Impact of universal infectious diseases consultation on the management of Staphylococcus aureus bloodstream infection in a Swiss community hospital

Diagn Microbiol Infect Dis. 2020 May;97(1):115001. doi: 10.1016/j.diagmicrobio.2020.115001. Epub 2020 Jan 28.

Abstract

We compared two periods, before and after systematic implementation of infectious diseases consultation for each Staphylococcus aureus bacteremia. Comparing these periods, we showed a significant increase in follow-up blood cultures (from 38% to 85%), transthoracic echocardiography (from 25% to 79%), and administration of appropriate antistaphylococcal agent (from 77% to 96%).

Keywords: Bacteremia; Bloodstream infection; Infectious disease consultation; Mortality; Staphylococcus aureus.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / drug therapy*
  • Bacteremia / mortality
  • Blood Culture / statistics & numerical data
  • Disease Management*
  • Echocardiography / statistics & numerical data
  • Female
  • Guideline Adherence
  • Health Plan Implementation*
  • Hospitals, Community / statistics & numerical data*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Practice Guidelines as Topic
  • Referral and Consultation*
  • Retrospective Studies
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / mortality
  • Staphylococcus aureus / drug effects
  • Staphylococcus aureus / pathogenicity
  • Switzerland

Substances

  • Anti-Bacterial Agents