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. 2020 Dec 23;4:100078. doi: 10.1016/j.jtauto.2020.100078

Table 1.

Data supporting high rates of bacterial infection in lupus patients.

Cervera et al., 1999 Kang et al., 2011 Jacobsen et al., 1999 Fei et al., 2014 Tsai et al., 2020 Bharath et al., 2019 Oud et al., 2019 Ruiz-Irastorza et al., 2009
Location(s) Seven countries in Europe South Korea Denmark China Taiwan India USA Spain

SLE Cohort Size 1000 1010 513 3831 427 53 94,338 249

Clinical Outcome Mortality Mortality Mortality Mortality Mortality Mortality Hospitalization due to sepsis Hospitalization

Percent with infection 24.4% (Bacterial) 37.3% 20.49% 1986–1995: 25.7%
2006–2012: 53.6%
72.47% 47.2% 18.1% 29%

Infection sites Respiratory
Abdominal Urinary Tract
Respiratory
Sepsis
Abscess
Meningitis
Peritonitis
Infectious Colitis
Respiratory
Bacteremia
Meningitis
Brain Abscess
Endocarditis
Hepatitis
Respiratory
Generalized
Bacteremia
Extra-pulmonary tuberculosis
Peritonitis
Meningitis
Respiratory
Bacteremia
Urinary Tract
Skin
Respiratory
Urinary tract
Respiratory
Urinary Tract
Abdominal
Skin and Soft Tissue
Device Related
Other
Unknown
Respiratory
Bacteremia
Cellulitis and skin abscess
Meningitis-encephalitis
Pyelonephritis
Abdominal
Other

Bacterial Genus
Identified
None Identified None Identified Staphylococcus
Streptococcus
Klebsiella
Staphylococcus
Klebsiella
Pseudomonas
Acinetobacter Enterococcus
Escherichia
Salmonella
Pseudomonas
Nocardia
Staphylococcus
Escherichia
Acinetobacter
Klebsiella
Pseudomonas
None Identified Escherichia
Staphylococcus
Mycobacterium
Streptococcus
Salmonella
Pseudomonas
Neisseria
Campylobacter
Legionella
Serratia

Risk Factors Identified Nephropathy Irreversible organ damage related to SLE; cyclophosphamide therapy; glucocorticoid dosage Early onset of disease; disease duration of 5–10 years None Identified Higher SLEDAI score; short disease duration; female Sex Lung involvement; nephritis Age 65+ years; High Deyo comorbidity index; multiple organ dysfunction Lung disease; nephritis; leukopenia; anti-phospholipid autoantibodies; prednisone treatment