Adherence to a care bundle for Staphylococcus aureus bacteraemia: A retrospective cohort study
Southern African Journal of Infectious Diseases
| Field | Value | |
| Title | Adherence to a care bundle for Staphylococcus aureus bacteraemia: A retrospective cohort study | |
| Creator | Gatley, Elizabeth M. Boyles, Tom Dlamini, Sipho Mendelson, Marc Namale, Phiona E. Raubenheimer, Peter J. Wasserman, Sean | |
| Description | Background: Staphylococcus aureus bacteraemia is associated with high hospital mortality. Improvements in outcome have been described with standardised bundles of care.Objectives: To study the adherence of a standardised bundle of care (BOC) recommendations using a consultation pro forma, for all patients admitted with S. aureus bacteraemia to Groote Schuur Hospital over a year. The study further aimed to describe the 90-day mortality in these patients and to assess for an association between adherence to the bundle of care and outcome.Method: A retrospective audit of all unsolicited infectious disease consultations for patients with S. aureus bacteraemia admitted to Groote Schuur Hospital during 2018. Adherence to recommendations of a standard bundle of care was audited.Results: A total of 86 patients were included in the study: 61 (71%) with hospital-associated infection and 25 (29%) with community-associated infection. Over 80% of adherence to treatment recommendations was achieved regarding antibiotic (including vancomycin) usage, source control and use of echocardiography as required. In-hospital mortality was 16%, while the overall 90-day mortality was 18%, with only age as an independent predictor of mortality. No association between adherence to the bundle of care and outcome was found.Conclusion: Adherence to a simple, structured bundle of care was good when using standardised pro forma as communication tools for advice and a structured antibiotic chart for vancomycin administration. Although adherence was not associated with outcome, the overall mortality for S. aureus bacteraemia was improving in the institution under study.Contribution: Our findings support feasibility and ongoing use of bundles of care for S. aureus bacteraemia in similar settings. | |
| Publisher | AOSIS Publishing | |
| Date | 2022-11-22 | |
| Identifier | 10.4102/sajid.v37i1.445 | |
| Source | Southern African Journal of Infectious Diseases; Vol 37, No 1 (2022); 9 pages 2313-1810 2312-0053 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajid.co.za/index.php/sajid/article/view/445/1103
https://sajid.co.za/index.php/sajid/article/view/445/1104
https://sajid.co.za/index.php/sajid/article/view/445/1105
https://sajid.co.za/index.php/sajid/article/view/445/1106
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