Table 2. Annual changes in initial severity, diagnostic evaluation, site of infection, antibiotic treatment, clinical course, and outcomes of adult SAB.
Characteristics | No. (%) of patients (n = 1,782) | Annual change (%) | P value | |
---|---|---|---|---|
Initial severity of SAB | ||||
Pitt bacteremia median score (IQR) | 1 (0–2) | −0.039 | 0.007 | |
APACHE score (day of bacteremia), median (IQR) | 15 (11–20) | −0.163 | 0.003 | |
Diagnostic evaluation for site of infection | ||||
Transthoracic echocardiogram | 1,465 (82.2) | 1.222 | 0.007 | |
Transesophageal echocardiogram | 263 (14.8) | 0.053 | 0.845 | |
Spine MRI | 264 (14.8) | 2.282 | 0.004 | |
Ophthalmologic evaluation | 1,179 (66.2) | 4.774 | < 0.001 | |
Site of infection | ||||
Central venous catheter infection | 475 (26.7) | −2.440 | < 0.001 | |
Pneumonia | 250 (14.0) | 0.604 | 0.120 | |
Skin-soft tissue infection | 237 (13.3) | −0.410 | 0.118 | |
Bone-joint infection | 227 (12.7) | 0.309 | 0.386 | |
Surgical site infection | 100 (5.6) | −0.111 | 0.629 | |
Infective endocarditis | 90 (5.1) | 0.020 | 0.917 | |
Central nervous system infection | 58 (3.3) | 0.110 | 0.566 | |
Urinary tract infection | 44 (2.5) | −0.020 | 0.898 | |
Primary bacteremia | 280 (15.7) | 0.239 | 0.534 | |
Any metastatic infection | 319 (17.9) | −0.352 | 0.517 | |
Courses and outcomes of SAB | ||||
Persistent bacteremia I (SAB duration ≥ 7 days) | 245/1,760 (13.9) | −0.654 | 0.120 | |
Persistent bacteremia II (SAB duration ≥ 6 days) | 304/1,760 (17.3) | −1.016 | 0.021 | |
Duration of SAB, mean day (SD) (n = 1,760) | 3.53 (5.89) | −0.128 | 0.051 | |
30-day mortality | 283 (15.9) | −0.024 | 0.227 | |
60-day mortality | 402 (22.6) | −0.018 | 0.388 | |
90-day mortality | 488 (27.4) | −0.042 | 0.137 | |
Recurrence within 3 mon | 90 (5.1) | −0.446 | 0.167 |
SAB = Staphylococcus aureus bacteremia, IQR = interquartile range, APACHE = Acute Physiology and Chronic Health Evaluation, MRI = magnetic resonance imaging, SD = standard deviation.