Table 1.

Clinical Characteristics of the Study Population

CharacteristicOverall Bacteremia Cohort,
N = 140
Staphylococcus aureus Bacteremia,
N = 66
Gram-Negative Bacteremia,
N = 74
P ValueControls,
N = 35
Demographics
  Age, median (Q1, Q3), y62.0 (50.8, 71.0)61.5 (52.3, 69.8)63.0 (48.5, 71.0).75961 (52.5, 68.0)
  Sex (female)56 (40)22 (33.3)34 (45.9).16716 (45.7)
  Race.035
   Black45 (32.1)26 (29.4)19 (25.7)8 (22.9)
   White86 (61.4)39 (59.1)47 (63.5)25 (71.4)
   Other9 (6.4)1 (1.5)8 (10.8)2 (5.7)
Comorbidities
  Dialysis dependent19 (13.6)11 (16.7)8 (10.8).334
  Diabetes mellitus64 (45.7)31 (47.0)33 (44.6).865
  Neoplasm32 (22.9)12 (18.2)20 (27.0).233
  Living with human immunodeficiency virus 2 (1.4)2 (3.0)0 (0).221
  Transplant recipient21 (17.6)6 (9.1)15 (20.3).096
  Injection drug use8 (6.3)5 (7.6)3 (4.1).475
  Corticosteroid use (30 day)38 (27.1)17 (25.8)21 (28.4).849
  Acute Physiology and Chronic Health Evaluation II, median (Q1, Q3)17 (13.0, 18.7)17.5 (13.0, 22.0)17.0 (13.0, 25.8).643
  Acute Physiology Score, median (Q1, Q3)11 (7.0, 16.0)10 (7.0, 14.8)11.5 (7.0, 17.0).454
Route of infection.002
 Hospital acquired27 (19.3)6 (9.1)21 (28.4)
 Healthcare associated, community acquired65 (46.4)40 (60.6)25 (33.8)
 Nonhealthcare associated, community acquired48 (34.3)20 (30.3)28 (37.8)
Symptoms
  Fever at presentation95 (67.9)46 (69.7)49 (66.2).719
  Fever >72 h17 (12.1)10 (15.2)7 (9.5).316
  White blood cell count ×109/L, median (Q1, Q3)11.7 (8.2, 16.2)13.0 (9.3, 18.8)11.0 (6.4, 14.8).016
  Time to blood culture positivity,a median (Q1, Q3), hours20.2 (16.7, 24.3)21.2 (18.0, 24.4)18.9 (15.4, 23.4).031
Complications
  Hospital length of stay median (Q1, Q3), d11.0 (7.0, 20.5)12.0 (9.0, 24.8)8.0 (5.0, 14.0)<.001
  Any metastatic infection38 (27.1)29 (43.9)9 (12.2)<.001
   Metastatic abscess13 (9.3)9 (13.6)4 (5.4).689
   Septic emboli11 (7.9)9 (13.6)2 (2.7)1.000
   Metastatic vertebral osteomyelitis6 (4.3)5 (7.6)1 (1.4)1.000
   Metastatic nonvertebral osteomyelitis3 (2.1)2 (3.0)1 (1.4)1.000
   Metastatic arthritis2 (1.4)2 (3.0)0 (0)1.000
   Metastatic psoas abscess1 (0.7)1 (1.5)0 (0)1.000
   Other metastatic infection4 (2.9)4 (6.1)0 (0).555
   Infective endocarditis11 (7.9)10 (15.1)1 (1.4).237
  Sepsis114 (81.4)53 (80.3)61 (82.4).829
  Septic shock16 (11.4)8 (12.1)8 (10.8)1.000
  Acute respiratory distress16 (11.4)9 (13.6)7 (9.5).596
  Acute renal failure49 (35.0)21 (31.8)28 (37.8).483
  Persistent bacteremia21 (15.0)18 (27.3)3 (4.1)<.001
Outcomes
  Recurrent infection6 (4.3)3 (4.5)3 (4.1)1.000
  Attributable mortality12 (8.6)6 (9.1)6 (8.1)1.000
