@article{Gatley2022,
abstract = {Background: Staphylococcus aureus bacteraemia is associated with high hospital mortality. Improvements in outcome have been described with standardised bundles of care. Objectives: To study the adherence of a standardised bundle of care (BOC) recommendations using a consultation pro forma, for all patients admitted with S. aureus bacteraemia to Groote Schuur Hospital over a year. The study further aimed to describe the 90-day mortality in these patients and to assess for an association between adherence to the bundle of care and outcome. Method: A retrospective audit of all unsolicited infectious disease consultations for patients with S. aureus bacteraemia admitted to Groote Schuur Hospital during 2018. Adherence to recommendations of a standard bundle of care was audited. Results: A total of 86 patients were included in the study: 61 (71{\%}) with hospital-associated infection and 25 (29{\%}) with community-associated infection. Over 80{\%} of adherence to treatment recommendations was achieved regarding antibiotic (including vancomycin) usage, source control and use of echocardiography as required. In-hospital mortality was 16{\%}, while the overall 90-day mortality was 18{\%}, with only age as an independent predictor of mortality. No association between adherence to the bundle of care and outcome was found. Conclusion: Adherence to a simple, structured bundle of care was good when using standardised pro forma as communication tools for advice and a structured antibiotic chart for vancomycin administration. Although adherence was not associated with outcome, the overall mortality for S. aureus bacteraemia was improving in the institution under study. Contribution: Our findings support feasibility and ongoing use of bundles of care for S. aureus bacteraemia in similar settings.},
author = {Gatley, Elizabeth M and Boyles, Tom and Dlamini, Sipho and Mendelson, Marc and Namale, Phiona E and Raubenheimer, Peter J and Wasserman, Sean and Gatley, Elizabeth},
doi = {10.4102/SAJID.V37I1.445},
file = {:C$\backslash$:/Users/01462563/AppData/Local/Mendeley Ltd./Mendeley Desktop/Downloaded/Gatley et al. - 2022 - Adherence to a care bundle for Staphylococcus aureus bacteraemia a retrospective cohort study.pdf:pdf},
issn = {2313-1810},
journal = {Southern African Journal of Infectious Diseases},
keywords = {Infectious diseases,OA,Staphylococcus aureus bacteraemia,adherence,bacterial,bloodstream infections,bundle of care,clinical,communicable,diagnosis,epidemiology,fund{\_}ack,fungal,infectious disease consultation,laboratory,original,parasitic,treatment,viral},
mendeley-tags = {OA,fund{\_}ack,original},
month = {nov},
number = {1},
pages = {9},
title = {{Adherence to a care bundle for Staphylococcus aureus bacteraemia: a retrospective cohort study}},
url = {https://sajid.co.za/index.php/sajid/article/view/445/1103 https://sajid.co.za/index.php/sajid/article/view/445/1104 https://sajid.co.za/index.php/sajid/article/view/445/1105 https://sajid.co.za/index.php/sajid/article/view/445},
volume = {37},
year = {2022}
}

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Method: A retrospective audit of all unsolicited infectious disease consultations for patients with S. aureus bacteraemia admitted to Groote Schuur Hospital during 2018. Adherence to recommendations of a standard bundle of care was audited. Results: A total of 86 patients were included in the study: 61 (71%) with hospital-associated infection and 25 (29%) with community-associated infection. Over 80% of adherence to treatment recommendations was achieved regarding antibiotic (including vancomycin) usage, source control and use of echocardiography as required. In-hospital mortality was 16%, while the overall 90-day mortality was 18%, with only age as an independent predictor of mortality. No association between adherence to the bundle of care and outcome was found. Conclusion: Adherence to a simple, structured bundle of care was good when using standardised pro forma as communication tools for advice and a structured antibiotic chart for vancomycin administration. Although adherence was not associated with outcome, the overall mortality for S. aureus bacteraemia was improving in the institution under study. Contribution: Our findings support feasibility and ongoing use of bundles of care for S. aureus bacteraemia in similar settings.","author":[{"propositions":[],"lastnames":["Gatley"],"firstnames":["Elizabeth","M"],"suffixes":[]},{"propositions":[],"lastnames":["Boyles"],"firstnames":["Tom"],"suffixes":[]},{"propositions":[],"lastnames":["Dlamini"],"firstnames":["Sipho"],"suffixes":[]},{"propositions":[],"lastnames":["Mendelson"],"firstnames":["Marc"],"suffixes":[]},{"propositions":[],"lastnames":["Namale"],"firstnames":["Phiona","E"],"suffixes":[]},{"propositions":[],"lastnames":["Raubenheimer"],"firstnames":["Peter","J"],"suffixes":[]},{"propositions":[],"lastnames":["Wasserman"],"firstnames":["Sean"],"suffixes":[]},{"propositions":[],"lastnames":["Gatley"],"firstnames":["Elizabeth"],"suffixes":[]}],"doi":"10.4102/SAJID.V37I1.445","file":":C$\\$:/Users/01462563/AppData/Local/Mendeley Ltd./Mendeley Desktop/Downloaded/Gatley et al. - 2022 - Adherence to a care bundle for Staphylococcus aureus bacteraemia a retrospective cohort study.pdf:pdf","issn":"2313-1810","journal":"Southern African Journal of Infectious Diseases","keywords":"Infectious diseases,OA,Staphylococcus aureus bacteraemia,adherence,bacterial,bloodstream infections,bundle of care,clinical,communicable,diagnosis,epidemiology,fund_ack,fungal,infectious disease consultation,laboratory,original,parasitic,treatment,viral","mendeley-tags":"OA,fund_ack,original","month":"nov","number":"1","pages":"9","title":"Adherence to a care bundle for Staphylococcus aureus bacteraemia: a retrospective cohort study","url":"https://sajid.co.za/index.php/sajid/article/view/445/1103 https://sajid.co.za/index.php/sajid/article/view/445/1104 https://sajid.co.za/index.php/sajid/article/view/445/1105 https://sajid.co.za/index.php/sajid/article/view/445","volume":"37","year":"2022","bibtex":"@article{Gatley2022,\r\nabstract = {Background: Staphylococcus aureus bacteraemia is associated with high hospital mortality. Improvements in outcome have been described with standardised bundles of care. Objectives: To study the adherence of a standardised bundle of care (BOC) recommendations using a consultation pro forma, for all patients admitted with S. aureus bacteraemia to Groote Schuur Hospital over a year. The study further aimed to describe the 90-day mortality in these patients and to assess for an association between adherence to the bundle of care and outcome. Method: A retrospective audit of all unsolicited infectious disease consultations for patients with S. aureus bacteraemia admitted to Groote Schuur Hospital during 2018. Adherence to recommendations of a standard bundle of care was audited. Results: A total of 86 patients were included in the study: 61 (71{\\%}) with hospital-associated infection and 25 (29{\\%}) with community-associated infection. 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