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

Hayden L. Smith, Mohamed A. Elfeki, Dana Lowry and 10 more

Antimicrobial Stewardship & Healthcare Epidemiology · 2022

doi:10.1017/ash.2021.253 (opens in a new tab)

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Abstract

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.

Abstract licence: CC BY-NC-SA

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