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Evaluation of Staphylococcus aureus Bacteremia: Academic and Community-Based Management Within the Same Health System

Published online by Cambridge University Press:  15 March 2017

Sumaya Ased
Affiliation:
Department of Pharmaceutical Services, Catholic Health Initiative (CHI) Creighton University Medical Center, Omaha, Nebraska
Hamza Rayes
Affiliation:
Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska
Jaspreet Dhami
Affiliation:
Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska
Nick Amosson
Affiliation:
Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska
Akua Fordjour
Affiliation:
Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska
Jeff Macaraeg
Affiliation:
Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska
Renuga Vivekanandan
Affiliation:
Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska Department of Infectious Diseases, Creighton University School of Medicine, Omaha, Nebraska
Josh Wilson
Affiliation:
Department of Internal Medicine, Creighton University School of Medicine, Omaha, Nebraska
Annie Cabri
Affiliation:
Department of Pharmaceutical Services, Catholic Health Initiative (CHI) Creighton University Medical Center, Omaha, Nebraska
Michele Davids
Affiliation:
Department of Pharmaceutical Services, Catholic Health Initiative (CHI) Creighton University Medical Center, Omaha, Nebraska
Jennifer Anthone
Affiliation:
Department of Pharmaceutical Services, Catholic Health Initiative (CHI) Creighton University Medical Center, Omaha, Nebraska
Stephen Cavalieri
Affiliation:
Department of Pathology, Creighton University School of Medicine, Omaha, Nebraska
Christopher J. Destache*
Affiliation:
Department of Infectious Diseases, Creighton University School of Medicine, Omaha, Nebraska Creighton University School of Pharmacy & Health Professions, Omaha, Nebraska
*
Address correspondence to Chris Destache, PharmD, Professor of Pharmacy and Infectious Diseases, Creighton University, 2500 California Plaza, Omaha, NE 68178 (destache@creighton.edu).

Abstract

A nonrandomized, retrospective comparison of Staphylococcus aureus bacteremia between an academic hospital setting (n=53) and a community hospital setting (n=245) within a single healthcare system was performed. Despite infectious disease consultations, S. aureus bacteremia management recommendations based on Infectious Diseases Society of America (IDSA) guidelines were not followed as closely in the community hospital setting. The community hospital setting requires management standardization for patients with S. aureus bacteremia.

Infect Control Hosp Epidemiol 2017;38:740–742

Type
Concise Communications
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

REFERENCES

1. Holland, TL, Arnold, C, Fowler, VG Jr. Clinical management of Staphylococcus aureus bacteremia: a review. JAMA 2014;312:13301341.Google Scholar
2. Honda, H, Krauss, MJ, Jones, JC, et al. The value of infectious diseases consultation in Staphylococcus aureus bacteremia. Am J Med 2010;123:631637.Google Scholar
3. Jenkins, TC, Price, CS, Sabel, AL, Mehler, PS, Burman, WJ. Impact of routine infectious diseases service consultation on the evaluation, management, and outcomes of Staphylococcus aureus bacteremia. Clin Infect Dis 2008;46:10001008.Google Scholar
4. Robinson, JO, Pozzi-Langhi, S, Phillips, M, et al. Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia. Eur J Clin Microbiol Infect Dis 2012;31:24212428.CrossRefGoogle ScholarPubMed
5. Turner, RB, Valcarlos, E, Won, R, Change, E, Schwartz, J. Impact of infectious diseases consultation on clinical outcomes of patients with Staphylococcus aureus bacteremia at a community health system. Antimicrob Agents Chemother 2016;60:56825687.Google Scholar
6. Shorr, AF, Tabak, YP, Killian, AD, Gupta, V, Liu, LZ, Kollef, MH. Healthcare-associated bloodstream infection: a distinct entity? Insights from a large U.S. database. Crit Care Med 2006;34:25882595.Google Scholar
7. Baddour, LM, Wilson, WR, Bayer, AR, et al. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications. Statement for healthcare professionals from the American Heart Association. Circulation 2015;132:14351486.Google Scholar
8. Liu, C, Bayer, A, Cosgrove, SE, et al. Clinical practice guidelines by the Infectious Diseases Society of America for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children. Clin Infect Dis 2011;52:138.Google Scholar