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Risk and prognosis of Staphylococcus aureus bacteremia among individuals with and without end-stage renal disease: a Danish, population-based cohort study

Overview of attention for article published in BMC Infectious Diseases, January 2015
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Title
Risk and prognosis of Staphylococcus aureus bacteremia among individuals with and without end-stage renal disease: a Danish, population-based cohort study
Published in
BMC Infectious Diseases, January 2015
DOI 10.1186/s12879-014-0740-8
Pubmed ID
Authors

Lise H Nielsen, Søren Jensen-Fangel, Thomas Benfield, Robert Skov, Bente Jespersen, Anders R Larsen, Lars Østergaard, Henrik Støvring, Henrik C Schønheyder, Ole S Søgaard

Abstract

Background Staphylococcus aureus is a leading cause of bloodstream infections among hemodialysis patients and of exit-site infections among peritoneal dialysis patients. However, the risk and prognosis of Staphylococcus aureus bacteremia among end-stage renal disease patients have not been delineated.MethodsIn this Danish nationwide, population-based cohort study patients with end-stage renal disease and matched population controls were observed from end-stage renal disease diagnosis/sampling until first episode of Staphylococcus aureus bacteremia, death, or end of study period. Staphylococcus aureus positive blood cultures, hospitalization, comorbidity, and case fatality were obtained from nationwide microbiological, clinical, and administrative databases. Incidence rates and risk factors were assessed by regression analysis.ResultsThe incidence rate of Staphylococcus aureus bacteremia was very high for end-stage renal disease patients (35.7 per 1,000 person-years; 95% CI, 33.8-37.6) compared to population controls (0.5 per 1,000 person-years; 95% CI, 0.5-0.6), yielding a relative risk of 65.1 (95% CI, 59.6-71.2) which fell to 28.6 (95% CI, 23.3-35.3) after adjustment for sex, age, and comorbidity. After stratification for type of renal replacement therapy, we found the highest incidence rate of Staphylococcus aureus bacteremia among hemodialysis patients (46.3 per 1,000 person-years) compared to peritoneal dialysis patients (22.0 per 1,000 person-years) and renal transplant recipients (8.9 per 1,000 person-years). In persons with Staphylococcus aureus bacteremia, ninety-day case fatality was 18.2% (95% CI, 16.2%-20.3%) for end-stage renal disease patients and 33.7% (95% CI, 30.3-37.3) for population controls.ConclusionsPatients with end-stage renal disease, and hemodialysis patients in particular, have greatly increased risk of Staphylococcus aureus bacteremia compared to population controls. Future challenges will be to develop strategies to reduce Staphylococcus aureus bacteremia-related morbidity and death in this high-risk population.

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Mendeley readers

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The data shown below were compiled from readership statistics for 66 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 2 3%
Unknown 64 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 14%
Other 8 12%
Student > Ph. D. Student 6 9%
Student > Doctoral Student 6 9%
Student > Bachelor 6 9%
Other 16 24%
Unknown 15 23%
Readers by discipline Count As %
Medicine and Dentistry 36 55%
Immunology and Microbiology 4 6%
Environmental Science 2 3%
Pharmacology, Toxicology and Pharmaceutical Science 2 3%
Biochemistry, Genetics and Molecular Biology 1 2%
Other 5 8%
Unknown 16 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 January 2015.
All research outputs
#21,264,673
of 23,881,329 outputs
Outputs from BMC Infectious Diseases
#6,704
of 7,931 outputs
Outputs of similar age
#303,339
of 357,411 outputs
Outputs of similar age from BMC Infectious Diseases
#168
of 198 outputs
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