Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia
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 and more freq...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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Springer
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/31672 |
| _version_ | 1848753446746849280 |
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| author | Robinson, J. Pozzi-Langhi, S. Phillips, M. Pearson, J. Christiansen, K. Coombs, Geoffrey Murray, R. |
| author_facet | Robinson, J. Pozzi-Langhi, S. Phillips, M. Pearson, J. Christiansen, K. Coombs, Geoffrey Murray, R. |
| author_sort | Robinson, J. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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 and more 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%, p = 0.003). 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. |
| first_indexed | 2025-11-14T08:24:39Z |
| format | Journal Article |
| id | curtin-20.500.11937-31672 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:24:39Z |
| publishDate | 2012 |
| publisher | Springer |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-316722017-09-13T15:33:38Z Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia Robinson, J. Pozzi-Langhi, S. Phillips, M. Pearson, J. Christiansen, K. Coombs, Geoffrey Murray, R. 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 and more 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%, p = 0.003). 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. 2012 Journal Article http://hdl.handle.net/20.500.11937/31672 10.1007/s10096-012-1585-y Springer restricted |
| spellingShingle | Robinson, J. Pozzi-Langhi, S. Phillips, M. Pearson, J. Christiansen, K. Coombs, Geoffrey Murray, R. Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia |
| title | Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia |
| title_full | Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia |
| title_fullStr | Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia |
| title_full_unstemmed | Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia |
| title_short | Formal infectious diseases consultation is associated with decreased mortality in Staphylococcus aureus bacteraemia |
| title_sort | formal infectious diseases consultation is associated with decreased mortality in staphylococcus aureus bacteraemia |
| url | http://hdl.handle.net/20.500.11937/31672 |