Table 2.
Radiology, Infections, and Antimicrobial Therapy in 367 Methicillin-Sensitive Staphylococcus aureus Bacteremia Patients who Survived the First 90 Days; Categorization According to Formal Infectious Diseases Specialist Consultation
| Formal Infectious Diseases Specialist Consultation | ||||
|---|---|---|---|---|
| Parameters | Present n = 304 (83) | Absent n = 63 (17) | ORs (95% CI) | P |
| Radiological investigations | ||||
| Echocardiography | ||||
| Transthoracic | 204 (67) | 38 (60) | 1.34 (0.77–2.35) | .30 |
| Transesophageal | 44 (14) | 1 (2) | 10.5 (1.42–77.6) | .005 |
| Whole-body computed tomography | ||||
| ≥1 per patient | 203 (67) | 31 (49) | 2.08 (1.12–3.59) | .008 |
| No. per patient, mean ± SD | 1.10 ± 1.0 | 0.49 ± 0.5 | — | .004 |
| Magnetic resonance imaging | ||||
| ≥1 per patient | 64 (21) | 0 | — | — |
| No. per patient, mean ± SD | 0.29 ± 0.6 | 0 | — | — |
| Leukocyte indium-111 scintigraphy | 127 (42) | 7 (11) | 5.74 (2.53–13.0) | <.001 |
| Infection focus and eradication | ||||
| Pneumonia | 112 (37) | 11 (17) | 2.76 (1.38–5.50) | .003 |
| Endocarditis | 40 (13) | 2 (3) | 4.62 (1.09–19.6) | .023 |
| Osteomyelitis and/or septic arthritis | 120 (39) | 6 (10) | 6.23 (2.60–14.9) | <.001 |
| Any deep infection focus | 236 (78) | 24 (38) | 5.64 (3.17–10.0) | <.001 |
| Eradication of deep infection focusa | 83 (27) | 0 | — | — |
| Eradication of infected foreign body | 34 (11) | 0 | — | — |
| Antimicrobial therapy | ||||
| Antistaphylococcal penicillinb | 255 (84) | 25 (40) | 7.91 (4.38–14.3) | <.001 |
| Cephalosporinec | 40 (13) | 23 (37) | 0.26 (0.14–0.49) | <.001 |
| Other therapyd | 9 (3) | 15 (24) | 0.09 (0.04–0.24) | <.001 |
| Vancomycin | 7 (2) | 3 (5) | 0.47 (0.12–1.88) | .28 |
| Fluoroquinolonee | 159 (52) | 27 (43) | 1.46 (0.85–2.53) | .17 |
| Aminoglycosidee | 47 (15) | 13 (21) | 0.70 (0.36–1.39) | .31 |
| Rifampicine,f | 174 (57) | 23 (37) | 2.33 (1.33–4.08) | .003 |
Data are No. (%) of patients. Hazard ratios and 95% confidence intervals are presented.
Abbreviations: CI, confidence interval; ORs, odds ratio.
aSurgical or radiological eradication.
bCloxacillin.
cCefuroxime or ceftriaxone.
dVancomycin, clindamycin, or a carbapenem.
eAdjunctive antimicrobial therapy.
fTherapy duration ≥14 days.