Matches in SemOpenAlex for { <https://semopenalex.org/work/W2899203747> ?p ?o ?g. }
Showing items 1 to 71 of
71
with 100 items per page.
- W2899203747 abstract "Abstract Background Multiple studies have shown that Infectious Diseases (ID) consultation significantly improves adherence to guidelines for patients with SAB and decreases mortality. Data from a prior retrospective study done at Hahnemann University Hospital showed that ID consultation improved the use of guideline-based core measures for SAB management. Based on these data, a mandatory ID consultation was established at our institution in November 2016. Methods A retrospective, observational study was conducted to evaluate patient characteristics, adherence to core measures for SAB, and in-hospital mortality. All patients with at least one documented blood culture positive for S. aureus were stratified into two groups: pre-mandatory consult (January 1, 2014–November 1, 2016) and post mandatory consult (November 2, 2016–February 1, 2018). Results Three hundred seventy-three discrete episodes of SAB were included in the final analysis, 238 episodes before mandatory consult, and 135 episodes after the mandatory consult policy was enacted. Mandatory consultation significantly improved the use of the following core measures for SAB: surveillance blood cultures (87.7% pre vs. 99.2% post, P < 0.001), echocardiography (81.9% vs. 96.9%, P < 0.001), early targeted antimicrobial therapy with nafcillin or cefazolin in MSSA (71.7% vs. 88.6%, P < 0.001), and appropriateness of final antibiotic choice (80.2% vs. 95.2%, P < 0.001). In addition, in-hospital mortality (15.4% vs. 6.2%, P = 0.011), and infection-related mortality (14.3% vs. 5.6%, P = 0.011) were found to be statistically significantly lower in the post mandatory consultation patients. Conclusion Implementation of a mandatory ID consultation for patients with SAB at our institution was associated with increased adherence to guideline-based core measures for management of SAB, and decreased in-hospital and infection-related mortality. Our results suggest that mandatory ID consultation for SAB should be considered at all institutions. Disclosures All authors: No reported disclosures." @default.
- W2899203747 created "2018-11-09" @default.
- W2899203747 creator A5009941982 @default.
- W2899203747 creator A5020581003 @default.
- W2899203747 creator A5067826154 @default.
- W2899203747 creator A5072145728 @default.
- W2899203747 creator A5079798250 @default.
- W2899203747 date "2018-11-01" @default.
- W2899203747 modified "2023-10-18" @default.
- W2899203747 title "1220. Impact of Mandatory Infectious Diseases Consultation on the Use of Core Measures and Mortality in Staphylococcus aureus Bacteremia (SAB) at an Academic Medical Center" @default.
- W2899203747 doi "https://doi.org/10.1093/ofid/ofy210.1053" @default.
- W2899203747 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6252814" @default.
- W2899203747 hasPublicationYear "2018" @default.
- W2899203747 type Work @default.
- W2899203747 sameAs 2899203747 @default.
- W2899203747 citedByCount "1" @default.
- W2899203747 countsByYear W28992037472020 @default.
- W2899203747 crossrefType "journal-article" @default.
- W2899203747 hasAuthorship W2899203747A5009941982 @default.
- W2899203747 hasAuthorship W2899203747A5020581003 @default.
- W2899203747 hasAuthorship W2899203747A5067826154 @default.
- W2899203747 hasAuthorship W2899203747A5072145728 @default.
- W2899203747 hasAuthorship W2899203747A5079798250 @default.
- W2899203747 hasBestOaLocation W28992037471 @default.
- W2899203747 hasConcept C126322002 @default.
- W2899203747 hasConcept C142724271 @default.
- W2899203747 hasConcept C167135981 @default.
- W2899203747 hasConcept C174802600 @default.
- W2899203747 hasConcept C187212893 @default.
- W2899203747 hasConcept C194828623 @default.
- W2899203747 hasConcept C2779443120 @default.
- W2899203747 hasConcept C2779473907 @default.
- W2899203747 hasConcept C2780182762 @default.
- W2899203747 hasConcept C2780515650 @default.
- W2899203747 hasConcept C501593827 @default.
- W2899203747 hasConcept C71924100 @default.
- W2899203747 hasConcept C86803240 @default.
- W2899203747 hasConcept C89423630 @default.
- W2899203747 hasConceptScore W2899203747C126322002 @default.
- W2899203747 hasConceptScore W2899203747C142724271 @default.
- W2899203747 hasConceptScore W2899203747C167135981 @default.
- W2899203747 hasConceptScore W2899203747C174802600 @default.
- W2899203747 hasConceptScore W2899203747C187212893 @default.
- W2899203747 hasConceptScore W2899203747C194828623 @default.
- W2899203747 hasConceptScore W2899203747C2779443120 @default.
- W2899203747 hasConceptScore W2899203747C2779473907 @default.
- W2899203747 hasConceptScore W2899203747C2780182762 @default.
- W2899203747 hasConceptScore W2899203747C2780515650 @default.
- W2899203747 hasConceptScore W2899203747C501593827 @default.
- W2899203747 hasConceptScore W2899203747C71924100 @default.
- W2899203747 hasConceptScore W2899203747C86803240 @default.
- W2899203747 hasConceptScore W2899203747C89423630 @default.
- W2899203747 hasLocation W28992037471 @default.
- W2899203747 hasLocation W28992037472 @default.
- W2899203747 hasLocation W28992037473 @default.
- W2899203747 hasOpenAccess W2899203747 @default.
- W2899203747 hasPrimaryLocation W28992037471 @default.
- W2899203747 hasRelatedWork W1987789730 @default.
- W2899203747 hasRelatedWork W2065745984 @default.
- W2899203747 hasRelatedWork W2146681681 @default.
- W2899203747 hasRelatedWork W2149377087 @default.
- W2899203747 hasRelatedWork W2150296301 @default.
- W2899203747 hasRelatedWork W2386792675 @default.
- W2899203747 hasRelatedWork W2902329651 @default.
- W2899203747 hasRelatedWork W2981666100 @default.
- W2899203747 hasRelatedWork W3130168684 @default.
- W2899203747 hasRelatedWork W4232713421 @default.
- W2899203747 isParatext "false" @default.
- W2899203747 isRetracted "false" @default.
- W2899203747 magId "2899203747" @default.
- W2899203747 workType "article" @default.