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1 February 2004

Volume 38, Number 3
Clinical Infectious Diseases 2004;38:448–451
1058-4838/2004/3803-0025$15.00
DOI: 10.1086/381093
BRIEF REPORT

Clinical Features Associated with Bacteremia Due to Heterogeneous Vancomycin‐Intermediate Staphylococcus aureus

Patrick G. P. Charles,1

Peter B. Ward,2

Paul D. R. Johnson,1

Benjamin P. Howden,1,2 and

M. Lindsay Grayson1

Departments of 1Infectious Diseases and 2Microbiology, Austin Health, Heidelberg, Victoria, Australia

We assessed all episodes of methicillin‐resistant Staphylococcus aureus (MRSA) bacteremia at our hospital during a 12‐month period ( ) and compared those due to heterogeneous vancomycin‐intermediate S. aureus (hVISA; n=5, 9.4%) with those due to vancomycin‐susceptible MRSA ( ). Patients with hVISA bacteremia were more likely to have high bacterial load infections ( ), vancomycin treatment failure (persistent fever and bacteremia for >7 days after the start of therapy; 1), and initially low serum vancomycin levels ( ). These clinical markers of hVISA bacteremia may help focus diagnostic efforts and treatment.

Received 10 June 2003; accepted 7 October 2003; electronically published 12 January 2004.

Reprints and correspondence: Dr. Patrick Charles, Dept. of Infectious Diseases, Austin Health, Studley Rd., Heidelberg, Victoria, 3084, Australia ().

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