Staphylococcus aureus bloodstream infection epidemiology (2022) – Hunter New England Health

Case load, mortality and relapse

Healthcare-associated cases Community acquired cases
N=83  (0.9 / 10,000 inpatient bed-days)

8%  MRSA

 

9% Age-adjusted 30-day mortality

(c.f. 9% in 2018)

 

Relapse within 15-90 days (2019 – 2022):

–          1.8% of adult events

–          0% of paediatric events

N=264  (2.8 / 10,000 population)

12% MRSA

 

7%  Age-adjusted 30 day mortality

(c.f. 16% in 2018)

 

Relapse within 15-90 days (2019 – 2022):

–          1.3% of adult events

–          0% of paediatric events

Proportion MRSA was lower than the NSW average of 17.8% in 2022 (reference 2).

Principal clinical manifestation (source/focus)

Healthcare-associated cases (N=83) Community acquired cases (N=264)
53%  Vascular access device (e.g., intravenous cannula, central venous catheter, arterial line, tunnelled central line, subcutaneous port)

20%  Skin and soft tissue infection (e.g., abscess, boil, post-operative wound infection)

7%  Primary blood stream infection with no apparent primary source or clear focus

30%  Primary blood stream infection with no apparent primary source or clear focus

27%  Skin and soft tissue infection (e.g., abscess, boil, deep abscess)

14 % Joint infection or spinal osteomyelitis

9%   Pneumonia

7%   Infective endocarditis

 

References

  1. HNELHD_CG_23_44_Staphylococcus_aureus_bacteraemia_Management October 2023
  2. Australian Staphylococcus aureus Surveillance Outcome Program (ASSOP) Bloodstream Infection Report AUSTRALIAN GROUP ON ANTIMICROBIAL RESISTANCE

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