Outcome ofStaphylococcus aureusBacteremia in Patients with Eradicable Foci versus Noneradicable Foci
Open Access
- 15 September 2003
- journal article
- Published by Oxford University Press (OUP) in Clinical Infectious Diseases
- Vol. 37 (6) , 794-799
- https://doi.org/10.1086/377540
Abstract
To determine the outcome of Staphylococcus aureus bacteremia (SAB) on mortality, including the impact of methicillin resistance and an initial delay (⩽48 h) of appropriate antibiotics, a retrospective cohort study including 238 patients with SAB was performed. By logistic regression, noneradicable or noneradicated foci, underlying cirrhosis, and cancer were found to be independent predictors of mortality. In patients with eradicable foci, there were no significant differences in the associated mortality rate between methicillin-resistant SAB (11%) and methicillin-susceptible SAB (13%), and between inappropriate (13%) and appropriate (10%) empirical therapy, respectively (P = .79 and P = .78, respectively). By logistic regression, it was found that, in the subgroup of patients with noneradicable foci, underlying cirrhosis (odds ratio [OR], 3.1) and methicillin-resistant SAB (OR, 2.4) were independently associated with mortality.Keywords
This publication has 14 references indexed in Scilit:
- Comparison of Mortality Associated with Methicillin‐Resistant and Methicillin‐SusceptibleStaphylococcus aureusBacteremia: A Meta‐analysisClinical Infectious Diseases, 2003
- Importance of focus identification in the treatment of Staphylococcus aureus bacteraemiaJournal of Hospital Infection, 2002
- Treatment and Outcome of Staphylococcus aureus BacteremiaArchives of internal medicine (1960), 2002
- Pathogenic Significance of Methicillin Resistance for Patients with Staphylococcus aureus BacteremiaClinical Infectious Diseases, 2000
- Bacteremic Pneumonia Due to Staphylococcus aureus: A Comparison of Disease Caused by Methicillin-Resistant and Methicillin-Susceptible OrganismsClinical Infectious Diseases, 1999
- The Economic Impact of Staphylococcus aureus Infection in New York City HospitalsEmerging Infectious Diseases, 1999
- Impact of Methicillin Resistance on the Outcome of Patients With Bacteremia Caused by Staphylococcus aureusArchives of internal medicine (1960), 1998
- New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findingsPublished by Elsevier ,1994
- Surgical wound infection rates by wound class, operative procedure, and patient risk indexThe American Journal of Medicine, 1991
- Vancomycin for Staphylococcus aureus endocarditis in intravenous drug usersAntimicrobial Agents and Chemotherapy, 1990