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Information Delay of Significant Bloodstream Isolates and Patient Mortality: A Retrospective Analysis of 6225 Adult Patients With Bloodstream Infections by Berta Fidalgo; Laura Morata; Celia Cardozo; Ana del Río; Javier Morales; Mariana Fernández-Pittol; José Antonio Martínez; Josep Mensa; Jordi Vila; Alex Soriano; Climent Casals-Pascual is a Medicine article available to read on EtoBox.
What is Information Delay of Significant Bloodstream Isolates and Patient Mortality: A Retrospective Analysis of 6225 Adult Patients With Bloodstream Infections about?
Abstract Objectives The aim of this study was to evaluate the clinical and prognostic impact of communicating microbiological information in real time in adult patients with a bloodstream infection. Methods We have retrospectively reviewed 6,225 clinical episodes of bacteraemia in a 700-bed tertiary teaching hospital from January 2013 to December 2019. Bacteraemia-associated mortality was compared between periods where blood culture result was relayed to the infectious disease specialist [IDS] in real time and those periods where information was delayed to the following morning. An adjusted logistic regression analysis was used to evaluate the impact of information availability using mortality at 30 days as the main outcome of the study. Results The initial analysis (all microorganisms included) did not show an association of mortality and information delay to the IDS (OR 1.18; 95%CI: 0.99-1.42). However, information delay of BSI caused by fast-growing microorganisms (like Enterobacterales) was associated with a significant increase in the odds of death at 30 days both in the univariate (OR 1.76; 95%CI: 1.30-2.38) and in the multivariate analysis (OR 2.22; 95%CI: 1.50-3.30). Simila
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- Author
- Berta Fidalgo; Laura Morata; Celia Cardozo; Ana del Río; Javier Morales; Mariana Fernández-Pittol; José Antonio Martínez; Josep Mensa; Jordi Vila; Alex Soriano; Climent Casals-Pascual
- Publisher
- Oxford University Press (OUP)
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)