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Table 2 Comparisons of demographic and clinical features between patients with methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia with favorable and unfavorable final clinical responses

From: Teicoplanin versus β-lactam for febrile patients with Staphylococcus-like bacteremia: focus on methicillin-susceptible Staphylococcus aureus bacteremia

Outcome at the end of the initial treatment

Favorable outcome

n = 67

Unfavorable outcome

n = 17

P

Demographics

Male gender, n (%)

43 (64.2)

11 (64.7)

> 0.99

Age, mean (IQR), years

68 (59–77)

72 (48–85)

0.82

MIC of teicoplanin ≥ 1.5 mg/L, n (%)

22 (32.8)

7 (41.2)

0.57

Co-morbidities, n (%)

Coronary artery disease

14 (20.9)

3 (17.6)

> 0.99

Diabetes mellitus

30 (44.8)

4 (23.5)

0.17

Hypertension

38 (56.7)

5 (29.4)

0.06

Solid tumor

14 (20.9)

5 (29.4)

0.52

Hematology malignancy

1 (1.5)

0

> 0.99

Liver cirrhosis

4 (6.0)

3 (17.6)

0.14

Chronic obstructive pulmonary disease

5 (7.5)

2 (11.8)

0.63

IV drug abuser

2 (3.0)

2 (11.8)

0.18

Congestive heart failure

13 (19.4)

2 (11.8)

0.73

End-stage renal disease

17 (25.4)

3 (17.6)

0.75

Cerebral vascular accident

21 (31.3)

2 (11.8)

0.14

Prosthetic device implantation

27 (40.3)

5 (29.4)

0.58

Pittsburgh bacteremia score ≥ 4a

14 (20.9)

16 (94.1)

< 0.01*

Source of bacteremiab, n (%)

Catheter-related bacteremia

15 (22.4)

2 (11.8)

0.50

Bone and joint infection

20 (29.9)

1 (5.9)

0.06

Infective endocarditis

2 (3.0)

4 (23.5)

0.01

Skin and soft infection

16 (23.9)

1 (5.9)

0.17

Intra-abdominal infection

0

1 (5.9)

0.20

Urinary tract infection

1 (1.5)

0

> 0.99

Pneumonia

5 (7.5)

3 (17.6)

0.35

Primary bacteremia

6 (9.0)

3 (17.6)

0.38

Adequate infection source control ratec n/N

28/51 (54.9)

2/4 (50.0)

> 0.99

Initial treatment group, n (%)

Initial teicoplanin treatment group

24 (35.8)

4 (23.5)

0.40

Initial ß-lactam treatment group

43 (64.2)

13 (76.5)

0.40

  1. IQR interquartile range
  2. aAt the time of blood sampling for culture
  3. bPatients may have had more than one source of bacteremia
  4. cSurgical intervention, drainage, central venous catheter removal, and urinary catheter removal were performed for source control. Patients with pneumonia or primary bacteremia were excluded. n: adequate and timely removal or debridement of the source of bacteremia, N: the source of bacteremia needed to be removed or debrided
  5. *Multivariate analysis of the risk factors for an unfavorable clinical outcome in patients with MSSA bacteremia treated initially with teicoplanin or ß-lactam antibiotics showed that a Pittsburgh bacteremia score ≥ 4 (odd ratio, 60.6 [95% confidence interval, 7.4–496.8], p < 0.01) was an independent risk factor for an unfavorable outcome