Overuse of a molecular infectious diarrhea panel in acute care: an opportunity for diagnostic stewardship

2026/01/01 by Bushra Alhothli, Michael Payne, Aleksandra Stefanovic +5 · 1 voice
Medicine · #Clostridium difficile and Clostridium perfringens research #Viral gastroenteritis research and epidemiology #Microscopic Colitis

paper · pdf · doi:10.1017/ash.2026.10753

openalex publication_date 2026/01/01 · openalex created_date 2026/06/24 · openalex updated_date 2026/07/02

Abstract

A retrospective review of infectious diarrhea panel (IDP) utilization identified 62% of orders were non-adherent to clinical guidelines. Guideline-discordant orders were significantly less likely to (1) test positive for any target or (2) have impact on patient care. Improving IDP ordering for value-based healthcare is an important diagnostic stewardship intervention.

Discussions

• More than 60% of orders for an infectious diarrhea panel (IDP) are guideline-discordant. Guideline-concordant IDP orders have significantly higher positivity rates and are significantly more likely to [bsky, 1 points, 0 comments]

Related

• 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea
• Positive impact of a diagnostic stewardship intervention on syndromic panel ordering practices and inappropriate C. difficile treatment
• Practice and attitudes of infection control staff towards diagnostic stewardship measures
• Improving antimicrobial use through better diagnosis: The relationship between diagnostic stewardship and antimicrobial stewardship
• Repeat multiplex PCR gastrointestinal panel testing within 14 days yields minimal additional diagnostic information: a multicenter cohort study