Demographics, epidemiology, mortality and difficult-to-treat resistance patterns of bacterial bloodstream infections in the global US Military Health System from 2010 to 2019: a retrospective cohort study
In the global US MHS, the mortality burden associated with BSI was substantial (approximately one in four dying at 1 year), relatively unchanged over a decade, and associated with older age and comorbidities. First-line treatment options remained available for 99.7% of BSIs. Population-level improvements in BSI survival might be maximally influenced by focusing on prevention, early detection, prompt antibiotics and other novel therapies not contingent on in vitro activity.
Authors
- Alexander Vostal (ORCID: https://orcid.org/0000-0002-5618-6225)
- Katrin Mende
- M Leigh Carson
- Sarah Warner (ORCID: https://orcid.org/0000-0002-4998-9257)
- Dean Follmann
- Nicholas Seliga
- Edward Parmelee
- Charlotte Lanteri
- Carlos Morales (ORCID: https://orcid.org/0000-0001-6634-1674)
- John H. Powers (ORCID: https://orcid.org/0000-0002-5150-5119)
- Beth Poitras
- Sameer S. Kadri (ORCID: https://orcid.org/0000-0002-4420-9004)
- Melissa Grance
- Jing Wang (ORCID: https://orcid.org/0000-0003-1580-1356)
- Uzo Chukwuma
Institutions
- Henry M. Jackson Foundation (US)
- Brooke Army Medical Center (US)
- National Institutes of Health (US)
- Uniformed Services University of the Health Sciences (US)
- Indian Health Service (US)
- National Heart, Lung, and Blood Institute (US)
- Navy and Marine Corps Force Health Protection Command (US)
- Frederick National Laboratory for Cancer Research (US)
- National Institute of Allergy and Infectious Diseases (US)
- National Cancer Institute (US)
- National Institutes of Health Clinical Center (US)
- Joint Base San Antonio (US)
Publication Details
- Journal
- BMJ Open
- Published
- 2025-03-01
- DOI
- https://doi.org/10.1136/bmjopen-2024-094861
- Citations
- 1
- Primary Topic
- Antibiotic Use and Resistance
- Type
- article
- Field-Weighted Citation Impact
- 1.26
Funders
- Division of Intramural Research, National Institute of Allergy and Infectious Diseases
- National Cancer Institute
- National Institute of Allergy and Infectious Diseases