Reduce Errors and Past Due Reports Via Monthly Audits Using Crid Numbers

Abstract

surveillance cultures (P < .0001). When MMCI cases were compared to single MCI cases, significant differences included: female gender (P < .0349), receipt of allo-HSCT (P < .0373), vancomycin (P < .0012) and cefepime (P < .0009) use. There was no difference in the number of patients who experienced neutropenic fever between MMCI, MCI (P < .275) or culture negative cases (P < .1247). Strept mitis or C.difficileinfection occurred concommitantly or preceded the second MCI in 29(47%) cases. Overall mortality was significantly higher in MMCI cases when compared to cases without any positive cultures (P < .001) or patients with a single MCI (P < .0197). There was no difference in overall mortality for patients who developed MMCI <72hours (polymicrobial) versus MMCI>72 (non-polymicrobial; P < .2990). MMCI are an infrequent but serious cause of adverse events which occur during HSCT. Patients who are at high risk for developing MMCI require increased vigilance and early aggressive antibiotic therapy.