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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Staphylococcus Aureus Bacteremia Among Patients with Health Care-associated Fever
American Journal of Medicine, Volume 122, No. 3, Year 2009
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Description
Background: Although Staphylococcus aureus bacteremia is a common, serious infection, accurately identifying febrile patients with this diagnosis at the time of initial evaluation is difficult. The purpose of this investigation was to define clinical characteristics present at the time of the initial recognition of fever that were associated with the presence of any bloodstream infection and, in particular, with S. aureus bacteremia. Methods: All patients ≥18 years of age with a new episode of health care-associated fever (temperature ≥38°C) and at least one blood culture drawn were eligible for enrollment into this prospective multicenter cohort study. Multivariable analyses were conducted and internally validated scoring systems were developed to categorize the risk of bacteremia. Results: Of 1015 patients enrolled, 181 patients (17.8%) had clinically significant bacteremia, including 77 patients (7.6%) with S. aureus bacteremia. Clinical characteristics associated with S. aureus bacteremia were the presence of a hemodialysis graft or shunt (odds ratio [OR] 3.22; 95% confidence interval [CI], 1.85-5.61), chills (OR 2.38; 95% CI, 1.43-3.98), and a history of S. aureus infection (OR 2.68; 95% CI, 1.38-5.20). Peripheral vascular catheters were inversely associated with S. aureus bacteremia (OR 0.42; 95% CI, 0.26-0.69). Clinical characteristics associated with any bloodstream infection were central venous access, chills, history of S. aureus infection, and hemodialysis access. Conclusions: Among patients with health care-associated fever, the presence of easily recognizable clinical characteristics at the time of obtaining the initial blood cultures can help to identify patients at increased risk for any bloodstream infection, in particular for S. aureus bacteremia. © 2009 Elsevier Inc. All rights reserved.
Authors & Co-Authors
Stryjewski, Martín E.
United States, Durham
Duke University Medical Center
Argentina, Buenos Aires
Centro de Educacion Medica e Investigaciones Clinicas Norberto Quirno
Kanafani, Zeina A.
Lebanon, Beirut
American University of Beirut Medical Center
Chu, Vivian H.
United States, Durham
Duke University Medical Center
Pappas, Paul A.
United States, Durham
Duke University Medical Center
Harding, Tina M.
United States, Durham
Duke University Medical Center
Drew, Laura A.
United States, Durham
Duke University Medical Center
Benjamin, Daniel Kelly
United States, Durham
Duke University Medical Center
Reller, L. Barth
United States, Durham
Duke University Medical Center
Lee, Benjamin A.
United States, Durham
Duke University Medical Center
Corey, Gordon Ralph
United States, Durham
Duke University Medical Center
Fowler, Vance G.
United States, Durham
Duke University Medical Center
Statistics
Citations: 22
Authors: 11
Affiliations: 3
Identifiers
Doi:
10.1016/j.amjmed.2008.09.040
ISSN:
00029343
Research Areas
Health System And Policy
Study Design
Cohort Study
Case-Control Study
Study Approach
Quantitative