Association of infectious disease consultation with clinical outcomes in patients with Staphylococcus aureus bacteremia at low risk for endocarditis

Abstract

Infectious disease (ID) consultation in patients with Staphylococcus aureus bacteremia who were at low risk for endocarditis and who had no secondary site of infection was associated with a longer course of antibiotics (median duration of intravenous antimicrobial therapy of 31 days and 15 days in those with and without ID consultation, respectively; P ≤.01), and based on Kaplan-Meier survival analysis, reduced in-hospital mortality (P =.2), and reduced 30-day mortality after discharge (P =.4). ID consultation was also associated with a higher readmission rate within 90 days of discharge: 46% and 34% with and without ID consultation, respectively (P =.2).