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Related Experiment Videos

Staphylococcal bacteremia: current patterns in nonuniversity hospitals.

C S Bryan, B Kirkhart, E R Brenner

    Southern Medical Journal
    |June 1, 1984
    PubMed
    Summary

    Staphylococcus aureus bacteremia caused significant mortality, with over half of deaths linked to the infection. Early deaths were common, and antimicrobial choice did not appear to influence outcomes in this study.

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    Area of Science:

    • Infectious Diseases
    • Clinical Microbiology
    • Epidemiology

    Background:

    • Staphylococcus aureus bacteremia is a serious bloodstream infection.
    • Understanding mortality and complications like endocarditis is crucial for patient management.
    • Previous studies reported varying incidence rates of associated endocarditis.

    Purpose of the Study:

    • To investigate the clinical outcomes of Staphylococcus aureus bacteremia in a metropolitan area.
    • To determine the overall mortality and infection-attributed mortality.
    • To assess the incidence of endocarditis and the relationship between antimicrobial therapy and outcomes.

    Main Methods:

    • Retrospective analysis of 390 consecutive Staphylococcus aureus bacteremia episodes.
    • Data collected from four non-university hospitals between 1977 and 1981.

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  • Evaluation of mortality, attributed deaths, endocarditis incidence, and timing of death.

    • Main Results:

    • Overall mortality was 31%, with 52% of deaths attributed to Staphylococcus aureus bacteremia.
    • The incidence of recognized endocarditis was 4.9%.
    • 41% of deaths occurred within three days of positive blood cultures; antimicrobial therapy choice did not correlate with outcome.

    Conclusions:

    • Staphylococcus aureus bacteremia is associated with high mortality and a notable incidence of endocarditis.
    • A significant proportion of deaths occur early in the course of infection.
    • Antimicrobial therapy selection may not be the primary determinant of clinical outcome in this context.