# Implementation of a novel process for post-discharge microbiology results review for musculoskeletal infections in a large-volume academic healthcare system

**Authors:** Margaret Pertzborn, Amy L. Van Abel, Trudi Lane, Kristin Cole, Douglas Osmon, Diana J. Schreier, Hilary Teaford, Courtney M. Willis, Anna Woods, Raymund R. Razonable, Abinash Virk, Christina G. Rivera

PMC · DOI: 10.5194/jbji-10-447-2025 · 2025-11-10

## TL;DR

A new process for reviewing microbiology results after patient discharge helps improve treatment for musculoskeletal infections.

## Contribution

A novel electronic medical record-based process for post-discharge microbiology review in musculoskeletal infections is implemented and evaluated.

## Key findings

- 35.6% of patient encounters had at least one intervention, often involving therapy modification.
- Multidisciplinary review improved antimicrobial optimization using post-discharge culture results.

## Abstract

Awaiting final microbiology results can delay discharge in musculoskeletal (MSK) infections. We developed a novel process based on electronic medical records reviewing post-discharge results. Among 1662 encounters, 35.6 % had 
≥
 1 intervention, often therapy modification. Multidisciplinary review by an orthopaedic infectious diseases team improved antimicrobial optimization through timely action on culture results after discharge.

## Full-text entities

- **Diseases:** infectious diseases (MESH:D003141), musculoskeletal (MSK) infections (MESH:D009140)

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12628069/full.md

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Source: https://tomesphere.com/paper/PMC12628069