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IDCases. 2017 Feb 7;8:3-5. doi: 10.1016/j.idcr.2017.02.001. eCollection 2017.

The cost of a recalcitrant intravenous drug user with serial cases of endocarditis: Need for guidelines to improve the continuum of care.

Author information

1
Division of Infectious Diseases, Mayo Clinic, Jacksonville, FL, United States; Mayo Clinic Health System in Waycross, GA, United States.
2
Department of Psychiatry & Psychology, Mayo Clinic Rochester, MN, United States; Mayo Clinic Health System in Waycross, GA, United States.
3
Division of Infectious Diseases, Mayo Clinic, Jacksonville, FL, United States.
4
Department of Psychiatry & Psychology, Mayo Clinic Rochester, MN, United States.
5
Department of Psychiatry & Psychology, Mayo Clinic, Jacksonville, FL, United States; Department of Psychiatry & Psychology, Mayo Clinic Rochester, MN, United States.

Abstract

We report a case of an intravenous drug user (IVDU) patient who had 4 episodes of endocarditis within a 2-year time period in rural Georgia. The institutional cost was approximately $380,000. The lack of an established transitional care plan for IVDUs to outpatient care is a common phenomenon at institutions. Guidelines are essential to optimize the quality of care rendered to IVDUs with such infections, to assist providers in utilizing limited resources, and to limit the cost to the institutions.

KEYWORDS:

IV substance use disorder with life-threatening infection

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