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Table 2 Baseline characteristics and clinical outcomes of patients with methicillin-susceptible S. aureus bacteremia. Patients received either empiric combination therapy with β-lactam plus vancomycin or empiric β-lactam monotherapy

From: Comparison of outcomes in patients with methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia who are treated with β-lactam vs vancomycin empiric therapy: a retrospective cohort study

Patient characteristics

β-lactam plus vancomycina (n=153)

β-lactam monotherapya (n=47)

P-value

Ageb

51.3 ± 16.9

58.7 ± 16.1

< 0.01

Males

92 (60.1)

34 (72.3)

0.17

Community-onset

137 (89.5)

36 (76.6)

0.03

Hospital-onset

16 (10.5)

11 (23.4)

0.03

HIV infection

18 (11.8)

2 (4.26)

0.17

Hepatitis C infection

50 (32.7)

11 (23.4)

0.28

Immunocompromised

12 (7.84)

6 (12.8)

0.38

Alcohol or illicit drug abuse

68 (44.4)

14 (29.8)

0.09

Intravenous drug use

54 (35.3)

10 (21.3)

0.08

Charlson comorbidity indexc

3 (1–6)

3 (1–5)

0.30

Pitt bacteremia scorec

1 (0–2)

0 (0–1)

< 0.01

Infectious diseases consultation

120 (78.4)

30 (63.8)

0.05

Source of bacteremia

 Central or peripheral line

15 (9.80)

9 (19.1)

0.12

 Skin and soft tissue

25 (16.3)

11 (23.4)

0.28

 Intravenous drug use

43 (28.1)

5 (10.6)

0.02

 Bone or joint infection

15 (9.80)

8 (17.0)

0.19

 Lung

4 (2.61)

2 (4.26)

0.63

 Other

14 (9.15)

5 (10.6)

0.78

 Unknown

37 (24.2)

7 (14.9)

0.23

Infective endocarditis

40 (26.1)

5 (10.6)

0.03

Metastatic complications

66 (43.1)

7 (14.9)

< 0.001

Surgical source control

31 (20.3)

12 (25.5)

0.43

Empiric antimicrobials

 Cloxacillin or cefazolin

95 (62.1)

43 (91.5)

< 0.0001

 3rd generation cephalosporin

73 (47.7)

7 (14.9)

< 0.0001

 Piperacillin-tazobactam

65 (42.5)

4 (8.51)

< 0.0001

 Ticarcillin-clavulanic acid

2 (1.31)

1 (2.13)

0.55

 Carbapenem

7 (4.58)

1 (2.13)

0.68

 Daptomycin

0

2 (4.26)

0.05

 Linezolid

1 (0.65)

1 (2.13)

0.42

 Otherd

60 (39.2)

22 (46.8)

1.00

Blood culture time to positivitye

20.3 (16.3–25.3)

19.8 (18.0–27)

0.36

Duration of empiric therapye

55.5 (44.9–73.8)

54.3 (38.8–64.5)

0.08

Duration of definitive therapyf

31 (14–43)

26 (12–40)

0.18

Time to receipt of empiric therapye

1.6 (0.03–6.17)

3.95 (0.58–15.5)

0.08

Time to receipt of β-lactame

2.77 (0.25–13.7)

3.95 (0.58–16.6)

0.74

Time to receipt of cloxacillin or cefazoline

34.8 (21.2–58.4)

13.0 (1.83–23.8)

0.00

Empiric β-lactam exposuree

52.3 (39.8–73.8)

51.7 (38.8–64.5)

0.42

Proportional empiric β-lactam exposureg

100 (86.1–100)

100 (95.2–100)

0.01

Primary outcome

 28-day mortality

14 (9.15)

2 (4.26)

0.37

Secondary outcomes

   

 90-day mortality

21 (13.7)

4 (8.51)

0.45

 Recurrent infection at 6 months

5 (3.27)

2 (4.26)

0.67

 Duration of bacteremiae,h

84.8 (52.5–136)

63.4 (30.5–114)

0.03

 ≥ 3 daysh

81 (56.3)

17 (44.7)

0.27

 Hospital length of stayf

26 (13–45)

15 (10–30)

< 0.01

  1. aVariables are displayed as counts and percentages in parentheses unless otherwise specified
  2. bAge is represented as a mean ± standard deviation in years
  3. cVariables are expressed as a median with interquartile range in parentheses
  4. dOther antimicrobials used during empiric and definitive therapy included rifampin, aminoglycosides, fluoroquinolones, macrolides, trimethoprim-sulfamethoxazole, and clindamycin
  5. eVariables are expressed as median hours with interquartile range in parentheses
  6. fVariables are expressed as median days with interquartile range in parentheses
  7. gVariables are expressed as median percentages with interquartile range in parentheses
  8. hData missing for 9 patients in each subgroup