Journal
INFECTION
Volume 47, Issue 6, Pages 961-971Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s15010-019-01330-5
Keywords
Bacteremia; Staphylococcus aureus; MRSA; Mortality; Epidemiology
Categories
Ask authors/readers for more resources
Purpose Staphylococcus aureus bacteremia (SAB) is associated with significant morbidity and mortality. We sought to redefine the burden, epidemiology and mortality-associated risk factors of SAB in a large Canadian health region. Methods Residents (> 18 years) experiencing SAB from 2012 to 2014 were assessed. Incidence rates were calculated using civic census results. Factors associated with 30-day mortality were determined through multivariate logistic regression. Incidence and risk factors for SAB were compared to 2000-2006 data. Results 780 residents experienced 840 episodes of SAB (MRSA; 20%). Incidence rates increased from 23.5 to 32.0 cases/100,000 from 2012 to 2014; [IRR 1.15 (95% CI 1.07-1.23); p < 0.001]. Compared to a decade ago, incidence of SAB has increased [IRR 1.28 (95% CI 1.21-1.36); p < 0.001] despite minimal change in nosocomial SAB. MRSA proportion did not change through the study (p = 0.3), but did increase relative to a decade ago (20.0% vs 11.0%, p < 0.001). Thirty-day mortality rates were 30.6% and 21.3% for MRSA and MSSA, respectively (p = 0.01), similar to rates from 2000 to 2006. Several clinical, demographic, and biochemical factors were independently associated with SAB mortality. Conclusions SAB is common within our population resulting in significant mortality. Incidence rates of SAB are increasing in our health region; however, 30-day mortality rates remain stable.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available