Observational studyFrontiers in cellular and infection microbiology2026
Predictors and outcomes of recurrent bloodstream infection in hematological malignancies: a multicenter real-world study.
Observational study in Frontiers in cellular and infection microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Recurrent bloodstream infection (RBSI) is a life-threatening complication in patients with hematological malignancies (HMs), yet the determinants of recurrence remain poorly defined. We aimed to characterize the incidence, outcomes, and time-specific predictors of RBSI in HMs, and further explored the prognostic factors of RBSI. We performed a real-world study involving HM patients with BSI from three academic teaching hospitals during January 2010 to August 2023. Clinical characteristics associated with RBSI were assessed at the initial BSI and during subsequent febrile episodes after apparent resolution of the initial infection. Among 1,153 patients with HMs and BSI, 173 (15.0%) developed RBSI, whose mortality increased progressively with recurrent episodes, from 10.7% to 19.0% after the first recurrence, and to 30.5% after the second recurrence (P<0.01). At the initial BSI, a Charlson Comorbidity Index (CCI) >3 was associated with subsequent recurrence. During later febrile episodes, CCI >3, prior antibiotic exposure, acute respiratory failure, and platelet count <10×10
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