Table 2.
Characteristic | Impact |
---|---|
Community-acquired infection | Tends to metastasize |
Female gender | Increased risk of mortality vs males |
Positive blood cultures present for longer than 48 h | Complicated course (including metastatic infections) |
Persistent fever at 72 h | Complicated course |
Time for blood culture to turn positive | Complicated course (including metastatic infections and increased risk of mortality) |
Lack of identifiable focus | Aggravates and prolongs SAB |
Skin lesions suggestive of acute systemic infection | Complicated course |
Implanted prosthetic device | Complicated course (including increased risk of mortality and relapse) |
Immunosuppression and HIV | Aggravates and prolongs SAB |
Renal failure | Intravascular complications |
Solid tumors | Intravascular complications |
APACHE II score >7 | Complicated course (including increased risk of septic shock and mortality) |
CURB-65 score >3 | Complicated course (including increased risk of septic shock and mortality) |
Neurologic complications | Increased risk of mortality |
Cardiac complications | Increased risk of mortality |
Septic thrombophlebitis | Prolonged clinical course |
MRSA pneumonia | Complicated course (including increased risk of septic shock and mortality) |
Portions of this table were reproduced with permission from Table 1 in Keynan and Rubinstein [7] and additional information was adapted from Corey [58]
Abbreviations: APACHE Acute Physiology and Chronic Health Evaluation, CURB-65 confusion, urea, respiratory rate, blood pressure, and age 65, HIV human immunodeficiency virus, MRSA methicillin-resistant S. aureus, SAB S. aureus bacteremia