Abstract

We conducted a retrospective study of 99 patients with methicillin-suseptible Staphylococcus aureus catheter-related bacteremia in which vancomycin MIC was determined by Etest. High vancomycin MIC (>1.5 ug/mL) was the only independent risk factor for development of complicated bacteremia caused by methicillin-susceptible S. aureus (odds ratio 22.9, 95% confidence interval 6.7-78.1).

Highlights

  • We conducted a retrospective study of 99 patients with methicillin-suseptible Staphylococcus aureus catheter-related bacteremia in which vancomycin MIC was determined by Etest

  • The aim of our study was to evaluate whether vancomycin MIC has any influence on the death rates and outcomes of patients with catheter-related methicillinsusceptible S. aureus (MSSA) bacteremia

  • A first relevant finding of our study was the relatively high incidence of high vancomycin MIC among MSSA strains producing bacteremia (23.2%), a result similar to the percentage found for methicillin-resistant Staphylococcus aureus (MRSA) strains in our hospital [9,10]

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Summary

Staphylococcus aureus Bacteremia

Jose Maria Aguado, Rafael San-Juan, Antonio Lalueza, Francisca Sanz, Joaquin Rodríguez-Otero, Carmen Gómez-Gonzalez, and Fernando Chaves. We conducted a retrospective study of 99 patients with methicillin-suseptible Staphylococcus aureus catheter-related bacteremia in which vancomycin MIC was determined by Etest. High vancomycin MIC (>1.5 μg/mL) was the only independent risk factor for development of complicated bacteremia caused by methicillin-susceptible S. aureus (odds ratio 22.9, 95% confidence interval 6.7– 78.1). The Study We retrospectively determined the MIC of vancomycin for the first MSSA blood culture isolate from a cohort of 99 adult patients with catheter-related bacteremia. These patients were consecutively evaluated from January 2002 through December 2004 (mean follow-up 3 years) in University Hospital 12 de Octubre in Madrid, Spain, a 1,000-bed university medical center. Among the 64 patients treated initially with glycopeptides, the rate of complicated bacteremia was significantly higher in patients with high vancomycin MIC isolates (15/18 [83.3%] vs. 8/46 [17.4%]; p

Conclusions
Findings
Previous renal failure requiring hemodyalisis
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