Use of three evidence-based practices appears to substantially increase survival of veterans with Staphylococcus aureus bacteremia (SAB), new research suggests. In a retrospective observational study of nearly 37,000 patients with SAB, 30-day all-cause mortality dropped significantly in concert with study hospitals’ increasing use of appropriate antibiotic therapy, echocardiography, and consultation with infectious disease specialists.
“We believe this makes a strong case for building care-quality metrics to promote use of these evidence-based care processes and improve the care of this serious infection,” first author Dr. Michihiko Goto, of the Iowa City Veterans Health Care System and the University of Iowa, in Iowa City, told Reuters Health by email. The findings were reported in JAMA Internal Medicine, online September 5.
SAB is common and often associated with poor outcomes, with earlier reports citing mortality rates ranging from 20 percent to 30 percent, the researchers noted.