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Changing patterns of Staphylococcus aureus bacteremia.

M Shah, C Watanakunakorn

    The American Journal of the Medical Sciences
    |September 1, 1979
    PubMed
    Summary
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    Staphylococcus aureus bacteremia, often linked to hospital care and intravenous catheters, was reviewed. Endocarditis incidence decreased significantly compared to earlier decades.

    Area of Science:

    • Infectious Diseases
    • Cardiology
    • Hospital Epidemiology

    Background:

    • Staphylococcus aureus bacteremia poses significant clinical challenges.
    • Endocarditis is a severe complication of S. aureus bacteremia.
    • Historical data from 1940-1954 indicated a high incidence of endocarditis.

    Purpose of the Study:

    • To analyze the characteristics of Staphylococcus aureus bacteremia.
    • To determine the incidence of endocarditis in S. aureus bacteremia.
    • To compare current endocarditis rates with historical data.

    Main Methods:

    • Retrospective review of 134 patient medical records from 1975-1977.
    • Categorization of bacteremia as community-acquired or hospital-acquired.
    • Identification of S. aureus bacteremia associated with intravenous catheters.

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    Main Results:

    • 48 cases were community-acquired, 73 hospital-acquired, and 13 on hemodialysis.
    • 29% of hospital-acquired S. aureus bacteremia cases were linked to infected intravenous catheters.
    • Overall endocarditis incidence was 16%, a decrease from 64% in 1940-1954.

    Conclusions:

    • Intravenous catheter-associated infections are a notable factor in hospital-acquired S. aureus bacteremia.
    • The reduced incidence of endocarditis may reflect changes in medical practices or patient populations.
    • Further investigation into the reasons for decreased endocarditis rates is warranted.