Ma et al evaluated prognostic factors for a patient with a healthcare-associated bloodstream infection. These can help to identify a patient who may benefit from more aggressive management. The authors are from Derchen Women and Children Hospital and National Taiwan University in Taiwan.
Patient selection: nosocomial bloodstream infection in an adult >= 40 years of age
Outcome: 30-day mortality
Factors associated with a poor outcome:
(1) low body mass index (22.0 +/- 4.0 vs 22.8 +/- 3.9; use < 22)
(2) high Charlson comorbidity index (6.3 +/- 2.5 vs 4.7 +/- 2.4; >= 6)
(3) bacteremia with a vancomycin-resistant Enterococcus
(4) high serum C-reactive protein concentration (12.8 +/- 9.0 vs 7.5 +/- 6.9; > 10 mg/L)
(5) geriatric age group (presumably >= 65 years)
Factors that may impact outcome:
(1) low serum albumin concentration (3.3 +/1 1.1 vs 3.7 +/- 0.7; < 3.5 g/dL)
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