A repeated point prevalence survey of antimicrobial use in specialized cancer care hospital of Pakistan: findings and implications.
Hosp Pract (1995). 2019 Aug;47(3):149-154
Authors: Saleem Z, Hassa…
Candidemia in the patient with malignancy.
Hosp Pract (1995). 2018 Dec;46(5):246-252
Authors: Alves J, Palma P, Azevedo D, Rello J
Invasive fungal infections are a common li…
Infection control measures to prevent hospital transmission of candida.
Hosp Pract (1995). 2018 Dec;46(5):253-257
Authors: Ture Z, Alp E
Invasive candida infections are the …
Management of patients with septic shock due to Candida infection.
Hosp Pract (1995). 2018 Aug 31;:
Authors: Bassetti M, Vena A, Russo A
Septic shock represents a serious co…
Economic Burden of Hospital Admissions for Patients With Acute Bacterial Skin and Skin Structure Infections in the United States.
Hosp Pract (1995). 2018 Aug 01;:
Authors: Keyloun KR, Weber DJ, Gard…
Epidemiology, Treatment, and Economics of Patients Presenting to the Emergency Department for Skin and Soft Tissue Infections.
Hosp Pract (1995). 2017 Jan 05;:
Authors: Linder KE, Nicolau DP, Nailor MD
OBJECTIVES: Skin and soft tissue infections (SSTIs) are among the most common bacterial diseases and represent a significant disease burden. The purpose of this study was to describe the real-world management of patients with SSTIs presenting to the emergency department (ED).
METHODS: This is a retrospective cohort study. Adult patients identified with a primary diagnosis of SSTI determined by ICD-9 codes were assessed from index presentation for up to 30 days. Records were reviewed 30 days prior to inclusion to ensure index hospitalization was captured. For recurrent visits, a similar strategy was implemented 30 days afterward.
RESULTS: Of 446 encounters screened, 357 were included; 106 (29.7%) were admitted to the hospital and 251 (70.3%) were treated outpatient. Of patients with a Charlson Comorbidity Index (CCI) score two or greater, 60.9% were treated as inpatients, whereas admission rates were 30.1% and 14.1% for patients with a CCI score of one and zero, respectively. Inpatients had an average length of stay (LOS) of 7.3 ± 7.1 days. No difference was detected in overall re-presentation to the facility 22.6% and 28.3% (p > 0.05) or in SSTI related re-presentation 10.4% and 15.1% (p > 0.05) between inpatient and outpatients. The most common gram-positive organisms identified on wound/abscess culture were MSSA (37.1% inpatients) and MRSA (66.7% outpatients). Mean total cost of care was $13,313 for inpatients and $413 for outpatients.
CONCLUSION: This analysis identifies opportunities to improve processes of care for SSTIs with the aim of decreasing LOS, reducing readmissions, and ultimately decreasing burden on the healthcare system.
PMID: 28055287 [PubMed – as supplied by publisher]