Impact on Mortality of a Bundle for the Management of Enterococcal Bloodstream Infection.
Enterococcus
adequate therapy
bundle
echocardiography
infectious disease consultation
Journal
Open forum infectious diseases
ISSN: 2328-8957
Titre abrégé: Open Forum Infect Dis
Pays: United States
ID NLM: 101637045
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
06
09
2019
accepted:
29
10
2019
entrez:
5
3
2020
pubmed:
5
3
2020
medline:
5
3
2020
Statut:
epublish
Résumé
In this study, we evaluated the effectiveness of a management bundle for This was a single-center, quasi-experimental (pre/post) study. In the prephase (January 2014 to December 2015), patients with monomicrobial E-BSI were retrospectively enrolled. During the post- or intervention phase (January 2016 to December 2017), all patients with incident E-BSI were prospectively enrolled in a nonmandatory intervention arm comprising infectious disease consultation, echocardiography, follow-up blood cultures, and early targeted antibiotic treatment. Patients were followed up to 1 year after E-BSI. The primary outcome was 30-day mortality. Overall, 368 patients were enrolled, with 173 in the prephase and 195 in the postphase. The entire bundle was applied in 15% and 61% patients during the pre- and postphase, respectively ( The introduction of a bundle for the management of E-BSI was associated with improved 30-day and 1-year survival.
Identifiants
pubmed: 32128323
doi: 10.1093/ofid/ofz473
pii: ofz473
pmc: PMC7047956
doi:
Types de publication
Journal Article
Langues
eng
Pagination
ofz473Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of Infectious Diseases Society of America.
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