Persistent Gram-negative Bloodstream Infection Increases the Risk of Recurrent Bloodstream Infection With the Same Species

Author:

Ankrah Paa Kwesi1ORCID,Bock Andrew2,Ruffin Felicia1,Hanson Blake M34,Arias Cesar A567,Maskarinec Stacey A1,Parsons Joshua1,Fowler Vance G1,Thaden Joshua T1

Affiliation:

1. Division of Infectious Disease, Department of Medicine, Duke University School of Medicine , Durham, North Carolina , USA

2. Duke University School of Medicine , Durham, North Carolina , USA

3. Center for Antimicrobial Resistance and Microbial Genomics, McGovern Medical School, University of Texas Health Science Center , Houston, Texas , USA

4. Center for Infectious Diseases, Department of Epidemiology, UTHealth Houston School of Public Health, University of Texas Health Science Center , Houston, Texas , USA

5. Department of Medicine, Weill Cornell Medical College , New York, New York , USA

6. Division of Infectious Diseases, Houston Methodist Hospital , Houston, Texas , USA

7. Center for Infectious Diseases, Houston Methodist Research Institute , Houston, Texas , USA

Abstract

Abstract The association between persistent gram-negative bloodstream infection (GN-BSI), or ongoing positive cultures, and recurrent GN-BSI has not been investigated. Among 992 adults, persistent GN-BSI was associated with increased recurrent GN-BSI with the same bacterial species and strain (6% vs 2%; P = .04). Persistent GN-BSI may be a marker of complicated infection.

Funder

National Institute of Allergy and Infectious Diseases

National Institutes of Health

National Heart Lung and Blood Institute

Publisher

Oxford University Press (OUP)

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