Population-based risk factors for community-onset bloodstream infections

Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream inf...
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Autor*in:	Laupland, Kevin B. [verfasserIn] Pasquill, Kelsey [verfasserIn] Dagasso, Gabrielle [verfasserIn] Parfitt, Elizabeth C. [verfasserIn] Steele, Lisa [verfasserIn] Schonheyder, Henrik C. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Epidemiology Incidence Bacterial infection Bacteremia

Übergeordnetes Werk:	Enthalten in: European journal of clinical microbiology & infectious diseases - Berlin : Springer, 1982, 39(2019), 4 vom: 19. Dez., Seite 753-758
Übergeordnetes Werk:	volume:39 ; year:2019 ; number:4 ; day:19 ; month:12 ; pages:753-758

Links:	Volltext

DOI / URN:	10.1007/s10096-019-03777-8

Katalog-ID:	SPR039150860

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520			\|a Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI.
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700	1		\|a Steele, Lisa \|e verfasserin \|4 aut
700	1		\|a Schonheyder, Henrik C. \|e verfasserin \|4 aut
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author_variant	k b l kb kbl k p kp g d gd e c p ec ecp l s ls h c s hc hcs
matchkey_str	article:14354373:2019----::ouainaersfcosocmuiynebod
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publishDate	2019
allfields	10.1007/s10096-019-03777-8 doi (DE-627)SPR039150860 (SPR)s10096-019-03777-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.43 bkl 44.75 bkl Laupland, Kevin B. verfasserin aut Population-based risk factors for community-onset bloodstream infections 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI. Epidemiology (dpeaa)DE-He213 Incidence (dpeaa)DE-He213 Bacterial infection (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Pasquill, Kelsey verfasserin aut Dagasso, Gabrielle verfasserin aut Parfitt, Elizabeth C. verfasserin aut Steele, Lisa verfasserin aut Schonheyder, Henrik C. verfasserin aut Enthalten in European journal of clinical microbiology & infectious diseases Berlin : Springer, 1982 39(2019), 4 vom: 19. Dez., Seite 753-758 (DE-627)25372273X (DE-600)1459049-9 1435-4373 nnns volume:39 year:2019 number:4 day:19 month:12 pages:753-758 https://dx.doi.org/10.1007/s10096-019-03777-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.43 ASE 44.75 ASE AR 39 2019 4 19 12 753-758
spelling	10.1007/s10096-019-03777-8 doi (DE-627)SPR039150860 (SPR)s10096-019-03777-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.43 bkl 44.75 bkl Laupland, Kevin B. verfasserin aut Population-based risk factors for community-onset bloodstream infections 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI. Epidemiology (dpeaa)DE-He213 Incidence (dpeaa)DE-He213 Bacterial infection (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Pasquill, Kelsey verfasserin aut Dagasso, Gabrielle verfasserin aut Parfitt, Elizabeth C. verfasserin aut Steele, Lisa verfasserin aut Schonheyder, Henrik C. verfasserin aut Enthalten in European journal of clinical microbiology & infectious diseases Berlin : Springer, 1982 39(2019), 4 vom: 19. Dez., Seite 753-758 (DE-627)25372273X (DE-600)1459049-9 1435-4373 nnns volume:39 year:2019 number:4 day:19 month:12 pages:753-758 https://dx.doi.org/10.1007/s10096-019-03777-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.43 ASE 44.75 ASE AR 39 2019 4 19 12 753-758
allfields_unstemmed	10.1007/s10096-019-03777-8 doi (DE-627)SPR039150860 (SPR)s10096-019-03777-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.43 bkl 44.75 bkl Laupland, Kevin B. verfasserin aut Population-based risk factors for community-onset bloodstream infections 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI. Epidemiology (dpeaa)DE-He213 Incidence (dpeaa)DE-He213 Bacterial infection (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Pasquill, Kelsey verfasserin aut Dagasso, Gabrielle verfasserin aut Parfitt, Elizabeth C. verfasserin aut Steele, Lisa verfasserin aut Schonheyder, Henrik C. verfasserin aut Enthalten in European journal of clinical microbiology & infectious diseases Berlin : Springer, 1982 39(2019), 4 vom: 19. Dez., Seite 753-758 (DE-627)25372273X (DE-600)1459049-9 1435-4373 nnns volume:39 year:2019 number:4 day:19 month:12 pages:753-758 https://dx.doi.org/10.1007/s10096-019-03777-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.43 ASE 44.75 ASE AR 39 2019 4 19 12 753-758
allfieldsGer	10.1007/s10096-019-03777-8 doi (DE-627)SPR039150860 (SPR)s10096-019-03777-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.43 bkl 44.75 bkl Laupland, Kevin B. verfasserin aut Population-based risk factors for community-onset bloodstream infections 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI. Epidemiology (dpeaa)DE-He213 Incidence (dpeaa)DE-He213 Bacterial infection (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Pasquill, Kelsey verfasserin aut Dagasso, Gabrielle verfasserin aut Parfitt, Elizabeth C. verfasserin aut Steele, Lisa verfasserin aut Schonheyder, Henrik C. verfasserin aut Enthalten in European journal of clinical microbiology & infectious diseases Berlin : Springer, 1982 39(2019), 4 vom: 19. Dez., Seite 753-758 (DE-627)25372273X (DE-600)1459049-9 1435-4373 nnns volume:39 year:2019 number:4 day:19 month:12 pages:753-758 https://dx.doi.org/10.1007/s10096-019-03777-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.43 ASE 44.75 ASE AR 39 2019 4 19 12 753-758
