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Diagn Microbiol Infect Dis. 2018 Jul;91(3):282-283. doi: 10.1016/j.diagmicrobio.2018.03.001. Epub 2018 Mar 3.

Automatic notification and infectious diseases consultation for patients with Staphylococcus aureus bacteremia.

Author information

1
Department of Medicine, University of Toronto.
2
Department of Medicine, University of Toronto; Division of Infectious Diseases, Sunnybrook Health Sciences Centre.
3
Department of Medicine, University of Toronto; Division of Infectious Diseases, Sunnybrook Health Sciences Centre; Department of Microbiology, Sunnybrook Health Sciences Centre.
4
Department of Medicine, University of Toronto; Division of Infectious Diseases, Sunnybrook Health Sciences Centre; Centre for Quality Improvement and Patient Safety, University of Toronto. Electronic address: jerome.leis@sunnybrook.ca.

Abstract

Observational studies suggest that Infectious Diseases (ID) consultation is associated with improved outcomes for patients with Staphylococcus aureus bacteremia (SAB), but few studies have sought to standardize timely ID consultation through automatic notification by the Microbiology laboratory. In this 3-year quasi-experimental evaluation, introduction of this change resulted in increased ID consultation for SAB (70% versus 100%, P < 0.001) and decreased time to consultation (14.5 versus 4 h, P < 0.0001). Adherence to Quality of Care Indicators (QCIs) increased (45% versus 87%, P < 0.0002), transfer to intensive care unit decreased (38% versus 16%, P = 0.03), while decrease in 30-day readmission or death did not reach statistical significance (33% versus 27%, P = 0.5). Automatic notification and ID consultation for patients with SAB are a feasible system for ensuring improved adherence to established QCIs.

KEYWORDS:

Bacteremia; Infectious diseases; Quality improvement; Staphylococcus aureus

[Indexed for MEDLINE]

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