Staphylococcus aureus Bacteraemia in a Tropical Setting: Patient Outcome and Impact of Antibiotic Resistance
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{"title"=>"Staphylococcus aureus bacteraemia in a tropical setting: Patient outcome and impact of antibiotic resistance", "type"=>"journal", "authors"=>[{"first_name"=>"Emma K.", "last_name"=>"Nickerson", "scopus_author_id"=>"24077049000"}, {"first_name"=>"Maliwan", "last_name"=>"Hongsuwan", "scopus_author_id"=>"26423036100"}, {"first_name"=>"Direk", "last_name"=>"Limmathurotsakul", "scopus_author_id"=>"9637805700"}, {"first_name"=>"Vanaporn", "last_name"=>"Wuthiekanun", "scopus_author_id"=>"7003699771"}, {"first_name"=>"Krupal R.", "last_name"=>"Shah", "scopus_author_id"=>"12806997500"}, {"first_name"=>"Pramot", "last_name"=>"Srisomang", "scopus_author_id"=>"24077651400"}, {"first_name"=>"Weera", "last_name"=>"Mahavanakul", "scopus_author_id"=>"17435046200"}, {"first_name"=>"Therapon", "last_name"=>"Wacharaprechasgul", "scopus_author_id"=>"26423401600"}, {"first_name"=>"Vance G.", "last_name"=>"Fowler", "scopus_author_id"=>"7006109272"}, {"first_name"=>"T. Eoin", "last_name"=>"West", "scopus_author_id"=>"55112807000"}, {"first_name"=>"Nitaya", "last_name"=>"Teerawatanasuk", "scopus_author_id"=>"26423444400"}, {"first_name"=>"Harald", "last_name"=>"Becher", "scopus_author_id"=>"35396396200"}, {"first_name"=>"Nicholas J.", "last_name"=>"White", "scopus_author_id"=>"7401767314"}, {"first_name"=>"Wirongrong", "last_name"=>"Chierakul", "scopus_author_id"=>"8944230700"}, {"first_name"=>"Nicholas P.", "last_name"=>"Day", "scopus_author_id"=>"36071528500"}, {"first_name"=>"Sharon J.", "last_name"=>"Peacock", "scopus_author_id"=>"7006230636"}], "year"=>2009, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "isbn"=>"1932-6203; 1932-6203", "pmid"=>"19180198", "scopus"=>"2-s2.0-63049111517", "doi"=>"10.1371/journal.pone.0004308", "sgr"=>"63049111517", "pui"=>"358333095"}, "id"=>"3413dbe7-3643-3ea1-8178-e050250c6eef", "abstract"=>"BACKGROUND: Most information on invasive Staphylococcus aureus infections comes from temperate countries. There are considerable knowledge gaps in epidemiology, treatment, drug resistance and outcome of invasive S. aureus infection in the tropics.\\n\\nMETHODS: A prospective, observational study of S. aureus bacteraemia was conducted in a 1000-bed regional hospital in northeast Thailand over 1 year. Detailed clinical data were collected and final outcomes determined at 12 weeks, and correlated with antimicrobial susceptibility profiles of infecting isolates.\\n\\nPRINCIPAL FINDINGS: Ninety-eight patients with S. aureus bacteraemia were recruited. The range of clinical manifestations was similar to that reported from temperate countries. The prevalence of endocarditis was 14%. The disease burden was highest at both extremes of age, whilst mortality increased with age. The all-cause mortality rate was 52%, with a mortality attributable to S. aureus of 44%. Methicillin-resistant S. aureus (MRSA) was responsible for 28% of infections, all of which were healthcare-associated. Mortality rates for MRSA and methicillin-susceptible S. aureus (MSSA) were 67% (18/27) and 46% (33/71), respectively (p = 0.11). MRSA isolates were multidrug resistant. Only vancomycin or fusidic acid would be suitable as empirical treatment options for suspected MRSA infection.\\n\\nCONCLUSIONS: S. aureus is a significant pathogen in northeast Thailand, with comparable clinical manifestations and a similar endocarditis prevalence but higher mortality than industrialised countries. S. aureus bacteraemia is frequently associated with exposure to healthcare settings with MRSA causing a considerable burden of disease. Further studies are required to define setting-specific strategies to reduce mortality from S. aureus bacteraemia, prevent MRSA transmission, and to define the burden of S. aureus disease and emergence of drug resistance throughout the developing world.", "link"=>"http://www.mendeley.com/research/staphylococcus-aureus-bacteraemia-tropical-setting-patient-outcome-impact-antibiotic-resistance-3", "reader_count"=>43, "reader_count_by_academic_status"=>{"Researcher"=>6, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>6, "Student > Master"=>7, "Other"=>5, "Student > Bachelor"=>5, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Researcher"=>6, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>6, "Student > Master"=>7, "Other"=>5, "Student > Bachelor"=>5, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>21, "Agricultural and Biological Sciences"=>12, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Chemistry"=>1, "Social Sciences"=>1, "Immunology and Microbiology"=>3, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>21}, "Chemistry"=>{"Chemistry"=>1}, "Social Sciences"=>{"Social Sciences"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>3}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>12}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Environmental Science"=>{"Environmental Science"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"United States"=>1, "Slovakia"=>1}, "group_count"=>3}

