Factor | All cases | Bacteroides spp | Non-spore forming bacillis | Clostridium spp | GPAC |
---|---|---|---|---|---|
(n = 215) | (n = 60) | (n = 57) | (n = 52) | (n = 27) | |
Demographics | |||||
Age, median (IQR) | 76 (66–84) | 74.9 (67.8–84.3) | 74 (58–85) | 77 (69–83) | 83 (69–86) |
Male sex | 122/215 (56.7) | 33/60 (55) | 31/57 (54.4) | 30/52 (57.7) | 14/27 (51.9) |
BMI median (IQR) | 20.2 (17.8–23.0) | 20.4 (18.1–22.2) | 19.1 (17.3–23.0) | 20.5 (17.7–23.2) | 21.1 (18.0–23.3) |
Community onset | 174/215 (80.9) | 47/60 (78.3) | 48/57 (84.2) | 38/52 (73.1) | 27/32 (84.3) |
Nosocomial onset | 41/215 (19.1) | 13/60 (21.7) | 9/57 (15.8) | 14/52 (26.9) | 5/32 (15.6) |
Comorbidities | |||||
HIV infection | 0 | 0 | 0 | 0 | 0 |
ESRD on hemodialysis | 13/215 (6.0) | 5/60 (8.3) | 2/57 (3.5) | 3/52 (5.8) | 1/27 (3.7) |
Diabetes mellitus | 51/215 (23.7) | 13/60 (21.7) | 10/57 (17.5) | 18/52 (34.6) | 6/27 (22.2) |
Cirrhosis | 4/215 (1.9) | 1/60 (1.7) | 1/57 (1.8) | 2/52 (3.8) | 1/27 (3.7) |
CHF | 31/215 (14) | 5/60 (8.3) | 9/57 (15.8) | 10/52 (19.2) | 3/27 (11.1) |
COPD or severe asthma | 3/215 (1.4) | 0 | 2/57 (3.5) | 1/52 (1.9) | 0 |
Solid tumor | 62/215 (28.8) | 22/60 (36.7) | 14/57 (24.6) | 13/52 (25) | 8/27 (29.6) |
Hematological malignancy | 11/215 (5.1) | 3/60 (5) | 2/57 (3.5) | 2/52 (3.8) | 1/27 (3.7) |
Alcoholism | 4/215 (1.9) | 0 | 1/57 (1.8) | 1/52 (1.9) | 2/27 (7.4) |
Steroid use | 15/215 (7.0) | 5/60 (8.3) | 6/57 (10.5) | 3/52 (5.8) | 1/27 (3.7) |
Charlson Comordity Index, median (IQR) | 5 (3–7) | 5 (4–7) | 5 (2–6) | 5 (4–7) | 5 (3–7) |
Characteristics at presentation | |||||
Fever | 147/215 (68.3) | 38/60 (63.3) | 32/57 (56.1) | 39/52 (75) | 22/27 (81.5) |
Neutropenia (ANC < 1000/mL) | 9/215 (4.2) | 3/60 (5) | 1/57 (1.8) | 3/52 (5.8) | 1/27 (3.7) |
Creatinine (mg/dL), median (IQR) | 1.0 (0.7–1.5) | 1.05 (0.74–1.62) | 0.9 (0.6–1.4) | 1.2 (0.8–1.8) | 0.8 (0.7–1.0) |
Lactate (mmol/L), median (IQR) | 2.3 (1.4–3.9) | 2.4 (1.4–4.2) | 2.1 (1.2–3.7) | 2.6 (1.8–4.6) | 2.2 (1.7–4.4) |
Central line catheter | 11/215 (5.1) | 3/60 (5) | 5/57 (8.8) | 3/52 (5.8) | 0 |
Urinary catheter | 3/215 (1.4) | 2/60 (3.3) | 0 | 1/52 (1.9) | 0 |
Primary source | |||||
Oropharyngeal | 14/215 (6.5) | 0 | 4/57 (7.0) | 0 | 8/27 (29.6) |
Pneumonia | 8/215 (3.7) | 0 | 3/57 (5.3) | 1/52 (1.9) | 1/27 (3.7) |
Soft tissue infection | 12/215 (5.6) | 3/60 (5) | 6/57 (10.5) | 3/52 (5.8) | 0 |
Central venous catheter | 3/215 (1.4) | 0 | 3/57 (5.3) | 0 | 0 |
Hepatobiliary infection | 26/215 (12.1) | 5/60 (8.3) | 4/57 (7.0) | 13/52 (25) | 0 |
Intra-abdominal | 79/215 (36.7) | 33/60 (55) | 20/57 (35.1) | 19/52 (36.5) | 8/27 (29.6) |
Bone and joint | 3/215 (1.4) | 2/60 (3.3) | 0 | 0 | 1/27 (3.7) |
Endocarditis | 1/215 (0.5) | 0 | 0 | 0 | 0 |
Urinary tract infection | 9/215 (4.2) | 2/60 (3.3) | 2/57 (3.5) | 1/52 (1.9) | 0 |
Others | 11/215 (5.1) | 2/60 (3.3) | 1/57 (1.8) | 4/52 (7.7) | 2/27 (7.4) |
Primary BSI | 49/215 (22.8) | 13/60 (21.7) | 14/57 (24.6) | 11/52 (21.2) | 7/27 (25.9) |
Bacteremia | |||||
Polymicrobial bacteremia | 92/215 (42.8) | 29/60 (48.3) | 26/57 (45.6) | 27/52 (51.9) | 15/27 (55.6) |
No. of bacteremic pathogen, median (IQR) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 1 (1–2) | 1 (1–2) |
Treatment | |||||
Portion of initial inappropriate treatment | 36/208 (17.3) | 17/59 (28.8) | 15/55 (27.2) | 5/50 (10) | 5/26 (19.2) |
Surgical procedure | 51/215 (23.7) | 18/60 (30) | 13/57 (22.8) | 15/52 (28.8) | 7/27 (25.9) |
ICU care | 35/215 (16.3) | 11/60 (18.3) | 10/57 (17.5) | 12/52 (23.1) | 4/27 (14.8) |
Vasopressor support | 43/215 (20.0) | 15/60 (25) | 11/57 (19.3) | 15/52 (28.8) | 5/27 (18.5) |
Ventilatory support | 28/215 (13.0) | 8/60 (13.3) | 8/57 (14.0) | 11/52 (21.2) | 5/27 (18.5) |
Length of hospital stay, median (IQR) | 20 (11–35) | 27 (17–40) | 18 (10–42) | 21 (9–32) | 16 (11–33) |
Pitt bacteremia score, median (IQR) | 1 (0–3) | 1.5 (0–4) | 1 (0–3) | 2 (1–4) | 1 (0–3) |
Mortality | 46/215 (21.3) | 16/60 (26.7) | 11/57 (19.3) | 19/52 (36.5) | 1/27 (3.7) |