Infectious Diseases Consultation Associated With Reduced Mortality in Gram-Negative Bacteremia

Stephanie Shulder; Pranita D Tamma; Suiyini Fiawoo; Kathryn Dzintars; Daniel Escobar; Daniel J Livorsi; Anurag N Malani; Danica Palacio; Emily S Spivak; Matty Zimmerman; Jacqueline T Bork

doi:10.1093/cid/ciad383

Infectious Diseases Consultation Associated With Reduced Mortality in Gram-Negative Bacteremia

Clin Infect Dis. 2023 Nov 11;77(9):1234-1237. doi: 10.1093/cid/ciad383.

Authors

Affiliations

¹ Department of Pharmacy, University of Rochester Medical Center, Rochester, New York, USA.
² Department of Pediatrics, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
³ Department of Infectious Diseases, Johns Hopkins University School of Pharmacy, Baltimore, Maryland, USA.
⁴ Department of Medicine, Division of Infectious Disease, University of California San Francisco, San Francisco, California, USA.
⁵ Division of Infectious Diseases, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
⁶ Iowa City Veterans Affairs (VA) Health Care System, Iowa City, Iowa, USA.
⁷ Trinity Health Michigan, Section of Infectious Diseases, Ann Arbor, Michigan, USA.
⁸ Division of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, Utah, USA.
⁹ Department of Medicine, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, Maryland, USA.

PMID: 37402637
DOI: 10.1093/cid/ciad383

Abstract

Gram-negative bacteremia (GN-BSI) can cause significant morbidity and mortality, but the benefit of infectious diseases consultation (IDC) is not well defined. A 24-site observational cohort study of unique hospitalized patients with 4861 GN-BSI episodes demonstrated a 40% decreased risk of 30-day mortality in patients with IDC compared to those without IDC.

Keywords: gram-negative bacteremia; infectious diseases consultation; mortality.

Publication types

Observational Study

MeSH terms

Bacteremia*
Cohort Studies
Communicable Diseases*
Gram-Negative Bacterial Infections*
Humans
Referral and Consultation
Retrospective Studies