Epidemiology and outcome of Staphylococcus aureus bloodstream infection and sepsis in a Norwegian county 1996–2011: an observational study View Full Text


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Article Info

DATE

2015-12

AUTHORS

Julie Paulsen, Arne Mehl, Åsa Askim, Erik Solligård, Bjørn Olav Åsvold, Jan Kristian Damås

ABSTRACT

BACKGROUND: Staphylococcus aureus is one of the most common and lethal causes of bloodstream infection and the incidence is increasing. We carried out a prospective observational study of patients with Staphylococcus aureus bloodstream infection and sepsis in Nord-Trøndelag county in Norway from 1996-2011. The main outcome of interest was all-cause mortality within 30 and 90 days. METHODS: Positive blood cultures were registered prospectively by the microbiology laboratory and clinical variables were retrospectively registered from patients' hospital records. The severity of sepsis was assigned according to the 2001 International Sepsis Definition Conference criteria. The association between clinical characteristics and mortality was studied using logistic regression analysis, and adjusted 30- and 90-day mortality risks were estimated. RESULTS: Among 373 patients, the median age was 74 years and 60.3% were male. 0.8% of the patients were diagnosed with MRSA. 29.8% of the patients developed severe sepsis and 12.9% developed septic shock. The all-cause mortality was 14.5%, 27.3% and 36.2% at 7, 30 and 90 days, respectively. Compared to patients with sepsis without organ failure (Mortality risk 13.3%, 95% CI 7.5-16.3%), the 30-day mortality risk was 3-fold higher among those with severe sepsis (39.9%, 95% CI 29.5-48.5%) and more than 4-fold higher for those with septic shock (57.3%, 95% CI 42.5-72.2%). The 30-day all-cause mortality varied by focus of infection, with the highest 30-day mortality risk among those with a pulmonary focus (42.4%, 95% CI 26.0-58.5%) and unknown focus of infection (38.7%, 95% CI 27.5-48.2%). The mortality risk did not differ between the first and second halves of the study period with a 30-day mortality risk of 27.3%, (95% CI 18.1-33.1%) for 1996-2003 versus 27.4% (95% CI 19.4-31.4%) for 2004-2011. The same pattern was seen for 90-day mortality risk. CONCLUSION: Staphylococcus aureus bloodstream infection carries a high case fatality rate, especially among those with severe sepsis and septic shock and among those with a pulmonary or unknown focus of infection. There was no decrease in 30- or 90-day mortality risk during the study period. This underscores the importance of continuing surveillance and efforts to improve the outcome of this serious disease. More... »

PAGES

116

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12879-015-0849-4

DOI

http://dx.doi.org/10.1186/s12879-015-0849-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034514699

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25887177


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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12879-015-0849-4'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12879-015-0849-4'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12879-015-0849-4'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12879-015-0849-4'


 

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289 https://www.grid.ac/institutes/grid.52522.32 schema:alternateName St Olav's University Hospital
290 schema:name Centre of Molecular Inflammation Research, Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway
291 Clinic of Anaesthesia and Intensive Care, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
292 Department of Circulation and Medical imaging, Norwegian University of Science and Technology, Trondheim, Norway
293 Department of Endocrinology, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
294 Department of Infectious diseases, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
295 Department of Public Health, Norwegian University of Science and Technology, Trondheim, Norway
296 rdf:type schema:Organization
297 https://www.grid.ac/institutes/grid.5947.f schema:alternateName Norwegian University of Science and Technology
298 schema:name Centre of Molecular Inflammation Research, Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway
299 Department of Medicine, Levanger Hospital, Nord-Trøndelag Health Trust, Levanger, Norway
300 Faculty of Medicine, Institute of Cancer Research and Molecular Medicine, Po box 8905, N-7491, Trondheim, Norway
301 rdf:type schema:Organization
 




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