
Brief Report
Enterococcus faecalis
Family Medicine
General Practice
Infectious Diseases
Internal Medicine
Medicine
Medicine & Public Health
Morbidity
Patients
Sensitivity analysis
Susceptibility
Therapy
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Summary:Introduction Bloodstream infections with Enterococcus faecalis are associated with relevant morbidity and mortality. Targeted antimicrobial therapy is essential. The choice of an adequate treatment may be challenging when susceptibility testing offers different options. Selective reporting of antibiotic susceptibility test results might lead to a more tailored antibiotic therapy and could therefore be an important antimicrobial stewardship program intervention. The aim of this study was to analyse whether the introduction of selective reporting of antibiotic test results leads to a more targeted antibiotic therapy in patients with bloodstream infection with Enterococcus faecalis . Methods This study was performed as a retrospective cohort study at the University Hospital Regensburg, Germany. All patients with blood cultures positive for Enterococcus faecalis between March 2003 and March 2022 were analysed. In February 2014 selective reporting of antibiotic susceptibility test results omitting sensitivity results for agents not recommended was introduced. Results 263 patients with blood cultures positive for Enterococcus faecalis were included . After introduction of selective reporting of antibiotic tests (AI) significantly more patients received ampicillin than before introduction of selective reporting (BI) (9.6% BI vs. 34.6% AI, p  
ISSN:0300-8126
1439-0973
DOI:10.1007/s15010-023-02045-4