Methods: After approval from the Institutional Review board, a retrospective chart review was performed on 160 patients who were diagnosed with SAB between July to December 2013. Patients who were discharged or died within 48 hours after admission were excluded from the study. Extracted data included follow-up blood cultures, echocardiography, presence of focal source of infection, use of appropriate antibiotic, measurement of vancomycin levels, duration of therapy, death during hospitalization and presence of an ID consultation. Chi square, Fischer exact tests and non parametric Wilcoxon rank sum test were used to analyze categorical and continuous variables, respectively.
Results: A total of 153 patients were included in the analysis. Significant differences were noted in adherence to performing follow up blood cultures (91% vs 63%, p=0.0001), performing echocardiography (95% vs 63%, p<0.001), duration of antibiotic therapy ( 33.5 vs 18 days , p<0.0001) in those who received ID consultation vs those who did not. Mortality was lower in patients receiving ID consultation (8.9% vs 20%, p=0.0840), although difference was not statistically significant. However, there was no statistical difference in attributable mortality.
Conclusion: Infectious Disease consultation improved adherence to some quality indicators for SAB , with a trend towards improved mortality. Hospital systems should consider mandatory ID consultation for patients with SAB.
G. Wortmann, None