Mandatory infectious diseases consultation for MRSA bacteremia is associated with reduced mortality.
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2014
- doi: 10.1016/j.jinf.2014.05.004
- issn: 0163-4453
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F. Tissot et al., « Mandatory infectious diseases consultation for MRSA bacteremia is associated with reduced mortality. », Serveur académique Lausannois, ID : 10.1016/j.jinf.2014.05.004
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OBJECTIVES: Although infectious disease (ID) consultation has been associated with lower mortality in Staphylococcus aureus bloodstream infections, it is still not mandatory in many centers. This study aimed at assessing the impact of ID consultation on diagnostic and therapeutic management of methicillin-resistant S. aureus (MRSA) bacteremia. METHODS: Retrospective cohort study of all patients with MRSA bacteremia from 2001 to 2010. ID consultations were obtained on request between 2001 and 2006 and became mandatory since 2007. RESULTS: 156 episodes of MRSA bacteremia were included, mostly from central venous catheter (32%) and skin and soft tissue (19%) infections. ID consultation coverage was 58% between 2001 and 2006 and 91% between 2007 and 2010. ID consultation was associated with more echocardiography (59% vs. 26%, p