The Effect of Insurance on Appropriate Hospital Discharge Antibiotics for Patients With Staphylococcus aureus Bacteremia.

ABSTRACT:

Background

Inappropriate antimicrobial therapy of Staphylococcus aureus bacteremia (SAB) is associated with worsened outcomes. The impact of insurance coverage on appropriate selection of antibiotics at discharge is poorly understood.

Methods

We used a retrospective cohort design to evaluate whether patients with SAB at a large academic medical center over 2 years were more likely to receive inappropriate discharge antibiotics, depending on their category of insurance. Insurance was classified as Medicare, Medicaid, commercial, and none. Logistic regression was used to determine the odds of being prescribed inappropriate discharge therapy.

Results

A total of 273 SAB patients met inclusion criteria, with 14.3% receiving inappropriate discharge therapy. In the un

SUBMITTER: McHale T 

PROVIDER: S-EPMC7817079 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature