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Staphylococcus aureus bacteremia. Current clinical patterns.

C M Nolan, H N Beaty

    The American Journal of Medicine
    |April 1, 1976
    PubMed
    Summary
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    This study on Staphylococcus aureus bacteremia found that patients with primary infections responded well to standard treatment. Those without primary infections, often with endocarditis, required prolonged antibiotic courses.

    Area of Science:

    • Infectious Diseases
    • Bacteriology
    • Clinical Medicine

    Background:

    • Staphylococcus aureus bacteremia is a serious condition.
    • Previous reports indicated higher mortality rates.
    • Understanding the clinical spectrum is crucial for effective treatment.

    Purpose of the Study:

    • To assess the current clinical spectrum of serious Staphylococcus aureus disease.
    • To identify factors influencing treatment outcomes in bacteremia patients.
    • To differentiate patient groups based on infection characteristics.

    Main Methods:

    • Retrospective review of 105 cases of Staphylococcus aureus bacteremia.
    • Classification of patients based on the presence of identifiable primary staphylococcal infections.

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  • Analysis of mortality, secondary foci, and treatment outcomes.

    • Main Results:

    • Overall mortality was 21%, lower than previously reported.
    • Patients were divided into two groups: 63 with primary infections and 42 without.
    • Endocarditis was more common in the group without primary infections (24/26 cases).
    • Secondary staphylococcal foci were frequent in patients without primary infections (38/42) and associated with treatment failure.
    • Patients with primary infections showed satisfactory response to conventional therapy.

    Conclusions:

    • Endocarditis is now an uncommon complication of identifiable primary Staphylococcus aureus infections.
    • A clinical classification based on primary lesions can guide therapy.
    • Patients with primary infections and no secondary foci may be cured with conventional antibiotics.
    • Patients with secondary foci, potentially indicating endocarditis, require prolonged antibiotic courses.