S. aureus bacteremia

General Information

  • Mortality rate is as high as 25%.

  • Consult Infectious Disease

  • See also SCM orderset "Staph aureus bacteremia"

Further Management

Consult Infectious Diseases

Repeat 2 sets blood cultures q48hrs until negative

Identify source of infection & potential metastatic complications.

Consider; any indwelling medical device, skin and soft tissue infection, endocarditis, septic thrombophlebitis, osteomyelitis, septic arthritis, epidural abscess, pneumonia.

Remove temporary intravascular catheters present at the time the bacteremia was found and send tip for culture

If suspected to be the source, consult as appropriate for advice and/or consideration of removal of permanent vices.

Example: tunnelled lines, pacemakers, valves, graphs, prosthetic joints or other prosthetic material.

Definitive Management

Reviewed September 2017