Updated HNELHD guideline published 2020.
AIMED - Let's talk about antibiotics
A. Healthcare-associated events (2018, HNE LHD )
60 healthcare-associated SAB cases occurred with 7% due to methicillin-resistant Staphylococcus aureus (MRSA) and age-adjusted 30 day mortality of 9%. SAB relapse within 15-90 days occurred in 2.1% of adult events 7% of paediatric events. Principle sites common:
● Vascular access device (e.g. intravenous cannula, central venous catheter, arterial line,
tunnelled central line, subcutaneous port) – 50%
● Skin and soft tissue infection (e.g. abscess, boil, post-operative wound infection) – 10%
● Primary blood stream infection with no apparent primary source or clear focus – 8%
B. Community-acquired events (2018)
234 community acquired SAB events were documented with 7% due to MRSA and 30 day age-adjusted mortality of 16%. SAB relapse within 15-90 days occurred in 2% SAB adult events and 0% of paediatric events.
• Primary blood stream infection with no apparent primary source or clear focus – 30%
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