  All-cause mortality31 (22.1)13 (19.7)18 (24.3).547
CharacteristicOverall Bacteremia Cohort,
N = 140
Staphylococcus aureus Bacteremia,
N = 66
Gram-Negative Bacteremia,
N = 74
P ValueControls,
N = 35
Demographics
  Age, median (Q1, Q3), y62.0 (50.8, 71.0)61.5 (52.3, 69.8)63.0 (48.5, 71.0).75961 (52.5, 68.0)
  Sex (female)56 (40)22 (33.3)34 (45.9).16716 (45.7)
  Race.035
   Black45 (32.1)26 (29.4)19 (25.7)8 (22.9)
   White86 (61.4)39 (59.1)47 (63.5)25 (71.4)
   Other9 (6.4)1 (1.5)8 (10.8)2 (5.7)
Comorbidities
  Dialysis dependent19 (13.6)11 (16.7)8 (10.8).334
  Diabetes mellitus64 (45.7)31 (47.0)33 (44.6).865
  Neoplasm32 (22.9)12 (18.2)20 (27.0).233
  Living with human immunodeficiency virus 2 (1.4)2 (3.0)0 (0).221
  Transplant recipient21 (17.6)6 (9.1)15 (20.3).096
  Injection drug use8 (6.3)5 (7.6)3 (4.1).475
  Corticosteroid use (30 day)38 (27.1)17 (25.8)21 (28.4).849
  Acute Physiology and Chronic Health Evaluation II, median (Q1, Q3)17 (13.0, 18.7)17.5 (13.0, 22.0)17.0 (13.0, 25.8).643
  Acute Physiology Score, median (Q1, Q3)11 (7.0, 16.0)10 (7.0, 14.8)11.5 (7.0, 17.0).454
Route of infection.002
 Hospital acquired27 (19.3)6 (9.1)21 (28.4)
 Healthcare associated, community acquired65 (46.4)40 (60.6)25 (33.8)
 Nonhealthcare associated, community acquired48 (34.3)20 (30.3)28 (37.8)
Symptoms
  Fever at presentation95 (67.9)46 (69.7)49 (66.2).719
  Fever >72 h17 (12.1)10 (15.2)7 (9.5).316
  White blood cell count ×109/L, median (Q1, Q3)11.7 (8.2, 16.2)13.0 (9.3, 18.8)11.0 (6.4, 14.8).016
  Time to blood culture positivity,a median (Q1, Q3), hours20.2 (16.7, 24.3)21.2 (18.0, 24.4)18.9 (15.4, 23.4).031
Complications
  Hospital length of stay median (Q1, Q3), d11.0 (7.0, 20.5)12.0 (9.0, 24.8)8.0 (5.0, 14.0)<.001
  Any metastatic infection38 (27.1)29 (43.9)9 (12.2)<.001
   Metastatic abscess13 (9.3)9 (13.6)4 (5.4).689
   Septic emboli11 (7.9)9 (13.6)2 (2.7)1.000
   Metastatic vertebral osteomyelitis6 (4.3)5 (7.6)1 (1.4)1.000
   Metastatic nonvertebral osteomyelitis3 (2.1)2 (3.0)1 (1.4)1.000
   Metastatic arthritis2 (1.4)2 (3.0)0 (0)1.000
   Metastatic psoas abscess1 (0.7)1 (1.5)0 (0)1.000
   Other metastatic infection4 (2.9)4 (6.1)0 (0).555
   Infective endocarditis11 (7.9)10 (15.1)1 (1.4).237
  Sepsis114 (81.4)53 (80.3)61 (82.4).829
  Septic shock16 (11.4)8 (12.1)8 (10.8)1.000
  Acute respiratory distress16 (11.4)9 (13.6)7 (9.5).596
  Acute renal failure49 (35.0)21 (31.8)28 (37.8).483
  Persistent bacteremia21 (15.0)18 (27.3)3 (4.1)<.001
Outcomes
  Recurrent infection6 (4.3)3 (4.5)3 (4.1)1.000
  Attributable mortality12 (8.6)6 (9.1)6 (8.1)1.000
  All-cause mortality31 (22.1)13 (19.7)18 (24.3).547

