Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management.
Open accessAbstract
Staphylococcus aureus is a major human pathogen that causes a wide range of clinical infections. It is a leading cause of bacteremia and infective endocarditis as well as osteoarticular, skin and soft tissue, pleuropulmonary, and device-related infections. This review comprehensively covers the epidemiology, pathophysiology, clinical manifestations, and management of each of these clinical entities. The past 2 decades have witnessed two clear shifts in the epidemiology of S. aureus infections: first, a growing number of health care-associated infections, particularly seen in infective endocarditis and prosthetic device infections, and second, an epidemic of community-associated skin and soft tissue infections driven by strains with certain virulence factors and resistance to β-lactam antibiotics. In reviewing the literature to support management strategies for these clinical manifestations, we also highlight the paucity of high-quality evidence for many key clinical questions.
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S. aureus is an opportunistic pathogen and a major cause of bacteraemia.
“Like H. influenzae and S. pneumoniae, S. aureus is an opportunistic pathogen and a major cause of bacteraemia (Wertheim et al., 2005; Tong et al., 2015).”
From Secondary bacterial infections associated with influenza pandemics (2017) · cites this paper as Tong et al., 2015
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“Staphylococcus aureus is a human and animal opportunistic pathogen and a leading cause of nosocomial and community-acquired infections (16,17).”
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“It is commonly associated with community-and hospital-acquired infections, and it can cause a variety of ailments, from minor soft tissue infections to more severe diseases, including septicemia and endocarditis ( 1 ).”
- Authors
- Tong, S. Y. C., Davis, J. S., Eichenberger, E., Holland, T. L., & Fowler, V. G.
- Affiliations
- Menzies School of Health Research (AU)
- Duke Medical Center (US)
- Corresponding author
- Tong, Steven Y. C.
- Fowler, Vance G.
- Venue
- Clinical Microbiology Reviews
- Publisher
- American Society for Microbiology
- Published
- 2015-07
- Volume
- 28
- Issue
- 3
- Pages
- 603-661
- ISSN
- 0893-8512 (ISSN-L)
- 1098-6618
- PMC
- PMC4451395
- OpenAlex
- W1878404532
- Cited by
- 5,192
- References
- 855
- Citations by year
- 2026: 442 · 2025: 594 · 2024: 618 · 2023: 655 · 2022: 670 · 2021: 573 · 2020: 519 · 2019: 459 · 2018: 324 · 2017: 178 · 2016: 137 · 2015: 15 · 2012: 2
- FWCI
- 169.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Microbiology Reviews (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- National Institute of Allergy and Infectious Diseases (K24AI093969, R01AI068804)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Streptococcal Infections and Treatments
- Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
- Keywords
- Staphylococcus aureus, bacteremia, infective endocarditis, bone and joint infections, skin and soft tissue infections, pleuropulmonary infection, device-related infection, nosocomial infections, community-associated infections, virulence factors, beta-lactam resistance, epidemiology, pathophysiology, clinical management
- MeSH terms
- Cross Infection, Humans, Risk Factors, Staphylococcal Infections, Staphylococcus aureus, Prosthesis-Related Infections, Community-Acquired Infections, beta-Lactam Resistance, Virulence Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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