TY - JOUR
T1 - Bacterial and protozoal gastroenteritis
AU - Nachamkin, Irving
AU - Edelstein, Paul H.
AU - Tarr, Phillip I.
AU - Clausen, Carla R.
AU - Christie, Dennis L.
AU - Holland, Stephen
AU - Pottkotter, Louis
AU - Guerrant, Richard L.
AU - Bobak, David A.
PY - 1992/2/13
Y1 - 1992/2/13
N2 - To the Editor: Guerrant and Bobak (Aug. 1 issue)1 point out that the cost of routine stool cultures is very high and suggest a selective approach to help improve the cost effectiveness of cultures. A major reason for the high cost of stool cultures that is not discussed is the failure to consider different diagnostic approaches to nosocomial as opposed to community-acquired diarrhea. Although most clinicians would agree that hospitalized patients rarely if ever acquire salmonellosis, shigellosis, campylobacteriosis, or amebiasis during their hospitalization, routine stool cultures and parasitologic examinations are regularly ordered for hospitalized patients with diarrheal disease. Studies at. . .
AB - To the Editor: Guerrant and Bobak (Aug. 1 issue)1 point out that the cost of routine stool cultures is very high and suggest a selective approach to help improve the cost effectiveness of cultures. A major reason for the high cost of stool cultures that is not discussed is the failure to consider different diagnostic approaches to nosocomial as opposed to community-acquired diarrhea. Although most clinicians would agree that hospitalized patients rarely if ever acquire salmonellosis, shigellosis, campylobacteriosis, or amebiasis during their hospitalization, routine stool cultures and parasitologic examinations are regularly ordered for hospitalized patients with diarrheal disease. Studies at. . .
UR - http://www.scopus.com/inward/record.url?scp=0026585747&partnerID=8YFLogxK
U2 - 10.1056/NEJM199202133260714
DO - 10.1056/NEJM199202133260714
M3 - Letter
C2 - 1580902
AN - SCOPUS:0026585747
SN - 0028-4793
VL - 326
SP - 489
EP - 490
JO - New England Journal of Medicine
JF - New England Journal of Medicine
IS - 7
ER -