Category: Federal Forum Posters
Purpose: Staphylococcus aureus bacteremia (SAB) is associated with significant morbidity and mortality, and can be challenging to treat. Consultation by Infectious Diseases (ID) service can aid in appropriately managing SAB and is associated with improved outcomes. Many facilities require an automatic ID consult for all cases of SAB. Currently ID consults are not mandatory for SAB at our institution. The purpose of this medication use evaluation is to evaluate the appropriateness of SAB management in our veteran population and assess whether ID consult service involvement affected total length of stay and total length of antibiotics prescribed.
Methods: A retrospective chart review of the electronic medical record will be conducted for adults between ages 18 and 85 with at least one blood culture positive for Staphylococcus aureus between January 2016 and December 2017. Patients transferred to outside facilities, placed on palliative care within 48 hours of positive blood culture, with no microbiology data available to review, or who have polymicrobial bacteremia will be excluded. The presence or absence of ID consult service involvement, total length of stay, total duration of antimicrobial therapy (including IV and PO medications after discharge), and follow-up 30 and 90-day from discharge will be assessed. Antibiotic appropriateness will be evaluated based on antibiotic choice, duration, route, and microbiological data available.
Rock Suddhi– PGY1 Pharmacy Resident, James J. Peters VA Medical Center, New York, NY