Bacterial Infections
Conditions
Brief summary
In July 2020, a bundle (Appendix C) was implemented at Methodist Dallas Medical Center where all patients with SAB were reviewed by the antimicrobial stewardship pharmacist (Monday - Friday from 0700 to 1500), a note outlining optimal interventions was written in the electronic medical record (EMR), and the recommendations were communicated to the primary team via secure messaging or telephone
Detailed description
Evaluation of the Staphylococcus aureus bloodstream infection(SAB)bundle recommendations will allow for determination of whether this intervention is impactful and warrants the resources currently devoted to it.
Interventions
None listed
Sponsors
Methodist Health System
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Inclusion criteria
* 18 years of age SAB during hospital admission
Exclusion criteria
* Patients with a history of a prior SAB during the study period (only first occurrence included) * Blood culture collected within 48hours of patient expiring or transitioning to hospice * Patients discharged or left before culture results were available * Patients transferred from an outside hospital
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of Staphylococcus Aureus blood stream infections (SAB) | 12 weeks | Number of SAB occurring |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of In-hospital mortality | 12 weeks | Number of In-hospital mortality |
| number of times of bacteremia | 12 weeks | time of bacteremia |
| number of days of stay | 12 weeks | duration of hospital stay |
| number of times of readmission | 12 weeks | Number time of readmission |
| number of infection | 12 weeks | Number of times the infection is occurring |
Countries
United States
Outcome results
None listed