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Scopus | Further Information

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  • {"month"=>"8", "year"=>"2019", "pdf_views"=>"10", "xml_views"=>"0", "html_views"=>"10"}
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  • {"month"=>"11", "year"=>"2019", "pdf_views"=>"6", "xml_views"=>"1", "html_views"=>"20"}
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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/910239"], "description"=>"<p>Age distribution and age-specific mortality rates and disease burden for 98 cases of <i>S. aureus</i> bacteraemia studied in Ubon Ratchathani, NE Thailand. Overall mortality increased significantly with age (p<0.001), analysing age as a continuous variable.</p>", "links"=>[], "tags"=>["aureus", "bacteraemia", "highest", "extremes", "whilst"], "article_id"=>580670, "categories"=>["Infectious Diseases", "Medicine", "Virology"], "users"=>["Emma K. Nickerson", "Maliwan Hongsuwan", "Direk Limmathurotsakul", "Vanaporn Wuthiekanun", "Krupal R. Shah", "Pramot Srisomang", "Weera Mahavanakul", "Therapon Wacharaprechasgul", "Vance G. Fowler Jr.", "T. Eoin West", "Nitaya Teerawatanasuk", "Harald Becher", "Nicholas J. White", "Wirongrong Chierakul", "Nicholas P. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0004308.g001", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_burden_of_S_aureus_bacteraemia_is_highest_at_the_extremes_of_age_whilst_mortality_increased_with_age_/580670", "title"=>"The burden of S. aureus bacteraemia is highest at the extremes of age, whilst mortality increased with age.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 07:03:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/910570"], "description"=>"*1<p>MSSA, methicillin-susceptible <i>S. aureus</i>; MRSA, methicillin-resistant <i>S. aureus</i>.</p>*2<p>p value comparing MSSA and MRSA groups.</p>*3<p>Optimal therapy defined as cloxacillin for MSSA infection and vancomycin for MRSA infection. Alternative therapy used included ceftriaxone, cefazolin, cefoxitin, ceftazidime, augmentin and ampicillin combined with gentamicin.</p>*4<p>Denominator is patients who survived to day of culture result. A total of 25 patients (21 with MSSA and 4 with MRSA) died or were discharged moribund prior to culture results becoming available.</p>", "links"=>[], "tags"=>["mrsa", "antibiotic"], "article_id"=>581004, "categories"=>["Infectious Diseases", "Medicine", "Virology"], "users"=>["Emma K. Nickerson", "Maliwan Hongsuwan", "Direk Limmathurotsakul", "Vanaporn Wuthiekanun", "Krupal R. Shah", "Pramot Srisomang", "Weera Mahavanakul", "Therapon Wacharaprechasgul", "Vance G. Fowler Jr.", "T. Eoin West", "Nitaya Teerawatanasuk", "Harald Becher", "Nicholas J. White", "Wirongrong Chierakul", "Nicholas P. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0004308.t002", "stats"=>{"downloads"=>2, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Impact_of_MRSA_on_effective_antibiotic_prescribing_/581004", "title"=>"Impact of MRSA on effective antibiotic prescribing.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 07:05:28"}
  • {"files"=>["https://ndownloader.figshare.com/files/910466"], "description"=>"*1<p>Two patients were from Lao PDR.</p>*2<p>History of any underlying chronic medical condition documented in the medical notes.</p>*3<p>Immunosuppression from chemotherapy (n = 4), untreated leukaemia (n = 1), HIV (n = 3, none of whom were on anti-retroviral therapy or any prophylactic antibiotics) or immunosuppressive medication including prednisolone >30 mg/day for >1 week (n = 4; one of these additionally on chemotherapy).</p>*4<p>Denominator is number of sites (n = 73) since some patients had >1 site of infection.</p>*5<p>Intravenous catheters (central n = 3, peripheral n = 2, umbilical n = 1), pacemakers (n = 3) and arteriovenous graft (n = 1).</p>*6<p>Vegetations on transthoracic echocardiography (n = 7); or strong clinical evidence in intravenous drug user (n = 1).</p>*7<p>Following mitral valve replacement (n = 3), or coronary artery bypass graft (n = 1).</p>*8<p>Empyema (n = 2), septic emboli to the lungs (n = 1), lung abscesses (n = 1).</p>*9<p>Liver (n = 2), spleen (n = 1).