Journal article
Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia
European Journal of Clinical Microbiology & Infectious Diseases, Vol.31(9), pp.2421-2428
2012
Abstract
To determine the impact of infectious diseases consultation (IDC) in Staphylococcus aureus bacteraemia. All MRSA bacteraemia and a random subset of MSSA bacteraemia were retrospectively analysed. Out of 599 SAB episodes, 162 (27%) were followed by an IDC. Patients with IDC were younger andmore frequently intravenous drug users, but fewer resided in a long-term care facility or were indigenous. Hospital length of stay was longer (29.5 vs 17 days, p<0.001), and endocarditis (19.1%vs 7.3%, p<0.001) and metastatic seeding (22.2% vs 10.1%, p<0.001) were more frequent in the IDC group; however, SAPS II scores were lower in the IDC group (27 vs 37, p<0.001). ICU admission rates in the two groups were similar. The isolate tested susceptible to empirical therapy more frequently in the IDC group (88.9%vs 78.0%, p00.003). Seven-day (3.1 vs 16.5%), 30-day (8.0%vs 27.0%) and 1-year mortality (22.2% vs 44.9%) were all lower in the IDC group (all p<0.001). Multivariate analysis showed that effective initial therapy was the only variable associated with the protective effect of IDC. In patients with SAB, all-cause mortality was significantly lower in patients who had an IDC, because of the higher proportion of patients receiving effective initial antibiotics.
Details
- Title
- Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia
- Authors/Creators
- J.O. Robinson (Author/Creator)S. Pozzi - Langhi (Author/Creator)M. Phillips (Author/Creator)J.C. Pearson (Author/Creator)K.J. Christiansen (Author/Creator)G.W. Coombs (Author/Creator)R.J. Murray (Author/Creator)
- Publication Details
- European Journal of Clinical Microbiology & Infectious Diseases, Vol.31(9), pp.2421-2428
- Publisher
- Springer Verlag
- Identifiers
- 991005544734607891
- Copyright
- © Springer-Verlag 2012.
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.23 Antibiotics & Antimicrobials
- 1.23.173 MRSA and VRE
- Web Of Science research areas
- Infectious Diseases
- Microbiology
- ESI research areas
- Microbiology