TABLE 1.
Clinical parameter | Data for patients witha: |
P valueb | |
---|---|---|---|
MSSA | S. argenteus | ||
Total cases | 199 | 10 | |
Age (yr) | 38 (14–59, 1–84) | 56.5 (41–66, 11–73) | 0.04 |
Sex (male) | 118 (59) | 7 (70) | 0.74 |
Blood culture-positive isolates | 56 (28) | 3 (30) | >0.99 |
Place of acquisition | |||
Community acquired | 172 (86) | 8 (80) | 0.63 |
Health care associatedc | 27 (14) | 2 (20) | |
Underlying medical conditiond | 65 (33) | 7 (70) | 0.03 |
Cardiac diseasee | 12 (6) | 1 (10) | 0.48 |
Diabetes mellitus | 29 (15) | 6 (60) | 0.002 |
Renal diseasef | 15 (8) | 6 (60) | <0.001 |
Immunosuppressiong | 25 (13) | 2 (20) | 0.62 |
Lung diseaseh | 9 (5) | 1 (10) | 0.39 |
Pattern of disease | |||
Identified site, bacteremia only | 17 (9) | 2 (20) | 0.19 |
1 identified site | 155 (78) | 6 (60) | |
>1 identified site | 27 (13) | 2 (20) | |
Other identifiable sites of infection | |||
Superficial abscess | 81 (41) | 4 (40) | 0.15 |
Deep abscess | 45 (23) | 0 | |
Other skin and soft tissue infections | 21 (11) | 4 (40) | |
Bone and joint infections | 24 (12) | 2 (20) | |
Prosthetic material infection | 13 (7) | 0 | |
Respiratory infection | 14 (7) | 0 | |
Endocarditis | 6 (3) | 0 | |
Other infection | 7 (4) | 0 | |
Outcome | |||
Cured | 150 (75) | 7 (70) | 0.58 |
Treatment failure | 11 (6) | 1 (10) | |
Death due to S. aureus | 26 (13) | 1 (10) | |
Death due to other causes | 12 (6) | 1 (10) |
Data shown are number (%) or median (interquartile range, range).
P values were estimated using Fisher's exact test. Values for age were estimated using the Mann-Whitney test.
Health care-associated infections included nosocomial and nonnosocomial health care-associated infections (12).
Past medical history of any underlying chronic medical conditions reported by the patients and/or relatives or recorded in the medical notes.
“Cardiac disease” comprised congenital heart disease, valvular heart disease (including rheumatic heart disease), ischemic disease, or arrhythmias (including heart block requiring pacemaker).
“Renal disease” included end-stage renal failure with long-term dialysis and chronic renal failure (not on dialysis) due to diabetes mellitus, systematic lupus erythematous, multiple myeloma, glomerulonephritis, or an unknown etiology.
Immunosuppression included that from HIV, chemotherapy, untreated leukemia, radiotherapy, or immunosuppressive medications, including >30 mg/day of prednisolone for >1 week.
“Lung disease” comprised previously treated tuberculosis, previous empyema, lung cancer, long-term tracheostomy, chronic obstructive pulmonary disease, or asthma.