</p>", "links"=>[], "tags"=>["infectious diseases/antimicrobials and drug resistance", "infectious diseases/bacterial infections", "infectious diseases/epidemiology and control of infectious diseases", "infectious diseases/nosocomial and healthcare-associated infections"], "article_id"=>580904, "categories"=>["Infectious Diseases", "Medicine", "Virology"], "users"=>["Emma K. Nickerson", "Maliwan Hongsuwan", "Direk Limmathurotsakul", "Vanaporn Wuthiekanun", "Krupal R. Shah", "Pramot Srisomang", "Weera Mahavanakul", "Therapon Wacharaprechasgul", "Vance G. Fowler Jr.", "T. Eoin West", "Nitaya Teerawatanasuk", "Harald Becher", "Nicholas J. White", "Wirongrong Chierakul", "Nicholas P. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0004308.t001", "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Patient_characteristics_/580904", "title"=>"Patient characteristics.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 07:04:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/910331"], "description"=>"<p>Kaplan-Meier survival curves comparing adult and paediatric patients with respect to <i>S. aureus</i> attributable deaths (p = 0.01). Non-attributable deaths were censored.</p>", "links"=>[], "tags"=>["bacteraemia", "worse", "adults"], "article_id"=>580770, "categories"=>["Infectious Diseases", "Medicine", "Virology"], "users"=>["Emma K. Nickerson", "Maliwan Hongsuwan", "Direk Limmathurotsakul", "Vanaporn Wuthiekanun", "Krupal R. Shah", "Pramot Srisomang", "Weera Mahavanakul", "Therapon Wacharaprechasgul", "Vance G. Fowler Jr.", "T. Eoin West", "Nitaya Teerawatanasuk", "Harald Becher", "Nicholas J. White", "Wirongrong Chierakul", "Nicholas P. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0004308.g002", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Survival_from_S_aureus_bacteraemia_is_worse_in_adults_than_in_children_/580770", "title"=>"Survival from <i>S. aureus</i> bacteraemia is worse in adults than in children.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 07:04:07"}
  • {"files"=>["https://ndownloader.figshare.com/files/910515"], "description"=>"*1<p>MSSA, methicillin-susceptible <i>S. aureus</i>; MRSA, methicillin-resistant <i>S. aureus</i>.</p>", "links"=>[], "tags"=>["rates", "infecting"], "article_id"=>580951, "categories"=>["Infectious Diseases", "Medicine", "Virology"], "users"=>["Emma K. Nickerson", "Maliwan Hongsuwan", "Direk Limmathurotsakul", "Vanaporn Wuthiekanun", "Krupal R. Shah", "Pramot Srisomang", "Weera Mahavanakul", "Therapon Wacharaprechasgul", "Vance G. Fowler Jr.", "T. Eoin West", "Nitaya Teerawatanasuk", "Harald Becher", "Nicholas J. White", "Wirongrong Chierakul", "Nicholas P. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0004308.t003", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Antibiotic_resistance_rates_for_infecting_isolates_/580951", "title"=>"Antibiotic resistance rates for infecting isolates.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 07:05:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/910401"], "description"=>"<p>Kaplan-Meier survival curves comparing <i>S. aureus</i> attributable deaths and non-attributable deaths (p = 0.001).</p>", "links"=>[], "tags"=>["attributable", "deaths", "non-attributable"], "article_id"=>580836, "categories"=>["Infectious Diseases", "Medicine", "Virology"], "users"=>["Emma K. Nickerson", "Maliwan Hongsuwan", "Direk Limmathurotsakul", "Vanaporn Wuthiekanun", "Krupal R. Shah", "Pramot Srisomang", "Weera Mahavanakul", "Therapon Wacharaprechasgul", "Vance G. Fowler Jr.", "T. Eoin West", "Nitaya Teerawatanasuk", "Harald Becher", "Nicholas J. White", "Wirongrong Chierakul", "Nicholas P. Day", "Sharon J. Peacock"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0004308.g003", "stats"=>{"downloads"=>4, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_S_aureus_attributable_deaths_occur_more_rapidly_than_non_attributable_deaths_/580836", "title"=>"<i>S. aureus</i> attributable deaths occur more rapidly than non-attributable deaths.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 07:04:29"}

PMC Usage Stats | Further Information

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Relative Metric

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