Determination of associated factors with death in Staphylococcus aureus bacteremia in hospitalized patients during the COVID-19 pandemic: A single-center, retrospective study

The effect of COVID-19 on the outcomes of patients with Staphylococcus aureus bacteremia is still unknown. Aim: In this study, we aimed to determine associated factors for mortality in patients with S. aureus bacteremia and to explore the impact of prior COVID-19. Design and setting: In this retrospective and single-center study, all adult patients (≥ 18 years old) with S. aureus bacteremia between March 2020 and February 2022 were included. Methods: The outcomes of our study were 14-day and 28-day hospital mortality after the first positive blood culture was obtained. Univariate and Cox regression analyses were performed. Results: A total of 140 patients with S. aureus bacteremia were included in the study. The median age was 64.5 (48.5-76) and 82 (58.5%) of the patients were male. 14-day and 28-day mortality rates were 28.6% and 37.1% respectively. Among patients with S. aureus bacteremia and previous COVID-19 history, 14-day and 28-day mortality rates were 33.9% (n = 21) and 41.9% (n = 26), respectively. Cox regression analysis revealed that Pitt bacteremia score, AST, urea, and previous antibiotic use were associated factors for 14-day mortality and 28-day mortality due to S. aureus bacteremia. Conclusions: This study justified the remarkable fatality of S. aureus bacteremia during the COVID-19 pandemic period and revealed that a high Pitt bacteremia score, increased levels of AST and urea, and previous antibiotic exposure were associated factors for mortality in patients with S. aureus bacteremia.

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Main Authors: Tuncer,Gulsah, Geyiktepe-Guclu,Ceyda, Surme,Serkan, Faruk Bayramlar,Osman, Copur,Betul, Emre Ozdemir,Yusuf, Gorkem Guclu,Kadir, Pehlivanoglu,Filiz, Sengoz,Gonul, Yildirim,Mustafa
Format: Digital revista
Language:English
Published: Sociedad Médica de Santiago 2023
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872023001001319
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spelling oai:scielo:S0034-988720230010013192024-07-25Determination of associated factors with death in Staphylococcus aureus bacteremia in hospitalized patients during the COVID-19 pandemic: A single-center, retrospective studyTuncer,GulsahGeyiktepe-Guclu,CeydaSurme,SerkanFaruk Bayramlar,OsmanCopur,BetulEmre Ozdemir,YusufGorkem Guclu,KadirPehlivanoglu,FilizSengoz,GonulYildirim,Mustafa Staphylococcus aureus Mortality Bacteremia COVID-19 Pneumonia The effect of COVID-19 on the outcomes of patients with Staphylococcus aureus bacteremia is still unknown. Aim: In this study, we aimed to determine associated factors for mortality in patients with S. aureus bacteremia and to explore the impact of prior COVID-19. Design and setting: In this retrospective and single-center study, all adult patients (≥ 18 years old) with S. aureus bacteremia between March 2020 and February 2022 were included. Methods: The outcomes of our study were 14-day and 28-day hospital mortality after the first positive blood culture was obtained. Univariate and Cox regression analyses were performed. Results: A total of 140 patients with S. aureus bacteremia were included in the study. The median age was 64.5 (48.5-76) and 82 (58.5%) of the patients were male. 14-day and 28-day mortality rates were 28.6% and 37.1% respectively. Among patients with S. aureus bacteremia and previous COVID-19 history, 14-day and 28-day mortality rates were 33.9% (n = 21) and 41.9% (n = 26), respectively. Cox regression analysis revealed that Pitt bacteremia score, AST, urea, and previous antibiotic use were associated factors for 14-day mortality and 28-day mortality due to S. aureus bacteremia. Conclusions: This study justified the remarkable fatality of S. aureus bacteremia during the COVID-19 pandemic period and revealed that a high Pitt bacteremia score, increased levels of AST and urea, and previous antibiotic exposure were associated factors for mortality in patients with S. aureus bacteremia.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.151 n.10 20232023-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872023001001319en10.4067/s0034-98872023001001319
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language English
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author Tuncer,Gulsah
Geyiktepe-Guclu,Ceyda
Surme,Serkan
Faruk Bayramlar,Osman
Copur,Betul
Emre Ozdemir,Yusuf
Gorkem Guclu,Kadir
Pehlivanoglu,Filiz
Sengoz,Gonul
Yildirim,Mustafa
spellingShingle Tuncer,Gulsah
Geyiktepe-Guclu,Ceyda
Surme,Serkan
Faruk Bayramlar,Osman
Copur,Betul
Emre Ozdemir,Yusuf
Gorkem Guclu,Kadir
Pehlivanoglu,Filiz
Sengoz,Gonul
Yildirim,Mustafa
Determination of associated factors with death in Staphylococcus aureus bacteremia in hospitalized patients during the COVID-19 pandemic: A single-center, retrospective study
author_facet Tuncer,Gulsah
Geyiktepe-Guclu,Ceyda
Surme,Serkan
Faruk Bayramlar,Osman
Copur,Betul
Emre Ozdemir,Yusuf
Gorkem Guclu,Kadir
Pehlivanoglu,Filiz
Sengoz,Gonul
Yildirim,Mustafa
author_sort Tuncer,Gulsah
title Determination of associated factors with death in Staphylococcus aureus bacteremia in hospitalized patients during the COVID-19 pandemic: A single-center, retrospective study
title_short Determination of associated factors with death in Staphylococcus aureus bacteremia in hospitalized patients during the COVID-19 pandemic: A single-center, retrospective study
title_full Determination of associated factors with death in Staphylococcus aureus bacteremia in hospitalized patients during the COVID-19 pandemic: A single-center, retrospective study
title_fullStr Determination of associated factors with death in Staphylococcus aureus bacteremia in hospitalized patients during the COVID-19 pandemic: A single-center, retrospective study
title_full_unstemmed Determination of associated factors with death in Staphylococcus aureus bacteremia in hospitalized patients during the COVID-19 pandemic: A single-center, retrospective study
title_sort determination of associated factors with death in staphylococcus aureus bacteremia in hospitalized patients during the covid-19 pandemic: a single-center, retrospective study
description The effect of COVID-19 on the outcomes of patients with Staphylococcus aureus bacteremia is still unknown. Aim: In this study, we aimed to determine associated factors for mortality in patients with S. aureus bacteremia and to explore the impact of prior COVID-19. Design and setting: In this retrospective and single-center study, all adult patients (≥ 18 years old) with S. aureus bacteremia between March 2020 and February 2022 were included. Methods: The outcomes of our study were 14-day and 28-day hospital mortality after the first positive blood culture was obtained. Univariate and Cox regression analyses were performed. Results: A total of 140 patients with S. aureus bacteremia were included in the study. The median age was 64.5 (48.5-76) and 82 (58.5%) of the patients were male. 14-day and 28-day mortality rates were 28.6% and 37.1% respectively. Among patients with S. aureus bacteremia and previous COVID-19 history, 14-day and 28-day mortality rates were 33.9% (n = 21) and 41.9% (n = 26), respectively. Cox regression analysis revealed that Pitt bacteremia score, AST, urea, and previous antibiotic use were associated factors for 14-day mortality and 28-day mortality due to S. aureus bacteremia. Conclusions: This study justified the remarkable fatality of S. aureus bacteremia during the COVID-19 pandemic period and revealed that a high Pitt bacteremia score, increased levels of AST and urea, and previous antibiotic exposure were associated factors for mortality in patients with S. aureus bacteremia.
publisher Sociedad Médica de Santiago
publishDate 2023
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872023001001319
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