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Characteristics of Drug-Susceptible and Drug-Resistant Staphylococcus aureus Pneumonia in Patients with HIV | OMICS International| Abstract
ISSN: 2161-1165

Epidemiology: Open Access
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  • Research Article   
  • Epidemiol 2013, Vol 3(1): 122
  • DOI: 10.4172/2161-1165.1000122

Characteristics of Drug-Susceptible and Drug-Resistant Staphylococcus aureus Pneumonia in Patients with HIV

Charles K. Everett1*, Anuradha Subramanian3, Leah G. Jarlsberg1, Matthew Fei4 and Laurence Huang1,2
1Division of Pulmonary and Critical Care Medicine, San Francisco General Hospital, University of California, 1001 Potrero Avenue, Box 0841, San Francisco, CA, USA
2Division of HIV/AIDS, San Francisco General Hospital, University of California, Ward 84, 995 Potrero Avenue, San Francisco, CA 94110, USA
3Division of Infectious Diseases, Department of Medicine, University of Maryland, 655 West Baltimore Street, Baltimore, MD 21201, USA
4Division of Pulmonary and Critical Care Medicine, Department of Medicine, Group Health Bellevue Medical Center, , 11511 NE 10th St # 3, Bellevue, WA, USA
*Corresponding Author : Charles K. Everett, Pulmonary and Critical Care Medicine, Box 0841, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, CA 94110, USA, Tel: (415) 206-2487, Fax: (415) 695-1551;, Email: [email protected]

Received Date: Apr 05, 2013 / Accepted Date: May 02, 2013 / Published Date: May 06, 2013


Objectives: To examine predictors and outcomes of Staphylococcus aureus Pneumonia (SAP) in people with HIV compared with Streptococcus pneumoniae Pneumonia (SPP), and to compare Methicillin-Resistant S. aureus (MRSA) with Methicillin-Sensitive S. aureus (MSSA) pneumonias in this population.

Methods: We conducted a retrospective case-control study of HIV-infected patients admitted to a single center with culture-proven S. aureus or S. pneumoniae pneumonia. We identified patients through a computerized database, conducted structured chart reviews, and performed bivariate and multivariate analyses using logistic regression.

Results: We compared 47 SAP episodes in 42 patients with 100 SPP episodes in 93 patients. Use of any antibiotics prior to admission (OR=3.5, p=0.02), a co-morbid illness (OR=4.2, p=0.04), and recent healthcare contact (OR=12.0, p<0.001) were significant independent predictors of SAP. Patients with SAP were more likely to require intensive care (OR=2.7, p=0.02) and mechanical ventilation (OR=3.1, p=0.02), but not to die. MRSA was more common (57% of cases) than MSSA, but outcomes were not significantly worse.

Conclusions: Patients with HIV and SAP have worse outcomes than those with SPP. Clinicians should consider empiric antibiotic coverage for MRSA in patients admitted with HIV and pneumonia, given the high prevalence of MRSA. Further studies are warranted to examine morbidity differences between HIV-associated MSSA and MRSA pneumonia.

Keywords: HIV; AIDS; Pneumonia; Staphylococcus aureus; Staphylococcal pneumonia; MRSA Streptococcus pneumonia; Pneumococcal pneumonia

Citation: Everett CK, Subramanian A, Jarlsberg LG, Fei M, Huang L (2013) Characteristics of Drug-Susceptible and Drug-Resistant Staphylococcus aureus Pneumonia in Patients with HIV. Epidemiol 3:122. Doi: 10.4172/2161-1165.1000122

Copyright: © 2013 Everett CK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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