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Analysis of Variation Between Diagnosis at Admission vs Discharge and Clinical Outcomes Among Adults With Possible Bacteremia

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Key Points Question What is the incidence of incorrect identification of site of infection at time of admission, and is this misidentification associated with clinical outcomes? Findings In this cohort… Click to show full abstract

Key Points Question What is the incidence of incorrect identification of site of infection at time of admission, and is this misidentification associated with clinical outcomes? Findings In this cohort study of 1477 patients admitted for suspected bacterial infection, misdiagnosed site of infection occurred in 12% of hospitalized patients. No association was found between misdiagnosed site of infection and 30-day mortality, intensive care unit admission, and length of stay, which might be explained by the use of broad-spectrum antibiotics. Meaning These findings suggest that misdiagnosed site of infection occurs in every 1 of 9 hospitalized patients, but it is not associated with worse clinical outcomes.

Keywords: clinical outcomes; infection; site infection; misdiagnosed site; admission

Journal Title: JAMA Network Open
Year Published: 2022

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