Abbreviations: Q1, first quartile; Q3, third quartile.

aCalculated by time of blood culture flagged positive for growth minus time of blood culture collection.

Table 1.

Clinical Characteristics of the Study Population

CharacteristicOverall Bacteremia Cohort,
N = 140
Staphylococcus aureus Bacteremia,
N = 66
Gram-Negative Bacteremia,
N = 74
P ValueControls,
N = 35
Demographics
  Age, median (Q1, Q3), y62.0 (50.8, 71.0)61.5 (52.3, 69.8)63.0 (48.5, 71.0).75961 (52.5, 68.0)
  Sex (female)56 (40)22 (33.3)34 (45.9).16716 (45.7)
  Race.035
   Black45 (32.1)26 (29.4)19 (25.7)8 (22.9)
   White86 (61.4)39 (59.1)47 (63.5)25 (71.4)
   Other9 (6.4)1 (1.5)8 (10.8)2 (5.7)
Comorbidities
  Dialysis dependent19 (13.6)11 (16.7)8 (10.8).334
  Diabetes mellitus64 (45.7)31 (47.0)33 (44.6).865
  Neoplasm32 (22.9)12 (18.2)20 (27.0).233
  Living with human immunodeficiency virus 2 (1.4)2 (3.0)0 (0).221
  Transplant recipient21 (17.6)6 (9.1)15 (20.3).096
  Injection drug use8 (6.3)5 (7.6)3 (4.1).475
  Corticosteroid use (30 day)38 (27.1)17 (25.8)21 (28.4).849
  Acute Physiology and Chronic Health Evaluation II, median (Q1, Q3)17 (13.0, 18.7)17.5 (13.0, 22.0)17.0 (13.0, 25.8).643
  Acute Physiology Score, median (Q1, Q3)11 (7.0, 16.0)10 (7.0, 14.8)11.5 (7.0, 17.0).454
Route of infection.002
 Hospital acquired27 (19.3)6 (9.1)21 (28.4)
 Healthcare associated, community acquired65 (46.4)40 (60.6)25 (33.8)
 Nonhealthcare associated, community acquired48 (34.3)20 (30.3)28 (37.8)
Symptoms
  Fever at presentation95 (67.9)46 (69.7)49 (66.2).719
  Fever >72 h17 (12.1)10 (15.2)7 (9.5).316
  White blood cell count ×109/L, median (Q1, Q3)11.7 (8.2, 16.2)13.0 (9.3, 18.8)11.0 (6.4, 14.8).016
  Time to blood culture positivity,a median (Q1, Q3), hours20.2 (16.7, 24.3)21.2 (18.0, 24.4)18.9 (15.4, 23.4).031
Complications
  Hospital length of stay median (Q1, Q3), d11.0 (7.0, 20.5)12.0 (9.0, 24.8)8.0 (5.0, 14.0)<.001
  Any metastatic infection38 (27.1)29 (43.9)9 (12.2)<.001
   Metastatic abscess13 (9.3)9 (13.6)4 (5.4).689
   Septic emboli11 (7.9)9 (13.6)2 (2.7)1.000
   Metastatic vertebral osteomyelitis6 (4.3)5 (7.6)1 (1.4)1.000
   Metastatic nonvertebral osteomyelitis3 (2.1)2 (3.0)1 (1.4)1.000
   Metastatic arthritis2 (1.4)2 (3.0)0 (0)1.000
   Metastatic psoas abscess1 (0.7)1 (1.5)0 (0)1.000
   Other metastatic infection4 (2.9)4 (6.1)0 (0).555
   Infective endocarditis11 (7.9)10 (15.1)1 (1.4).237
  Sepsis114 (81.4)53 (80.3)61 (82.4).829
  Septic shock16 (11.4)8 (12.1)8 (10.8)1.000
  Acute respiratory distress16 (11.4)9 (13.6)7 (9.5).596
  Acute renal failure49 (35.0)21 (31.8)28 (37.8).483
  Persistent bacteremia21 (15.0)18 (27.3)3 (4.1)<.001
Outcomes
  Recurrent infection6 (4.3)3 (4.5)3 (4.1)1.000
  Attributable mortality12 (8.6)6 (9.1)6 (8.1)1.000
  All-cause mortality31 (22.1)13 (19.7)18 (24.3).547
