Evidence map›Paper›PMID 31185081›Full record

Observational studyClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Reduced Mortality of Staphylococcus aureus Bacteremia in a Retrospective Cohort Study of 2139 Patients: 2007-2015.

Eloise D Austin, Sean S Sullivan, Nenad Macesic, Monica Mehta, Benjamin A Miko, Saman Nematollahi, Qiuhu Shi, Franklin D Lowy, Anne-Catrin Uhlemann

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Impact of Methicillin Resistance on Outcomes ofOpen forum infectious diseases · 2026
    Article
  4. Treatment of Methicillin-ResistantMedicines (Basel, Switzerland) · 2026
    Review
  5. Article
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  8. Observational
  9. Article
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  15. The association of female sex with management and mortality in patients with Staphylococcus aureus bacteraemia.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Article
  16. Article
  17. All-Cause and Infection-Related Mortality inOpen forum infectious diseases · 2022
    Article
  18. Investigational agents for the treatment of methicillin-resistantExpert opinion on investigational drugs · 2022
    Article
  19. Antimicrobial agents and chemotherapy · 2022
    Observational
  20. The LAUsanneFrontiers in cardiovascular medicine · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Eloise D AustinDepartment of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, New York.
Sean S SullivanDepartment of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, New York.
Nenad MacesicDepartment of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, New York.
Monica MehtaDepartment of Pharmacy, New York Presbyterian Hospital, New York.
Benjamin A MikoDepartment of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, New York.
Saman NematollahiDepartment of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Qiuhu ShiDepartment of Public Health, School of Health Sciences and Practice, New York Medical College, Valhalla.
Franklin D LowyDepartment of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, New York.
Anne-Catrin UhlemannDepartment of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, New York.
Columbia University Irving Medical Center · USJohns Hopkins University · USNew York Medical College · USNewYork–Presbyterian Hospital · US

Funding

Columbia Integrated Training Program in Infectious Diseases ResearchT32AI100852 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAGDALENA ELZBIETA SOBIESZCZYK, Anne-Catrin Uhlemann · 2013 to 2026
$2.2M
Mechanisms of S. aureus transmission and persistence.K08AI090013 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI UHLEMANN, ANNE-CATRIN · 2010 to 2014
$655k
NIAID NIH HHS K08 AI090013NIAID NIH HHS T32 AI100852
6 · The paper itself

Abstract

backgroundUnderstanding the changing epidemiology of Staphylococcus aureus bacteremia, as well as the variables associated with poor outcomes, can yield insight into potential interventions.

methodsThis study was a retrospective, observational cohort study of adult patients at an academic medical center in New York City who had S. aureus bloodstream infections between 1 January 2007 and 31 December 2015. Participants were divided into 3 periods: group 1 (2007-2009), group 2 (2010-2012), and group 3 (2013-2015) for trend analysis. All clinical strains were genotyped (spa.). The main outcome was 30-day all-cause mortality.

resultsThere were 1264 episodes of methicillin-susceptible S. aureus (MSSA) and 875 episodes of methicillin-resistant S. aureus (MRSA) bacteremia, with a rising proportion due to MSSA (55% group 1; 59% group 2; 63% group 3; P = .03.) There were no significant changes in average age, gender, Charlson score, and distribution of strain genotypes. Mortality in MRSA infection was unchanged (25% group 1; 25% group 2; 26% group 3), while mortality in MSSA infection significantly declined (18% group 1; 18% group 2; 13% group 3). The average time to antistaphylococcal therapy (AST) in MSSA infection declined during the study (3.7 days group 1; 3.5 group 2; 2.2 group 3). In multivariate analysis, AST within 7 days of initial positive MSSA culture was associated with survival.

conclusionsMortality in MSSA bloodstream infection is declining, associated with a decrease in time to targeted therapy. These results emphasize the potential for rapid diagnostics and early optimization of treatment to impact outcomes in MSSA bacteremia.

Indexed as

BacteremiaMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsAdultCohort StudiesHumansNew York CityRetrospective StudiesStaphylococcus aureusbacteremiaMRSAMSSAStaphylococcus aureus

Identifiers

PMID31185081
PMCPMC7146006
OpenAlexW2953053110

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.