In July 2020, a bundle (Appendix C) was implemented at Methodist Dallas Medical Center where all patients with SAB were reviewed by the antimicrobial stewardship pharmacist (Monday - Friday from 0700 to 1500), a note outlining optimal interventions was written in the electronic medical record (EMR), and the recommendations were communicated to the primary team via secure messaging or telephone

Evaluation of the Staphylococcus aureus bloodstream infection(SAB)bundle recommendations will allow for determination of whether this intervention is impactful and warrants the resources currently devoted to it.

Inclusion Criteria:

• 18 years of age SAB during hospital admission

Exclusion Criteria:

• Patients with a history of a prior SAB during the study period (only first occurrence included)
• Blood culture collected within 48hours of patient expiring or transitioning to hospice
• Patients discharged or left before culture results were available
• Patients transferred from an outside hospital

18 years of age SAB during hospital admission a history of a prior SAB during the study period (only first occurrence