CharacteristicOverall Bacteremia Cohort,
N = 140
Staphylococcus aureus Bacteremia,
N = 66
Gram-Negative Bacteremia,
N = 74
P ValueControls,
N = 35
Demographics
  Age, median (Q1, Q3), y62.0 (50.8, 71.0)61.5 (52.3, 69.8)63.0 (48.5, 71.0).75961 (52.5, 68.0)
  Sex (female)56 (40)22 (33.3)34 (45.9).16716 (45.7)
  Race.035
   Black45 (32.1)26 (29.4)19 (25.7)8 (22.9)
   White86 (61.4)39 (59.1)47 (63.5)25 (71.4)
   Other9 (6.4)1 (1.5)8 (10.8)2 (5.7)
Comorbidities
  Dialysis dependent19 (13.6)11 (16.7)8 (10.8).334
  Diabetes mellitus64 (45.7)31 (47.0)33 (44.6).865
  Neoplasm32 (22.9)12 (18.2)20 (27.0).233
  Living with human immunodeficiency virus 2 (1.4)2 (3.0)0 (0).221
  Transplant recipient21 (17.6)6 (9.1)15 (20.3).096
  Injection drug use8 (6.3)5 (7.6)3 (4.1).475
  Corticosteroid use (30 day)38 (27.1)17 (25.8)21 (28.4).849
  Acute Physiology and Chronic Health Evaluation II, median (Q1, Q3)17 (13.0, 18.7)17.5 (13.0, 22.0)17.0 (13.0, 25.8).643
  Acute Physiology Score, median (Q1, Q3)11 (7.0, 16.0)10 (7.0, 14.8)11.5 (7.0, 17.0).454
Route of infection.002
 Hospital acquired27 (19.3)6 (9.1)21 (28.4)
 Healthcare associated, community acquired65 (46.4)40 (60.6)25 (33.8)
 Nonhealthcare associated, community acquired48 (34.3)20 (30.3)28 (37.8)
Symptoms
  Fever at presentation95 (67.9)46 (69.7)49 (66.2).719
  Fever >72 h17 (12.1)10 (15.2)7 (9.5).316
  White blood cell count ×109/L, median (Q1, Q3)11.7 (8.2, 16.2)13.0 (9.3, 18.8)11.0 (6.4, 14.8).016
  Time to blood culture positivity,a median (Q1, Q3), hours20.2 (16.7, 24.3)21.2 (18.0, 24.4)18.9 (15.4, 23.4).031
Complications
  Hospital length of stay median (Q1, Q3), d11.0 (7.0, 20.5)12.0 (9.0, 24.8)8.0 (5.0, 14.0)<.001
  Any metastatic infection38 (27.1)29 (43.9)9 (12.2)<.001
   Metastatic abscess13 (9.3)9 (13.6)4 (5.4).689
   Septic emboli11 (7.9)9 (13.6)2 (2.7)1.000
   Metastatic vertebral osteomyelitis6 (4.3)5 (7.6)1 (1.4)1.000
   Metastatic nonvertebral osteomyelitis3 (2.1)2 (3.0)1 (1.4)1.000
   Metastatic arthritis2 (1.4)2 (3.0)0 (0)1.000
   Metastatic psoas abscess1 (0.7)1 (1.5)0 (0)1.000
   Other metastatic infection4 (2.9)4 (6.1)0 (0).555
   Infective endocarditis11 (7.9)10 (15.1)1 (1.4).237
  Sepsis114 (81.4)53 (80.3)61 (82.4).829
  Septic shock16 (11.4)8 (12.1)8 (10.8)1.000
  Acute respiratory distress16 (11.4)9 (13.6)7 (9.5).596
  Acute renal failure49 (35.0)21 (31.8)28 (37.8).483
  Persistent bacteremia21 (15.0)18 (27.3)3 (4.1)<.001
Outcomes
  Recurrent infection6 (4.3)3 (4.5)3 (4.1)1.000
  Attributable mortality12 (8.6)6 (9.1)6 (8.1)1.000
  All-cause mortality31 (22.1)13 (19.7)18 (24.3).547

Abbreviations: Q1, first quartile; Q3, third quartile.

aCalculated by time of blood culture flagged positive for growth minus time of blood culture collection.

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