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dc.contributor.authorBranch-Elliman, Westynen_US
dc.contributor.authorLee, Grace M.en_US
dc.contributor.authorGolen, Toni H.en_US
dc.contributor.authorGold, Howard S.en_US
dc.contributor.authorBaldini, Linda M.en_US
dc.contributor.authorWright, Sharon B.en_US
dc.date.accessioned2014-03-10T16:16:28Z
dc.date.issued2013en_US
dc.identifier.citationBranch-Elliman, Westyn, Grace M. Lee, Toni H. Golen, Howard S. Gold, Linda M. Baldini, and Sharon B. Wright. 2013. “Health and Economic Burden of Post-Partum Staphylococcus aureus Breast Abscess.” PLoS ONE 8 (9): e73155. doi:10.1371/journal.pone.0073155. http://dx.doi.org/10.1371/journal.pone.0073155.en
dc.identifier.issn1932-6203en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:11877018
dc.description.abstractObjectives: To determine the health and economic burdens of post-partum Staphylococcus aureus breast abscess. Study design We conducted a matched cohort study (N = 216) in a population of pregnant women (N = 32,770) who delivered at our center during the study period from 10/1/03–9/30/10. Data were extracted from hospital databases, or via chart review if unavailable electronically. We compared cases of S. aureus breast abscess to controls matched by delivery date to compare health services utilization and mean attributable medical costs in 2012 United States dollars using Medicare and hospital-based estimates. We also evaluated whether resource utilization and health care costs differed between cases with methicillin-resistant and -susceptible S. aureus isolates. Results: Fifty-four cases of culture-confirmed post-partum S. aureus breast abscess were identified. Breastfeeding cessation (41%), milk fistula (11.1%) and hospital readmission (50%) occurred frequently among case patients. Breast abscess case patients had high rates of health services utilization compared to controls, including high rates of imaging and drainage procedures. The mean attributable cost of post-partum S. aureus breast abscess ranged from $2,340–$4,012, depending on the methods and data sources used. Mean attributable costs were not significantly higher among methicillin-resistant vs. –susceptible S. aureus cases. Conclusions: Post-partum S. aureus breast abscess is associated with worse health and economic outcomes for women and their infants, including high rates of breastfeeding cessation. Future study is needed to determine the optimal treatment and prevention of these infections.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0073155en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764182/pdf/en
dash.licenseLAAen_US
dc.titleHealth and Economic Burden of Post-Partum Staphylococcus aureus Breast Abscessen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dash.depositing.authorBranch-Elliman, Westynen_US
dc.date.available2014-03-10T16:16:28Z
dc.identifier.doi10.1371/journal.pone.0073155*
dash.contributor.affiliatedGolen, Toni
dash.contributor.affiliatedLee, Grace
dash.contributor.affiliatedBranch-Elliman, Westyn
dash.contributor.affiliatedGold, Howard
dash.contributor.affiliatedWright, Sharon


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