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Tidig infektionskonsult gav effekt vid Staphylococcus aureus-bakteriemi. Konsultationen minskade återinläggningsfrekvens och mortalitet, visar retrospektiv studie
Engelsk titel: Automatic infectious disease consultant alert is associated with decreased mortality and readmission rate in Staphylococcus aureus bacteriemia Läs online Författare: Ruus, Christoffer ; Skovbjerg, Susann ; Magnusson, Tim ; Snygg-­Martin, Ulrika ; Studahl, Marie ; ­Andersson, Lars-Magnus Språk: Swe Antal referenser: 22 Dokumenttyp: Artikel UI-nummer: 18020075

Tidskrift

Läkartidningen 2018;115(3)88-91 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

A management plan was implemented at a 2000 bed teaching hospital where positive blood cultures with growth of Staphylococcus aureus were reported simultaneously to the ordering unit and to the Infectious Disease Consultant. Readmission rate and 30-day mortality were compared one year before and one year after introduction of the management plan. Out of totally 320 respectively 321 patients with SAB 252 and 244 were included in the study. 30-day mortality decreased from 26/252 (10%) to 14/244 (5,7%) (p=0.059) when all patients with SAB were included and to 9/193 (4,7%) (p=0,026) when only patients who received a formal consultation after introduction of the management plan were included. The rate of readmission within 30 days declined from 38/227 (17%) in 2014-2015 to 24/230 (10%) in 2015-2016 (p=0,049).