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What happens to reporting when Bandemia becomes a critical alert?
Matthew Jackson1, Alexis Salerno2, Stephen Schenkel2
1Emergency Medicine Resident, University of Maryland Medical Center, 22 S. Greene St, Baltimore, MD 21201, United States of America.
The American Journal of Emergency Medicine
|November 14, 2024
Summary
A critical alert for bandemia (elevated band neutrophils) in emergency departments led to a 4.6-fold increase in detection. This highlights improved identification of potential severe infections in emergency patients.
Area of Science:
- Emergency Medicine
- Hematology
- Infectious Disease
Background:
- Bandemia, defined as band neutrophil count >10% of white blood cells, is linked to severe infections in emergency department (ED) patients.
- Early identification of bandemia can aid in diagnosing serious infections.
Purpose of the Study:
- To evaluate the impact of a critical alert system for bandemia implemented in an ED.
- To assess changes in bandemia incidence and patient characteristics after alert system initiation.
Main Methods:
- Retrospective chart review of two patient cohorts: before and after the critical alert for bandemia was instituted in January 2023.
- Comparison of bandemia incidence and patient demographics between the two cohorts.
Main Results:
- A 4.6-fold higher incidence of bandemia was observed after the critical alert system was implemented.
- Baseline patient characteristics remained similar between the pre- and post-alert cohorts.
Conclusions:
- The critical alert system significantly increased the detection rate of bandemia in the emergency department.
- The enhanced identification of bandemia may facilitate earlier diagnosis and management of severe infections.
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