5 research outputs found

    The range of sites of infection in patients and outcome associated with each clinical presentation.

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    *<p><sup>1</sup>p value for the comparison between all-cause deaths and survivors.</p>*<p><sup>2</sup>Site of deep abscesses were muscle (nβ€Š=β€Š20), retroperitoneal space (nβ€Š=β€Š7), parotid gland (nβ€Š=β€Š7), liver (nβ€Š=β€Š3), lung (nβ€Š=β€Š2), epidural space (nβ€Š=β€Š2), eye (nβ€Š=β€Š2), oropharynx (nβ€Š=β€Š2) and spleen (nβ€Š=β€Š1).</p>*<p><sup>3</sup>Other skin and soft tissue infections includes: necrotising fasciitis (nβ€Š=β€Š9), bedsore(s) (nβ€Š=β€Š6), pustules and carbuncles (nβ€Š=β€Š5), infected wound from trauma (nβ€Š=β€Š3), infected wound from tophi (nβ€Š=β€Š2), gangrene (nβ€Š=β€Š2), cellulitis (without other skin or soft tissue lesion) (nβ€Š=β€Š2) and infection of exfoliated skin following a severe drug reaction (nβ€Š=β€Š2).</p>*<p><sup>4</sup>Orthopaedic material includes: internal fixation metalwork (nβ€Š=β€Š8) and a hip replacement (nβ€Š=β€Š1).</p>*<p><sup>5</sup>Intravenous devices were peripheral cannulas (nβ€Š=β€Š4), central catheters (nβ€Š=β€Š3) and an umbilical catheter (nβ€Š=β€Š1).</p>*<p><sup>6</sup>Endocarditis from transthoracic echocardiographic evidence of vegetations (nβ€Š=β€Š7); 1 case clinically but died prior to echocardiogram.</p>*<p><sup>7</sup>Other infections include: urinary tract infection (nβ€Š=β€Š3), tenosynovitis (nβ€Š=β€Š2), Lemierre's syndrome (nβ€Š=β€Š1) and corneal ulcer (nβ€Š=β€Š1).</p>*<p><sup>8</sup>Post-operative infections include: mediastinitis (nβ€Š=β€Š4; 3 following mitral valve replacement and 1 after coronary artery bypass graft), meningitis from infected bone flap surgical wound (nβ€Š=β€Š1) and abdominal wound (nβ€Š=β€Š1).</p

    Association between patient characteristics and outcome for 270 patients with <i>S. aureus</i> infection.

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    <p>Data are number (%) unless otherwise stated.</p>*<p><sup>1</sup>p value for the comparison between all-cause deaths and survivors.</p>*<p><sup>2</sup>Denominator for occupation is number of patients over the age of 16 years which is given in each square.</p>*<p><sup>3</sup>Past medical history of any underlying chronic medical conditions reported by the patient/relative or recorded in the medical notes.</p>*<p><sup>4</sup>Immunosuppression from HIV (5 untreated, 3 on anti-retroviral therapy), chemotherapy (nβ€Š=β€Š3), untreated leukaemia (nβ€Š=β€Š1), radiotherapy (nβ€Š=β€Š1) or immunosuppressive medication including prednisolone more than 30 mg/day for more than 1 week (nβ€Š=β€Š17).</p>*<p><sup>5</sup>Renal disease included end stage renal failure on long-term dialysis (nβ€Š=β€Š3; 2 on haemodialysis, 1 on peritoneal dialysis) and chronic renal failure (not on dialysis) due to diabetes mellitus (nβ€Š=β€Š14), systemic lupus erythematosus (nβ€Š=β€Š1), multiple myeloma (nβ€Š=β€Š1), glomerulonephritis (nβ€Š=β€Š1) or an unknown aetiology (nβ€Š=β€Š5).</p>*<p><sup>6</sup>Cardiac disease comprised congenital heart disease (nβ€Š=β€Š4), valvular heart disease including rheumatic heart disease (nβ€Š=β€Š8), ischaemic heart disease (nβ€Š=β€Š8), or arrhythmias including heart block requiring pacemaker (nβ€Š=β€Š4).</p>*<p><sup>7</sup>Lung disease comprised previously treated tuberculosis (nβ€Š=β€Š9), previous empyema (nβ€Š=β€Š1), lung cancer (nβ€Š=β€Š2), long-term tracheostomy (nβ€Š=β€Š1), chronic obstructive pulmonary disease (nβ€Š=β€Š2) or asthma (nβ€Š=β€Š1).</p

    Higher all-cause mortality associated with methicillin-resistant <i>S. aureus</i> (MRSA) but not with Panton-Valentine Leukocidin (PVL).

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    <p>Patients infected by MRSA had a greater all-cause mortality compared with patients infected by methicillin-susceptible <i>S. aureus</i> (MSSA) (p<0.001). Conversely, patients infected by PVL gene-positive <i>S. aureus</i> had a lower all-cause mortality compared with patients infected by PVL gene-negative <i>S. aureus</i> (p<0.001), an association that remained after adjustment for MRSA (pβ€Š=β€Š0.001).</p
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