Volume 13, Number 12—December 2007
Research
Invasive Group A Streptococcal Infection in Older Adults in Long-term Care Facilities and the Community, United States, 1998–20031
Table 5
Results of multivariate logistic regression analysis of factors associated with death from invasive group A streptococcal infection among case-patients >65 y of age, ABCs areas, 1998–2003*
Characteristic | Adjusted odds ratio (95% CI) |
---|---|
Age group, y | |
>85 | 1.4 (0.9–2.1) |
75–84 | 1.2 (0.8–1.8) |
65–74 | Reference |
Race | |
Black | 0.8 (0.5–1.2) |
Other than black |
Reference |
Residence | |
Long-term care facility | 1.6 (1.1–2.2) |
Community | Reference |
Hospitalized | |
Hospitalized | 0.5 (0.3–0.9) |
Not hospitalized |
Reference |
Syndrome | |
Bacteremia without focus | 2.6 (1.7–3.8) |
Pneumonia | 3.7 (2.4–5.8) |
Necrotizing fasciitis | 3.6 (1.7–7.4) |
STSS | 11.1 (6.4–19.3) |
Other syndrome |
Reference |
emm type | |
emm1 | 2.3 (1.4–3.6) |
emm3 | 1.9 (1.1–3.1) |
emm4 | 1.7 (0.6–4.5) |
emm6 | 0.6 (0.2–2.1) |
emm11 | 0.4 (0.1–2.0) |
emm12 | 1.9 (1.1–3.4) |
emm18 | 1.3 (0.5–3.9) |
emm28 | 0.9 (0.5–1.7) |
emm77 | 1.3 (0.5–3.4) |
emm89 | 1.5 (0.8–3.0) |
Other emm types |
Reference |
Sex and history of CHF† | |
Females with CHF | 2.4 (1.5–3.8) |
Females without CHF | 0.9 (0.7–1.4) |
Males with CHF | 1.2 (0.7–2.0) |
Males without CHF | Reference |
*ABCs, Active Bacterial Core Surveillance; CI, confidence interval; STSS, streptococcal toxic shock syndrome; CHF, congestive heart failure. A total of 1,140 case-patients with complete data were included in the final model. Significant results are shown in boldface.
†Interaction between sex and history of CHF.
1Presented at the 42nd Annual Meeting of the Infectious Diseases Society of America, September 30–October 3, 2004, Boston, Massachusetts, USA.