Invasive procedures and risk of brain abscess: a nationwide, population-based case-control study
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Invasive procedures and risk of brain abscess : a nationwide, population-based case-control study. / Omland, Lars Haukali; Bodilsen, Jacob; Helweg-Larsen, Jannik; Jarløv, Jens Otto; Andreasen, Kristian; Ziebell, Morten; Ellermann-Eriksen, Svend; Justesen, Ulrik S.; Frimodt-Møller, Niels; Obel, Niels.
I: Infectious Diseases, Bind 55, Nr. 1, 2023, s. 55-62.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Invasive procedures and risk of brain abscess
T2 - a nationwide, population-based case-control study
AU - Omland, Lars Haukali
AU - Bodilsen, Jacob
AU - Helweg-Larsen, Jannik
AU - Jarløv, Jens Otto
AU - Andreasen, Kristian
AU - Ziebell, Morten
AU - Ellermann-Eriksen, Svend
AU - Justesen, Ulrik S.
AU - Frimodt-Møller, Niels
AU - Obel, Niels
N1 - Publisher Copyright: © 2022 Society for Scandinavian Journal of Infectious Diseases.
PY - 2023
Y1 - 2023
N2 - Objectives: It is unknown whether invasive procedures are associated with brain abscess. Methods: Nationwide, population-based, matched case–control study of patients with culture verified brain abscess in Denmark from 1989 to 2016. Exposure was invasive procedures 0–6 months before study inclusion. Results: We identified 435 patients and 3909 controls. The level of comorbidity was higher among patients with brain abscess than among controls. A total of 48 cases (11%) had one or more invasive procedures 0–6 months before study inclusion (adjusted odds ratios (aOR) of 3.6 (95% confidence interval (CI): 2.5–5.1), a population attributable fractions of 8% (95% CI: 7–9)). In primary care, ear, nose and throat (ENT) procedures were associated with brain abscess (aOR of 4.0 (95% CI: 2.0–8.0)), but gastrointestinal endoscopies were not (aOR of 1.0 (95% CI: 0.3–3.2)). No bronchoscopies were performed in primary care. In the hospital-based setting, ENT procedures, bronchoscopies and gastrointestinal endoscopies were associated with an increased risk of brain abscess (aOR of 14.5 (95% CI: 4.8–43.8), 20.3 (95% CI: 3.8–110.1) and 3.4 (95% CI: 2.0–5.6), respectively). Conclusions: The association between invasive procedures and brain abscess was more pronounced in the hospital-based setting than in primary care.
AB - Objectives: It is unknown whether invasive procedures are associated with brain abscess. Methods: Nationwide, population-based, matched case–control study of patients with culture verified brain abscess in Denmark from 1989 to 2016. Exposure was invasive procedures 0–6 months before study inclusion. Results: We identified 435 patients and 3909 controls. The level of comorbidity was higher among patients with brain abscess than among controls. A total of 48 cases (11%) had one or more invasive procedures 0–6 months before study inclusion (adjusted odds ratios (aOR) of 3.6 (95% confidence interval (CI): 2.5–5.1), a population attributable fractions of 8% (95% CI: 7–9)). In primary care, ear, nose and throat (ENT) procedures were associated with brain abscess (aOR of 4.0 (95% CI: 2.0–8.0)), but gastrointestinal endoscopies were not (aOR of 1.0 (95% CI: 0.3–3.2)). No bronchoscopies were performed in primary care. In the hospital-based setting, ENT procedures, bronchoscopies and gastrointestinal endoscopies were associated with an increased risk of brain abscess (aOR of 14.5 (95% CI: 4.8–43.8), 20.3 (95% CI: 3.8–110.1) and 3.4 (95% CI: 2.0–5.6), respectively). Conclusions: The association between invasive procedures and brain abscess was more pronounced in the hospital-based setting than in primary care.
KW - Brain abscess
KW - CNS infection
KW - invasive procedures
KW - risk factors
U2 - 10.1080/23744235.2022.2132284
DO - 10.1080/23744235.2022.2132284
M3 - Journal article
C2 - 36239458
AN - SCOPUS:85140076877
VL - 55
SP - 55
EP - 62
JO - Infectious Diseases
JF - Infectious Diseases
SN - 2374-4235
IS - 1
ER -
ID: 329438471