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Staphylococcus aureus bacteremia: a prospective study.

J M Mylotte, T R Beam, J C Allen

    Southern Medical Journal
    |September 1, 1983
    PubMed
    Summary
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    Staphylococcus aureus bacteremia poses a low but definite risk of endocarditis. Most patients received single antimicrobial agents, with deaths primarily occurring early in therapy.

    Area of Science:

    • Infectious Diseases
    • Cardiology
    • Internal Medicine

    Background:

    • Staphylococcus aureus bacteremia is a serious condition.
    • Endocarditis and metastatic infections are significant complications.
    • Understanding risk factors and outcomes is crucial for patient management.

    Purpose of the Study:

    • To prospectively evaluate the incidence of endocarditis and metastatic infection in patients with Staphylococcus aureus bacteremia.
    • To identify risk factors and outcomes associated with Staphylococcus aureus bacteremia.
    • To assess the effectiveness of single antimicrobial agent therapy.

    Main Methods:

    • Prospective observational study of 47 patients with 49 episodes of Staphylococcus aureus bacteremia over 22 months.
    • Data collected on patient demographics, underlying diseases, source of infection, treatment, and outcomes.

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  • Clinical criteria used to diagnose endocarditis.

    • Main Results:

    • Endocarditis occurred in 2 of 47 patients (4.2%).
    • Community-acquired (37%) and nosocomial (63%) episodes were identified.
    • Mortality was 24% (14.2% directly due to Staphylococcus aureus), with all deaths within two weeks of therapy initiation.

    Conclusions:

    • Staphylococcus aureus bacteremia is associated with a low but definite risk of endocarditis.
    • Host factors may play a significant role in patient outcomes.
    • Further research into risk stratification and optimal treatment strategies is warranted.