allfieldsSound	10.1007/s10096-019-03777-8 doi (DE-627)SPR039150860 (SPR)s10096-019-03777-8-e DE-627 ger DE-627 rakwb eng 610 ASE 44.43 bkl 44.75 bkl Laupland, Kevin B. verfasserin aut Population-based risk factors for community-onset bloodstream infections 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI. Epidemiology (dpeaa)DE-He213 Incidence (dpeaa)DE-He213 Bacterial infection (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Pasquill, Kelsey verfasserin aut Dagasso, Gabrielle verfasserin aut Parfitt, Elizabeth C. verfasserin aut Steele, Lisa verfasserin aut Schonheyder, Henrik C. verfasserin aut Enthalten in European journal of clinical microbiology & infectious diseases Berlin : Springer, 1982 39(2019), 4 vom: 19. Dez., Seite 753-758 (DE-627)25372273X (DE-600)1459049-9 1435-4373 nnns volume:39 year:2019 number:4 day:19 month:12 pages:753-758 https://dx.doi.org/10.1007/s10096-019-03777-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.43 ASE 44.75 ASE AR 39 2019 4 19 12 753-758
language	English
source	Enthalten in European journal of clinical microbiology & infectious diseases 39(2019), 4 vom: 19. Dez., Seite 753-758 volume:39 year:2019 number:4 day:19 month:12 pages:753-758
sourceStr	Enthalten in European journal of clinical microbiology & infectious diseases 39(2019), 4 vom: 19. Dez., Seite 753-758 volume:39 year:2019 number:4 day:19 month:12 pages:753-758
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Epidemiology Incidence Bacterial infection Bacteremia
dewey-raw	610
isfreeaccess_bool	false
container_title	European journal of clinical microbiology & infectious diseases
authorswithroles_txt_mv	Laupland, Kevin B. @@aut@@ Pasquill, Kelsey @@aut@@ Dagasso, Gabrielle @@aut@@ Parfitt, Elizabeth C. @@aut@@ Steele, Lisa @@aut@@ Schonheyder, Henrik C. @@aut@@
publishDateDaySort_date	2019-12-19T00:00:00Z
hierarchy_top_id	25372273X
dewey-sort	3610
id	SPR039150860
language_de	englisch
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author	Laupland, Kevin B.
spellingShingle	Laupland, Kevin B. ddc 610 bkl 44.43 bkl 44.75 misc Epidemiology misc Incidence misc Bacterial infection misc Bacteremia Population-based risk factors for community-onset bloodstream infections
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topic_title	610 ASE 44.43 bkl 44.75 bkl Population-based risk factors for community-onset bloodstream infections Epidemiology (dpeaa)DE-He213 Incidence (dpeaa)DE-He213 Bacterial infection (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213
topic	ddc 610 bkl 44.43 bkl 44.75 misc Epidemiology misc Incidence misc Bacterial infection misc Bacteremia
topic_unstemmed	ddc 610 bkl 44.43 bkl 44.75 misc Epidemiology misc Incidence misc Bacterial infection misc Bacteremia
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title	Population-based risk factors for community-onset bloodstream infections
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title_full	Population-based risk factors for community-onset bloodstream infections
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author_browse	Laupland, Kevin B. Pasquill, Kelsey Dagasso, Gabrielle Parfitt, Elizabeth C. Steele, Lisa Schonheyder, Henrik C.
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title_sort	population-based risk factors for community-onset bloodstream infections
title_auth	Population-based risk factors for community-onset bloodstream infections
abstract	Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI.
abstractGer	Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI.
abstract_unstemmed	Abstract Although a number of comorbidities have been associated with development of bloodstream infection, actual risk factors have not been well defined and quantified in nonselected populations. We sought to quantify population-based risk factors for development of community-onset bloodstream infection (COBSI). Surveillance was conducted among all residents of the Western Interior of British Columbia, Canada, during 2011–2018. Risks were expressed as incidence rate ratios (IRR) with 95% confidence intervals (CI). The annual incidence was 147.1 per 100,000 and older individuals, and males were at overall higher risk. The median Charlson score was 2 (IQR, 0–3), and this was higher among those with healthcare-associated (2; IQR, 1–4) as compared to community-associated (1; IQR, 0–2; P < 0.0001) COBSI. Risk factors for development of COBSI included (IRR; 95% CI): HIV infection (8.89; 5.17–14.27), cancer (6.80; 6.13–7.54), congestive heart failure (4.68; 4.00–5.46), dementia (3.31; 2.82–3.87), diabetes mellitus (3.10; 2.80–3.42), cerebrovascular accident (2.79; 2.34–3.31), renal dysfunction (2.75; 2.33–3.22), chronic lung disease (2.03; 1.79–2.28), peripheral vascular disease (1.68; 1.39–2.01), and rheumatic disease (1.44; 1.14–1.79). Patients with multiple comorbid illnesses were older, more likely to be male, and have healthcare-associated BSI, higher rates of antimicrobial resistance, and different clinical foci of infection. A number of demographic and comorbid conditions significantly increase the risk for development of COBSI.
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container_issue	4
title_short	Population-based risk factors for community-onset bloodstream infections
url	https://dx.doi.org/10.1007/s10096-019-03777-8
remote_bool	true
author2	Pasquill, Kelsey Dagasso, Gabrielle Parfitt, Elizabeth C. Steele, Lisa Schonheyder, Henrik C.
author2Str	Pasquill, Kelsey Dagasso, Gabrielle Parfitt, Elizabeth C. Steele, Lisa Schonheyder, Henrik C.
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doi_str	10.1007/s10096-019-03777-8
up_date	2024-07-03T22:19:29.001Z
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Population-based risk factors for community-onset bloodstream infections

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