{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:42:15Z","timestamp":1787510535413,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2007,1,3]],"date-time":"2007-01-03T00:00:00Z","timestamp":1167782400000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Internal Medicine"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:title>Abstract.<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background.\u2002<\/jats:bold>\n                    Nontyphoid\n                    <jats:italic>Salmonella<\/jats:italic>\n                    (NTS) isolates lead to not only self\u2010limited, acute gastrointestinal infections, but also bacteraemia with or without extraintestinal focal infections (EFIs). The risk factors associated with EFIs in adults with NTS bacteraemia were not clearly elucidated.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods.\u2002<\/jats:bold>\n                    In a medical center in southern Taiwan, patients aged \u226518\u2003years with NTS bacteraemia between January 1999 and June 2005 were included for analysis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results.\u2002<\/jats:bold>\n                    Of 129 patients, 51 (39.5%) were complicated with EFIs. The most common EFI was mycotic aneurysm, followed by pleuropulmonary infections and spinal osteomyelitis. Compared to patients with primary bacteraemia, those with EFIs had higher leucocyte counts (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.004) and higher serum levels of C\u2010reactive protein (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003&lt;\u20030.0001). The development of EFIs was associated with a higher mortality, more severe septic manifestations, longer hospital stays and duration of antimicrobial therapy. Univariate analysis revealed that diabetes mellitus (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.02), hypertension (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.02) and chronic lung disease (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.006) were significantly associated with EFIs. However, patients with malignancy (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.01) and immunosuppressive therapy (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.03) were less likely to develop EFIs. On the basis of multivariate analysis, an independent factor for the occurrence of EFIs was age [adjusted odds ratio (aOR) 1.05; 95% confidence interval (CI) 1.02\u20131.07;\n                    <jats:italic>P<\/jats:italic>\n                    \u2003&lt;\u20030.0001], whilst malignancy was negatively associated with EFIs (aOR 0.16; 95% CI 0.14\u20130.78;\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.01).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion.\u2002<\/jats:bold>\n                    Amongst patients with NTS bacteraemia, EFIs often occurred in the aged, and were associated with a higher mortality and morbidity. Recognition of specific host factors is essential for identification of EFIs which often demand early surgical interventions and prolonged antimicrobial therapy.\n                  <\/jats:p>","DOI":"10.1111\/j.1365-2796.2006.01748.x","type":"journal-article","created":{"date-parts":[[2007,1,4]],"date-time":"2007-01-04T01:34:34Z","timestamp":1167874474000},"page":"91-100","source":"Crossref","is-referenced-by-count":66,"title":["Extraintestinal focal infections in adults with nontyphoid\n                    <i>Salmonella<\/i>\n                    bacteraemia: predisposing factors and clinical outcome"],"prefix":"10.1111","volume":"261","author":[{"given":"P.\u2010L.","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.\u2010M.","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.\u2010J.","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.\u2010Y.","family":"Ko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.\u2010Y.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.\u2010C.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.\u2010I.","family":"Shih","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.\u2010C.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.\u2010R.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.\u2010C.","family":"Ko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,1,3]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1086\/318457"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa010315"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/18.6.873"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199912000-00009"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/000992280404300906"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1086\/515186"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268803001109"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-198709000-00003"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/19.4.777"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/19.4.693"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1086\/367932"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-89-6-931"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(00)00638-0"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1086\/513747"},{"key":"e_1_2_6_16_2","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/j.1742-1241.1999.tb11695.x","article-title":"Predictors for extraintestinal infection of non\u2010typhoidal Salmonella in patients without AIDS","volume":"53","author":"Chiu CH","year":"1999","journal-title":"Int J Clin Pract"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1348-0421.1999.tb01225.x"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.45.1.34"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1086\/426593"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1086\/426695"},{"key":"e_1_2_6_21_2","first-page":"78","article-title":"Multidrug\u2010resistant non\u2010typhoid Salmonella infections in a medical center","volume":"35","author":"Lee CY","year":"2002","journal-title":"J Microbiol Immunol Infect"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1009.030596"},{"key":"e_1_2_6_23_2","unstructured":"WaynePN.National Committee for Clinical Laboratory Standards. 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