التفاصيل البيبلوغرافية
| العنوان: |
Adherence to and clinical utility of "quality indicators" for Staphylococcus aureus bacteremia: a retrospective, multicenter study. |
| المؤلفون: |
Fukushima, Shinnosuke, Hagiya, Hideharu, Kuninaga, Naoki, Haruki, Yuto, Yamada, Haruto, Iwamoto, Yoshitaka, Yoshida, Masayo, Sato, Kota, Hanayama, Yoshihisa, Tanaka, Shuichi, Miyoshi, Tomoko, Otsuka, Yuki, Ueda, Keigo, Otsuka, Fumio |
| المصدر: |
Infection; Aug2024, Vol. 52 Issue 4, p1527-1538, 12p |
| مصطلحات موضوعية: |
ANTIBIOTICS, STAPHYLOCOCCAL disease prevention, CLINICAL medicine, MEDICAL protocols, BLOOD, STAPHYLOCOCCAL diseases, MEDICAL quality control, STATISTICAL significance, KEY performance indicators (Management), KRUSKAL-Wallis Test, FISHER exact test, LOGISTIC regression analysis, STAPHYLOCOCCUS aureus, EVALUATION of medical care, RETROSPECTIVE studies, MANN Whitney U Test, CHI-squared test, DESCRIPTIVE statistics, CELL culture, KAPLAN-Meier estimator, LOG-rank test, MEDICAL records, ACQUISITION of data, RESEARCH, METHICILLIN resistance, SURVIVAL analysis (Biometry), DATA analysis software, ECHOCARDIOGRAPHY, COMORBIDITY |
| مصطلحات جغرافية: |
JAPAN |
| مستخلص: |
Background: We aimed to improve the prognosis, treatment, and management of Staphylococcus aureus bacteremia (SAB) by evaluating the association between adherence to quality indicators (QIs) and clinical outcomes in patients with their clinical outcomes. Methods: We retrospectively collected clinical and microbiological data on hospitalized patients with SAB from 14 hospitals (three with > 600, two with 401–600, five with 201–400, and four with ≤ 200 beds) in Japan from January to December 2022. The SAB management quality was evaluated using the SAB-QI score (ranging from 0 to 13 points), which consists of 13 QIs (grouped into five categories) based on previous literature. Results: Of the 4,448 positive blood culture episodes, 289 patients with SAB (6.5%) were enrolled. The SAB-QI scores ranged from 3 to 13, with a median score of 9 points. The SAB-QI score was highest in middle-sized hospitals with 401–600 beds. Adherence to each of the four QI categories (blood culture, echocardiography, source control, and antibiotic treatment) was significantly higher in survived cases than in fatal cases. Kaplan–Meier curves with log-rank tests demonstrated that higher adherence to SAB-QIs indicated a better prognosis. Logistic regression analysis revealed that age, methicillin resistance, multiple comorbidities (≥ 2), and low SAB-QI score were significantly associated with 30-day mortality in patients with SAB. Conclusions: Our study highlights that greater adherence to the SAB-QIs correlates with improved patient outcomes. Management of patients with SAB should follow these recommended indicators to maintain the quality of care, especially for patients with poor prognosticators. [ABSTRACT FROM AUTHOR] |
|
Copyright of Infection is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Find this article in full text from Springer Verlag. 
Full Text Finder