Impact of Infectious Disease Consultation on Quality of Care, Mortality, and Length of Stay in Staphylococcus aureus Bacteremia: Results From a Large Multicenter Cohort Study

Bai, Anthony D.; Showler, Adrienne; Burry, Lisa; Steinberg, Marilyn; Ricciuto, Daniel R.; Fernandes, Tânia; Chiu, Anna; Raybardhan, Sumit; Fernando, Eshan; Tomlinson, George; Bell, Chaim M.; Morris, Andrew M.

doi:10.1093/cid/civ120

Cited by 236 publications

(187 citation statements)

References 39 publications

Supporting

Mentioning

164

Contrasting

Order By: Relevance

“…In two previous observational studies outside of Asia, the adherence rates of follow‐up blood culture were better than in our study (31%3 and 61%2). These adherence rates were improved by interventions, including infectious diseases service consultation (41%3 and 80%2), and this improvement was associated with better survival 2, 3. Furthermore, observational studies have reported that infectious disease service consultation was independently associated with reduced SAB‐related mortality 3, 11.…”

Section: Discussioncontrasting

confidence: 84%

“…Previous observational studies have reported a similar mortality rate for SAB (15–40%) as in our study 2, 3, 4, 5, 6, 9, 10. However, the sources of bacteremia differed significantly between studies.…”

Section: Discussionsupporting

confidence: 78%

“…These adherence rates were improved by interventions, including infectious diseases service consultation (41%3 and 80%2), and this improvement was associated with better survival 2, 3. Furthermore, observational studies have reported that infectious disease service consultation was independently associated with reduced SAB‐related mortality 3, 11. Similarly, an observational study has reported that routine infectious disease service consultation for positive blood cultures resulted in improved detection of infective endocarditis 12.…”

Section: Discussionmentioning

confidence: 98%

“…For the prevention and early detection of these complications, US guidelines for methicillin‐resistant S. aureus (MRSA) infection recommended several specific management strategies, particularly follow‐up blood cultures, sufficient treatment duration, and echocardiography 1. Several observational studies have reported that a higher rate of adherence to these recommendations was associated with lower SAB‐related mortality 2, 3…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Adherence rate of quality‐of‐care indicators for Staphylococcus aureus bacteremia is extremely low in Japanese emergency and critical care departments: a multicenter retrospective observational study

Miyamoto

Kato

Kitayama

et al. 2017

Acute Medicine & Surgery

View full text Add to dashboard Cite

Aim Staphylococcus aureus bacteremia causes significant morbidity and mortality and requires specific management to prevent complications. Most studies evaluating quality of care have been carried out in Europe and North America, and accurate epidemiological data are lacking in Asia. We aimed to describe the epidemiology and evaluate the quality of care for S. aureus bacteremia in Japan.MethodsFrom February 2011 to January 2014, we undertook a multicenter retrospective observational study in 10 departments of emergency and critical care in Japan. We included 118 hospitalized adult patients with S. aureus bacteremia and evaluated three quality‐of‐care indicators: follow‐up blood culture, treatment duration, and echocardiography.ResultsThe mean age of the patients was 63.5 ± 17.0 years. The major source of bacteremia was pneumonia (n = 22, 19%), followed by skin and soft tissue infection (n = 18, 15%). Thirty patients (25%) died in the hospital. Follow‐up blood culture was performed in 21/112 patients (19%). The duration of antimicrobial treatment was sufficient in 49/87 patients (56%). Echocardiography for patients with clinical indication was undertaken in 39/59 patients (66%). Any of the three indicators were inadequate in 101/118 (86%).ConclusionThe rate of adequate care for S. aureus bacteremia is low in Japan. The low adherence rate for follow‐up blood culture was particularly notable. Staphylococcus aureus bacteremia can be an important target of quality improvement interventions.

show abstract

Section: Discussioncontrasting

confidence: 84%

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adherence rate of quality‐of‐care indicators for Staphylococcus aureus bacteremia is extremely low in Japanese emergency and critical care departments: a multicenter retrospective observational study

Miyamoto

Kato

Kitayama

et al. 2017

Acute Medicine & Surgery

View full text Add to dashboard Cite

show abstract

“…Early surrogate measures of "success" could then be validated against these 'true' outcomes. Given that increased mortality following sepsis can be demonstrated for up to 2 years post event [29] It is also important that studies comparing treatment for BSI ensure that other evidence-based approaches known to influence clinical outcomes (such as seeking and addressing a removal source of infection or ID consultation for S. aureus BSI [30]), are applied consistently between arms and compliance recorded.…”

Section: Bsi Is a Common Condition Encountered By Id Physicians And Cmentioning

confidence: 99%

Proposed primary endpoints for use in clinical trials that compare treatment options for bloodstream infection in adults: a consensus definition

Harris

McNamara

Lye

et al. 2017

Clinical Microbiology and Infection

View full text Add to dashboard Cite

No standardised endpoint definitions exist to aid the design of trials that compare antibiotic therapies for bloodstream infection (BSI). We reviewed endpoints used in contemporary BSI studies and defined consensus endpoints using a modified Delphi process. Prospective studies, randomised trials or registered protocols comparing antibiotic therapies for BSI, published from 2005 to 2016, were reviewed. Different primary and secondary endpoints were defined for pilot (small-scale studies designed to evaluate protocol design, feasibility and implementation) and definitive trials (larger-scale studies designed to test hypotheses and influence clinical practice), as well as for Staphylococcus aureus and Gram-negative BSI. For pilot studies of S.

show abstract

Association of Infectious Diseases Consultation With Long-term Postdischarge Outcomes Among Patients With Staphylococcus aureus Bacteremia

et al. 2020

View full text Add to dashboard Cite

IMPORTANCE Staphylococcus aureus bacteremia (SAB) is common and associated with poor longterm outcomes. Previous studies have demonstrated an association between infectious diseases (ID) consultation and improved short-term (ie, within 90 days) outcomes for patients with SAB, but associations with long-term outcomes are unknown. OBJECTIVE To investigate the association of ID consultation with long-term (ie, 5 years) postdischarge outcomes among patients with SAB. DESIGN, SETTING, AND PARTICIPANTS This cohort study included all patients (N = 31 002) with a first episode of SAB who were discharged alive from 116 acute care units of the nationwide Veterans

show abstract

Impact of Infectious Disease Consultation on Quality of Care, Mortality, and Length of Stay in Staphylococcus aureus Bacteremia: Results From a Large Multicenter Cohort Study

Abstract: ID consultation is associated with better adherence to quality measures, reduced in-hospital mortality, and earlier discharge in patients with SAB.

Cited by 236 publications

References 39 publications

Adherence rate of quality‐of‐care indicators for Staphylococcus aureus bacteremia is extremely low in Japanese emergency and critical care departments: a multicenter retrospective observational study

Adherence rate of quality‐of‐care indicators for Staphylococcus aureus bacteremia is extremely low in Japanese emergency and critical care departments: a multicenter retrospective observational study

Proposed primary endpoints for use in clinical trials that compare treatment options for bloodstream infection in adults: a consensus definition

Association of Infectious Diseases Consultation With Long-term Postdischarge Outcomes Among Patients With Staphylococcus aureus Bacteremia

Contact Info

Product

Resources

About