{"id":19781,"date":"2024-05-17T15:30:00","date_gmt":"2024-05-17T19:30:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=19781"},"modified":"2024-06-17T16:04:52","modified_gmt":"2024-06-17T20:04:52","slug":"association-between-infectious-diseases-consultation-and-mortality-in-hospitalized-patients-with-gram-negative-bloodstream-infection","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/association-between-infectious-diseases-consultation-and-mortality-in-hospitalized-patients-with-gram-negative-bloodstream-infection\/","title":{"rendered":"Association between infectious diseases consultation and mortality in hospitalized patients with Gram-negative bloodstream infection: a retrospective population-wide cohort study"},"content":{"rendered":"<p><strong>Objectives<\/strong> \u2014 Data supporting routine infectious diseases (ID) consultation in Gram-negative bloodstream infection (GN-BSI) are limited. We evaluated the association between ID consultation and mortality in patients with GN-BSI in a retrospective population-wide cohort study in Ontario using linked health administrative databases.<\/p>\n<p><strong>Methods<\/strong> \u2014 Hospitalized adult patients with GN-BSI between April 2017 and December 2021 were included. The primary outcome was time to all-cause mortality censored at 30 days, analyzed using a mixed effects Cox proportional hazards model with hospital as a random effect. ID consultation 1-10 days after the first positive blood culture was treated as a time-varying exposure.<\/p>\n<p><strong>Results<\/strong> \u2014 Of 30,159 patients with GN-BSI across 53 hospitals, 11,013 (36.5%) received ID consultation. Median prevalence of ID consultation for patients with GN-BSI across hospitals was 35.0% with wide variability (range 2.7-76.1%, interquartile range 19.6-41.1%). 1041 (9.5%) patients who received ID consultation died within 30 days, compared to 1797 (9.4%) patients without ID consultation. In the fully-adjusted multivariable model, ID consultation was associated with mortality benefit (adjusted HR 0.82, 95% CI 0.77-0.88, p &lt; 0.0001; translating to absolute risk reduction of -3.8% or NNT of 27). Exploratory subgroup analyses of the primary outcome showed that ID consultation could have greater benefit in patients with high-risk features (nosocomial infection, polymicrobial or non-Enterobacterales infection, antimicrobial resistance, or non-urinary tract source).<\/p>\n<p><strong>Conclusions<\/strong> \u2014 Early ID consultation was associated with reduced mortality in patients with GN-BSI. If resources permit, routine ID consultation for this patient population should be considered to improve patient outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objectives \u2014 Data supporting routine infectious diseases (ID) consultation in Gram-negative bloodstream infection (GN-BSI) are limited. We evaluated the association between ID consultation and mortality in patients with GN-BSI in a retrospective population-wide cohort study in Ontario using linked health administrative databases. Methods \u2014 Hospitalized adult patients with GN-BSI between April 2017 and December 2021 [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,39,35],"migration-helper-qa-sample-set":[],"class_list":["post-19781","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-infectious-diseases","topic-public-health"],"acf":{"citation":"Ong SWX, Luo J, Fridman DJ, Lee SM, Johnstone J, Schwartz KL, Diong C, Patel SN, MacFadden DR, Langford BJ, Tong SYC, Brown KA, Daneman N. <em>Clin Infect Dis<\/em>. 2024; May 17 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1093\/cid\/ciae282","ices_scientist":[1347,1315,1181,1215],"site":[6733],"research_program":[6745],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Association between infectious diseases consultation and mortality in hospitalized patients with Gram-negative bloodstream infection: a retrospective population-wide cohort study<\/title>\n<meta name=\"description\" content=\"Objectives \u2014 Data supporting routine infectious diseases (ID) consultation in Gram-negative bloodstream infection (GN-BSI) are limited. 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