Mortality of S. aureus bacteremia and infectious diseases specialist consultation - A study of 521 patients in Germany

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung


  • Siegbert Rieg - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Gabriele Peyerl-Hoffmann - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Katja de With - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Christian Theilacker - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Dirk Wagner - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Johannes Hübner - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Markus Dettenkofer - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Achim Kaasch - , Universität zu Köln (Autor:in)
  • Harald Seifert - , Universität zu Köln (Autor:in)
  • Christian Schneider - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Winfried V. Kern - , Albert-Ludwigs-Universität Freiburg (Autor:in)


Objectives: To evaluate the relationship between mortality of bloodstream infection due to Staphylococcus aureus and infectious diseases specialist consultation and other factors potentially associated with outcomes. Methods: A 6-year cohort study was conducted at a 1600-bed university hospital. Consecutive adult patients with S. aureus bacteremia were assessed using a standardised data collection and review form. A new infectious diseases service increased its consultations for S. aureus bacteremia from 33% of cases in 2002 to >80% in 2007. Infectious disease consultation and other factors potentially associated with in-hospital mortality were analysed by multivariate logistic regression. Results: A total of 521 patients were studied. All-cause in-hospital mortality was 22%, 90-day mortality was 32%. Factors significantly associated with in-hospital mortality in multivariate analysis were ICU admission (OR 5.8, CI 3.5-9.7), MRSA (OR 2.6, CI 1.4-4.9), age ≥60 years (OR 2.4, CI 1.4-4.2), a diagnosis of endocarditis (OR 2.8, CI 1.4-5.7), a non-fatal underlying disease/comorbidity according to the McCabe classification (OR 0.2, CI 0.1-0.4), and infectious disease specialist consultation (OR 0.6, CI 0.4-1.0). Conclusions: These data suggest that outcome of S. aureus bacteremia may be improved by an expert consultation service.


Seiten (von - bis)232-239
FachzeitschriftJournal of Infection
PublikationsstatusVeröffentlicht - Okt. 2009
Extern publiziertJa

Externe IDs

PubMed 19654021
ORCID /0000-0001-9473-3018/work/148606225


Ziele für nachhaltige Entwicklung


  • Infectious diseases specialist consultation, INSTINCT, Mortality, Quality of care, Risk factors, Staphylococcus aureus bacteremia