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Christoffer Ruus1, Susann Skovbjerg2, Tim Magnusson2

  • 1Ostra sjukhuset - Infektion Göteborg, Sweden - Gothenburg, Sweden.

Lakartidningen
|January 17, 2018
PubMed
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Implementing an automatic infectious disease consultant alert system significantly reduced mortality and readmission rates for patients with Staphylococcus aureus bacteremia (SAB). This proactive approach improved patient outcomes in a large teaching hospital setting.

Area of Science:

  • Infectious Diseases
  • Hospital Management
  • Clinical Informatics

Background:

  • Staphylococcus aureus bacteremia (SAB) is a serious condition with significant mortality and readmission rates.
  • Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the impact of an automatic infectious disease consultant alert system on mortality and readmission rates in SAB patients.
  • To assess the effectiveness of a new management plan implemented in a teaching hospital.

Main Methods:

  • A management plan was introduced where positive Staphylococcus aureus blood cultures triggered simultaneous alerts to the ordering unit and Infectious Disease Consultant.
  • 30-day mortality and readmission rates were compared between the year before and the year after the plan's implementation.

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  • Patient data from 320 and 321 patients with SAB were analyzed for the respective periods.

    • Main Results:

    • 30-day mortality decreased from 10% to 5.7% (p=0.059) overall, and to 4.7% (p=0.026) for patients receiving a formal consultation.
    • The 30-day readmission rate declined from 17% to 10% (p=0.049).

    Conclusions:

    • An automatic infectious disease consultant alert system is associated with reduced mortality and readmission rates in Staphylococcus aureus bacteremia.
    • The implemented management plan demonstrated a positive impact on patient outcomes, highlighting the value of timely infectious disease consultation.