TABLE 1.
N | Percent Bacteremia (95% Confidence Interval) | P | |
---|---|---|---|
All patients | 369 | 7.1 (4.4–9.7) | |
Age (yr) | |||
<1 | 63 | 4.9 (1.2–14.6) | 0.66 |
1–5 | 195 | 8.2 (4.3–12.1) | |
>5–12 | 92 | 4.4 (0.1–8.5) | |
>12 | 19 | 5.3 (0.0–15.3) | |
Initial chest radiograph | |||
No radiograph | 2 | 0.0 (0.0–0.0) | |
No infiltrate | 60 | 11.7 (3.5–19.8) | 0.13 |
Infiltrate present | 307 | 6.2 (3.4–8.9) | |
Pneumonia complications | |||
Uncomplicated | 325 | 5.9 (3.3–8.4) | <0.01 |
Complicated* | 40 | 10.0 (0.7–19.3) | |
Metastatic complication† | 4 | 75.0 (32.5–100.0) | |
Pleural drainage procedure | |||
No | 336 | 5.7 (3.1–8.1) | <0.01 |
Yes | 33 | 21.2 (8.9–38.9) | |
Pleural fluid culture‡ | |||
Negative | 24 | 16.7 (1.7–31.6) | 0.30 |
Positive | 9 | 33.3 (2.5–64.1) |
Patients with complicated pneumonia at presentation including those with or without extrapulmonary complications: systemic inflammatory response syndrome, cardiovascular dysfunction, neurologic dysfunction, hematologic dysfunction, renal dysfunction and hepatic dysfunction.
Metastatic complications included pyomyositis, septic arthritis, osteomyelitis and abscess with or without complicated pneumonia.
Pathogens include S. pneumoniae, Staphylococcus aureus and methicillin-resistant Staphylococcus aureus.