Predictors of osteo-articular infection in Staphylococcus aureus bacteremia in a tertiary center between 2017 and 2022

Introduction : Among bloodstream infections, Staphylococcus aureus bacteremia (SAB) is associated with a particularly high mortality rate, which may be higher in patients with undiagnosed metastatic infections. The primary objective of the present study was to identify risk factors for osteo-articular infection (OAI) in patients with active SAB. Methods: A retrospective study was conducted in a single-center tertiary-care hospital in Brussels, Belgium. Data were collected on patients diagnosed with SAB between 2017 and 2022. Results: Among the 489 consecutive patients with SAB included in this study, 141 (28.8 %) had a concomitant osteo-articular infection (OAI), accounting for nearly one in three patients. These infections included osteomyelitis (12.7 %), native joint septic arthritis (NJSA) (8.8 %), spondylodiscitis (8.4 %), and prosthetic joint infection (PJI) (3.9 %). Univariate and multivariate analyses were performed to identify risk factors associated with OAI. The duration of bacteremia (OR (odds ratio): 1.27, 95 %, CI (confidence interval): 1.14–1.42, p