Evidence map›Paper›PMID 31907515›Full record

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

Bacterial Infections Associated With Substance Use Disorders, Large Cohort of United States Hospitals, 2012-2017.

Natalie L McCarthy, James Baggs, Isaac See, Sujan C Reddy, John A Jernigan, Runa H Gokhale, Anthony E Fiore

Open access · greenAbstract read
In one paragraph

Article 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 86 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 2 pooled it
12.3field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 2 syntheses or guidelines pooled it, 126 citations in OpenAlex.

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  19. Infectious Diseases in People Who Use Drugs Introduction.Open forum infectious diseases · 2025
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26 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 1 country.

Natalie L McCarthyDivision of Healthcare Quality Promotion, Epidemiology Research and Innovations Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
James BaggsDivision of Healthcare Quality Promotion, Epidemiology Research and Innovations Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Isaac SeeDivision of Healthcare Quality Promotion, Epidemiology Research and Innovations Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sujan C ReddyDivision of Healthcare Quality Promotion, Epidemiology Research and Innovations Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
John A JerniganDivision of Healthcare Quality Promotion, Epidemiology Research and Innovations Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Runa H GokhaleDivision of Healthcare Quality Promotion, Epidemiology Research and Innovations Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Anthony E FioreDivision of Healthcare Quality Promotion, Epidemiology Research and Innovations Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Centers for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundRises in the incidence of bacterial infections, such as infective endocarditis (IE), have been reported in conjunction with the opioid crisis. However, recent trends for IE and other serious infections among persons with substance use disorders (SUDs) are unknown.

methodsUsing the Premier Healthcare Database, we identified hospitalizations from 2012 through 2017 among adults with primary discharge diagnoses of bacterial infections and secondary SUD diagnoses, using International Classification of Diseases, Clinical Modification Ninth and Tenth Revision codes. We calculated annual rates of infections with SUD diagnoses and evaluated temporal trends. Blood and cardiac tissue specimens were identified from IE hospitalizations to describe the microbiology distribution and temporal trends among hospitalizations with and without SUDs.

resultsAmong 72 481 weighted IE admissions recorded, SUD diagnoses increased from 19.9% in 2012 to 39.4% in 2017 (P < .0001). Hospitalizations with SUDs increased from 1.1 to 2.1 per 100 000 persons for IE, 1.4 to 2.4 per 100 000 persons for osteomyelitis, 0.5 to 0.9 per 100 000 persons for central nervous system abscesses, and 24.4 to 32.9 per 100 000 persons for skin and soft tissue infections. For adults aged 18-44 years, IE-SUD hospitalizations more than doubled, from 1.6 in 2012 to 3.6 in 2017 per 100 000 persons. Among all IE-SUD hospitalizations, 50.3% had a Staphylococcus aureus infection, compared with 19.4% of IE hospitalizations without SUDs.

conclusionsRates of hospitalization for serious infections among persons with SUDs are increasing, driven primarily by younger age groups. The differences in the microbiology of IE hospitalizations suggest that SUDs are changing the epidemiology of these infections.

Indexed as

EndocarditisEndocarditis, BacterialSubstance-Related DisordersAdolescentAdultHospitalizationHospitalsHumansRetrospective StudiesUnited StatesYoung Adultbacterial infectionendocarditisinjection drug useopioidsubstance use

Identifiers

PMID31907515
PMCPMC7900878
OpenAlexW2998830690

What OpenQuestion holds

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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.