Journal article

Clinical variation in the use of echocardiography in Staphylococcus aureus bacteraemia: a multi-centre cohort study

George S Heriot, Steven YC Tong, Allen C Cheng, Irani Thevarajan, Michele R Levinson, Kumar Visvanathan, Danny Liew

European Journal of Clinical Microbiology & Infectious Diseases | SPRINGER | Published : 2018

Abstract

The objective of this investigation was to assess whether between-hospital variation in echocardiography usage for patients with Staphylococcus aureus bacteraemia (SAB) is explained by differences in patients' pre-test probability of endocarditis. This was a retrospective cohort study at three neighbouring hospitals in Australia. Consecutive episodes of SAB were reviewed for the presence of three endocarditis risk factors (community onset, prolonged bacteraemia and the presence of an intracardiac prosthetic device) and the performance and results of all echocardiography studies within 30 days. Multivariate logistic regression was used to examine the effect of hospital site on the performance..

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