An Evaluation of a Antimicrobial Stewardship Recommendation Bundle for Staphylococcus Aureus Bloodstream Infections

Methodist Health System77 enrolled

Overview

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

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Bacterial Infections

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

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

Locations (1)

Methodist Dallas Medical Center

Dallas, Texas, United States

Outcomes

Primary Outcomes

number of Staphylococcus Aureus blood stream infections (SAB)

Number of SAB occurring

Time frame: 12 weeks

Secondary Outcomes

Number of In-hospital mortality

Time frame: 12 weeks

number of times of bacteremia

time of bacteremia

Time frame: 12 weeks

number of days of stay

duration of hospital stay

Time frame: 12 weeks

number of times of readmission

Number time of readmission

Time frame: 12 weeks

number of infection

Number of times the infection is occurring

Time frame: 12 weeks

Data from ClinicalTrials.gov

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