Comparative study of community versus hospital-acquired Staphylococcus aureus bacteraemia.
OBJECTIVE
We prospectively investigated 274 consecutive Staphylococcus aureus septicaemias in adult patients between January 1983 and December 1989 to evaluate outcome in hospital acquired and community acquired episodes.


METHODS
Epidemiologic, clinical, laboratory and therapeutic parameters were analyzed with univariate and multivariate statistical tests.


CONCLUSIONS
Ninety episodes of Staphylococcus aureus bacteraemia were acquired in the community and 184 in hospital. Diabetes mellitus and renal failure were accompanied by a clear increase in bacteraemia related death in the community-acquired category. Correct antibiotic therapy showed a better response in the community-acquired group. Bacteraemia related death was 22.6% for episodes acquired in the hospital and 18.8% for those originating in the community.
Maradona
J A
JA
Unidad de Enfermedades Infecciosas, Hospital Covadonga, Facultad de Medicina, Oviedo, Spain.
Carton
J A
JA
López-Alonso
J
J
Cárcaba
V
V
Nuño
F J
FJ
Arribas
J M
JM
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology*; D002404:Catheterization / Q000009:adverse effects; D017714:Community-Acquired Infections / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology*; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011379:Prognosis; D011446:Prospective Studies; D012044:Regression Analysis; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology*
D000900:Anti-Bacterial Agents