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Impact of Rejection of Low-Quality Wound Swabs on Antimicrobial Prescribing: A Controlled Before-After Study.

Xavier Marchand-Senécal, Ian A Brasg, Robert Kozak, Marion Elligsen, Christie Vermeiren, Antoine J Corbeil, Kevin R Barker, Kevin Katz, Jeff E Powis, Wayne L Gold, Jerome A Leis
Open Forum Infectious Diseases 2021 January
In this controlled before-after study, wound swabs were only processed for culture, identification, and susceptibility testing if a quality metric, determined by the Q score, was met. Rejection of low-quality wound swabs resulted in a modest decrease in reflexive antibiotic initiation while reducing laboratory workload and generating few clinician requests.

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