Infectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.

<h4>Background</h4>Commensal coagulase negative Staphylococcus lugdunensis may cause severe bacteremia (SLB) and complications. Treatment of SLB is not fully established and we wanted to evaluate if infectious diseases specialist consultation (IDSC) would improve management and prognosis...

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Autores principales:	Erik Forsblom, Emma Högnäs, Jaana Syrjänen, Asko Järvinen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fa0eb95c9b094cbaa69e0582877da501
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spelling	oai:doaj.org-article:fa0eb95c9b094cbaa69e0582877da5012021-12-02T20:19:18ZInfectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.1932-620310.1371/journal.pone.0258511https://doaj.org/article/fa0eb95c9b094cbaa69e0582877da5012021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258511https://doaj.org/toc/1932-6203<h4>Background</h4>Commensal coagulase negative Staphylococcus lugdunensis may cause severe bacteremia (SLB) and complications. Treatment of SLB is not fully established and we wanted to evaluate if infectious diseases specialist consultation (IDSC) would improve management and prognosis.<h4>Methods</h4>Multicenter retrospective study of SLB patients followed for 1 year. Patients were stratified according to bedside (formal), telephone (informal) or lack of IDSC within 7 days of SLB diagnosis.<h4>Results</h4>Altogether, 104 SLB patients were identified: 24% received formal bedside and 52% informal telephone IDSC whereas 24% were managed without any IDSC. No differences in demographics, underlying conditions or severity of illness were observed between the groups. Patients with bedside IDSC, compared to telephone IDSC or lack of IDSC, had transthoracic echocardiography more often performed (odds ratio [OR] 4.00; 95% confidence interval [CI] 1.31-12.2; p = 0.012) and (OR 16.0; 95% CI, 4.00-63.9; P<0.001). Bedside IDSC was associated with more deep infections diagnosed compared to telephone IDSC (OR, 7.44; 95% CI, 2.58-21.4; p<0.001) or lack of IDSC (OR, 9.56; 95% CI, 2.43-37.7; p = 0.001). The overall mortality was 7%, 10% and 17% at 28 days, 90 days and 1 year, respectively. Considering all prognostic parameters, patients with IDSC, compared to lack of IDSC, had lower 90 days and 1 year mortality (OR, 0.11; 95% CI, 0.02-0.51; p = 0.005) and (OR, 0.22; 95% CI, 0.07-0.67; p = 0.007).<h4>Conclusion</h4>IDSC may improve management and outcome of Staphylococcus lugdunensis bacteremia.Erik ForsblomEmma HögnäsJaana SyrjänenAsko JärvinenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258511 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Erik Forsblom Emma Högnäs Jaana Syrjänen Asko Järvinen Infectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.
description	<h4>Background</h4>Commensal coagulase negative Staphylococcus lugdunensis may cause severe bacteremia (SLB) and complications. Treatment of SLB is not fully established and we wanted to evaluate if infectious diseases specialist consultation (IDSC) would improve management and prognosis.<h4>Methods</h4>Multicenter retrospective study of SLB patients followed for 1 year. Patients were stratified according to bedside (formal), telephone (informal) or lack of IDSC within 7 days of SLB diagnosis.<h4>Results</h4>Altogether, 104 SLB patients were identified: 24% received formal bedside and 52% informal telephone IDSC whereas 24% were managed without any IDSC. No differences in demographics, underlying conditions or severity of illness were observed between the groups. Patients with bedside IDSC, compared to telephone IDSC or lack of IDSC, had transthoracic echocardiography more often performed (odds ratio [OR] 4.00; 95% confidence interval [CI] 1.31-12.2; p = 0.012) and (OR 16.0; 95% CI, 4.00-63.9; P<0.001). Bedside IDSC was associated with more deep infections diagnosed compared to telephone IDSC (OR, 7.44; 95% CI, 2.58-21.4; p<0.001) or lack of IDSC (OR, 9.56; 95% CI, 2.43-37.7; p = 0.001). The overall mortality was 7%, 10% and 17% at 28 days, 90 days and 1 year, respectively. Considering all prognostic parameters, patients with IDSC, compared to lack of IDSC, had lower 90 days and 1 year mortality (OR, 0.11; 95% CI, 0.02-0.51; p = 0.005) and (OR, 0.22; 95% CI, 0.07-0.67; p = 0.007).<h4>Conclusion</h4>IDSC may improve management and outcome of Staphylococcus lugdunensis bacteremia.
format	article
author	Erik Forsblom Emma Högnäs Jaana Syrjänen Asko Järvinen
author_facet	Erik Forsblom Emma Högnäs Jaana Syrjänen Asko Järvinen
author_sort	Erik Forsblom
title	Infectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.
title_short	Infectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.
title_full	Infectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.
title_fullStr	Infectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.
title_full_unstemmed	Infectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.
title_sort	infectious diseases specialist consultation in staphylococcus lugdunensis bacteremia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/fa0eb95c9b094cbaa69e0582877da501
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Infectious diseases specialist consultation in Staphylococcus lugdunensis bacteremia.

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