Vasculitis & polymyalgia rheumatica

High risk of bloodstream infections, diverse causal pathogens and association with haemodialysis and plasma exchange in ANCA-associated vasculitis

Rheumatology (Oxford)Published Nationwide registry-based matched cohort study

Main finding · BSIsResult — go to the resultHazard ratio 10.5 95% CI 5.58–11.9

Authors' conclusion

AAV patients face high BSI risk, diverse microbiology and increased one-year mortality, with CVC-related interventions as solitary risk factors.

Study context

Population
Danish nationwide registries: patients with ANCA-associated vasculitis (AAV) diagnosed 2010–2018, followed until first BSI, death or a maximum of 5 yearsmatched cohort
Participants
937 vs 3,476
Exposure
Incident AAV vs matched general-population controls
  • AAVn = 937
  • Controlsn = 3,476reference
Outcome
Bloodstream infections (BSIs)
Methodological detailscontrols matched 1:4 by age and sex, Aalen-Johansen cumulative incidence, adjusted Cox regression
  • Controls matched 1:4 by age and sex
  • Aalen-Johansen cumulative incidence
  • Adjusted Cox regression

Main finding

BSIs

Hazard ratio

10.5

95% CI 5.58–11.9

Events by group

AAVvs Controls
HR 10.5 (95% CI 5.58–11.9)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mortality after first-time BSI · one year

First-time BSI, AAV patients receiving haemodialysis or plasma exchange · one year

Haemodialysis, HR
34.8 (95% CI 3.35-360.8)
Plasma exchange, HR
14.6 (95% CI 3.79-56.6)

Mortality after first-time BSI · one year

Equally high in AAV patients and controls

Microbial agents

AAV bloodstream infections (BSIs) attributed to other pathogens (e.g. coagulase-negative staphylococci, K. pneumoniae, P. aeruginosa, fungi)
48.6%
Most common agents (E. coli, S. aureus, enterococci, streptococci) similar between groups

Original publication

High risk of bloodstream infections, diverse causal pathogens and association with haemodialysis and plasma exchange in ANCA-associated vasculitis. Rheumatology (Oxford). Published 19 August 2025. doi:10.1093/rheumatology/keaf438

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