Korean J Infect Dis.  1997 Jan;29(1):39-47.

Clinical Observation on Staphylococcus aureus Bacteremia of Community Hospital

• Jung KH

Abstract

BACKGROUND: Staphylococcus aureus infection is common and life threatening, and the frequency of infections caused by methicillin resistant S. aureus (MRSA) has increased. Therefore, it is important to know the clinical features and antimicrobial susceptibilities for the empirical selection of antibiotics.
METHODS
We reviewed the medical records of 69 cases of S. aureus bacteremia between March 1991 and April 1995, retrospectively.
RESULTS
Thirty-two patients (46.4%) had community-acquired infections and 37(53.6%) had nosocomial infections. The common foci of S. aureus bacteremia were lung (21.7%) and skin wound/decubitus ulcer (20.3%). Fifty-eight patients (84%) had one or more underlying diseases including cerebrovascular disease, liver cirrhosis, diabetes mellitus, and malignancy. MRSA was isolated in 30.4% of all patients. Overall mortality was 47.5% and there was no difference in mortality between patients with MRSA and methicillin-sensitive S. aureus bacteremia.
CONCLUSION
S. aureus bacteremia resulted in considerable mortality in chronic debilitated patients in community hospital. Prevention of infection and early treatment with appropriate antibiotics are necessary.

Keyword

Staphylococcus aureus; Bacteremia; Methicillin resistant S. aureus; MRSA

MeSH Terms

Anti-Bacterial Agents
Bacteremia*
Community-Acquired Infections
Cross Infection
Diabetes Mellitus
Fibrosis
Hospitals, Community*
Humans
Liver Diseases
Lung
Medical Records
Methicillin Resistance
Methicillin-Resistant Staphylococcus aureus
Mortality
Retrospective Studies
Skin
Staphylococcus aureus*
Staphylococcus*
Ulcer
Anti-Bacterial Agents