{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/37198"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/37198","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"Evaluation of adherence to an evidence-based bundle of care for the treatment of staphylococcus aureus bacteraemia at Groote Schuur Hospital","abstract":"Background Staphylococcus aureus bacteraemia (SAB) is associated with high hospital mortality. Improvements in outcome have been described with standardised bundles of care. Objectives To study adherence to a standardised bundle of care (BOC) recommendations using a consultation proforma, for all patients admitted with SAB to Groote Schuur hospital over a year. To describe in-hospital and 90-day mortality in these patients Methods A retrospective audit of all unsolicited infectious disease consultations for patients with SAB admitted to Groote Schuur hospital during 2018. Adherence to recommendations of a standard care bundle were audited. Results Eighty six patients were included; 61 (71%) with healthcare-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 overall 90-day mortality was 18%, with only age an independent predictor of mortality. No association with adherence to the recommendations and outcome was seen. Conclusion Adherence to a simple BOC is good, when using standardised a proforma as a communication tool. SAB mortality may be reduced by such an approach.","abstract_html":"Background Staphylococcus aureus bacteraemia (SAB) is associated with high hospital mortality. Improvements in outcome have been described with standardised bundles of care. Objectives To study adherence to a standardised bundle of care (BOC) recommendations using a consultation proforma, for all patients admitted with SAB to Groote Schuur hospital over a year. To describe in-hospital and 90-day mortality in these patients Methods A retrospective audit of all unsolicited infectious disease consultations for patients with SAB admitted to Groote Schuur hospital during 2018. Adherence to recommendations of a standard care bundle were audited. Results Eighty six patients were included; 61 (71%) with healthcare-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 overall 90-day mortality was 18%, with only age an independent predictor of mortality. No association with adherence to the recommendations and outcome was seen. Conclusion Adherence to a simple BOC is good, when using standardised a proforma as a communication tool. SAB mortality may be reduced by such an approach.","abstract_has_math":false,"creators":["Gatley, Elizabeth M"],"institution":"Department of Medicine","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Raubenheimer, Peter"],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022","date_published":"2022","updated_at":"2026-07-22T22:23:49Z","subjects":["Staphylococcus aureus bacteraemia","blood stream infections","infectious disease consultation","bundle of care","adherence"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/37198","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Raubenheimer, Peter"]},{"key":"dc:creator","label":"Author","values":["Gatley, Elizabeth M"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2023-03-03T11:08:38Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2023-03-03T11:08:38Z"]},{"key":"dc:date.issued","label":"Date","values":["2022"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Department of Medicine"]},{"key":"dc:type","label":"Dc Type","values":["Master Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Masters","MMed"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Staphylococcus aureus bacteraemia","blood stream infections","infectious disease consultation","bundle of care","adherence"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/37198"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Background Staphylococcus aureus bacteraemia (SAB) is associated with high hospital mortality. Improvements in outcome have been described with standardised bundles of care. Objectives To study adherence to a standardised bundle of care (BOC) recommendations using a consultation proforma, for all patients admitted with SAB to Groote Schuur hospital over a year. To describe in-hospital and 90-day mortality in these patients Methods A retrospective audit of all unsolicited infectious disease consultations for patients with SAB admitted to Groote Schuur hospital during 2018. Adherence to recommendations of a standard care bundle were audited. Results Eighty six patients were included; 61 (71%) with healthcare-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 overall 90-day mortality was 18%, with only age an independent predictor of mortality. No association with adherence to the recommendations and outcome was seen. Conclusion Adherence to a simple BOC is good, when using standardised a proforma as a communication tool. SAB mortality may be reduced by such an approach."]},{"key":"dc:title","label":"Title","values":["Evaluation of adherence to an evidence-based bundle of care for the treatment of staphylococcus aureus bacteraemia at Groote Schuur Hospital"]}]}],"canonical_facts":{"dc:contributor.advisor":["Raubenheimer, Peter"],"dc:creator":["Gatley, Elizabeth M"],"dc:date.accessioned":["2023-03-03T11:08:38Z"],"dc:date.available":["2023-03-03T11:08:38Z"],"dc:date.issued":["2022"],"dc:description.abstract":["Background Staphylococcus aureus bacteraemia (SAB) is associated with high hospital mortality. Improvements in outcome have been described with standardised bundles of care. Objectives To study adherence to a standardised bundle of care (BOC) recommendations using a consultation proforma, for all patients admitted with SAB to Groote Schuur hospital over a year. To describe in-hospital and 90-day mortality in these patients Methods A retrospective audit of all unsolicited infectious disease consultations for patients with SAB admitted to Groote Schuur hospital during 2018. Adherence to recommendations of a standard care bundle were audited. Results Eighty six patients were included; 61 (71%) with healthcare-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 overall 90-day mortality was 18%, with only age an independent predictor of mortality. No association with adherence to the recommendations and outcome was seen. Conclusion Adherence to a simple BOC is good, when using standardised a proforma as a communication tool. SAB mortality may be reduced by such an approach."],"dc:identifier.uri":["http://hdl.handle.net/11427/37198"],"dc:publisher.department":["Department of Medicine"],"dc:subject":["Staphylococcus aureus bacteraemia","blood stream infections","infectious disease consultation","bundle of care","adherence"],"dc:title":["Evaluation of adherence to an evidence-based bundle of care for the treatment of staphylococcus aureus bacteraemia at Groote Schuur Hospital"],"dc:type":["Master Thesis"],"dc:type.qualificationlevel":["Masters","MMed"]},"updated_at":"2026-07-22T22:23:49Z"}