Table S2. Clinical characteristics Group Age/Sex Diagnosis Organism* Outcome 28 days Clinical Summary 1 78 M Hepatic abscess 21 Alive 5 4 Alive Alive 4 1 3 2 15 Alive Alive Alive Alive Alive 5 6 Alive Alive Initial admission with presumed pneumonia, transferred to ICU for observation due to persistent tachycardia on day 3. CT scan – hepatic abscess - drained percutaneously. Discharged on IV antibiotics. Infected tracheostomy site. IV antibiotics on ward. Fever cough and dyspnea. Treated with antibiotics and oseltamivir on ward. Fever and headache. Initial workup for meningitis negative. Lobar pneumonia – initial IV antibiotics then discharged home. Perianal abscess treated with IV antibiotics on ward. Infected skin wound – IV antibiotics on ward. Intravenous drug user – S Aureus bacteraemia without endocarditis. IV antibiotics on ward. Acute pyelonephritis – IV antibiotics on ward. Hypostatic pneumonia due to multiple sclerosis. IV antibiotics on ward. 1 1 83 M 73 M S Pneumonia 1 1 1 1 1 25 F 19 M 35 M 54 M 22 F Wound infection Viral pneumonitis Mastitis Pneumonia Skin abscess Skin abscess Skin abscess S Aureus S Aureus Pus Blood 1 1 27 F 52 F Pyelonephritis Pneumonia Enterococcus Urine 2 85 M Cellulitis 12 Died 2 60 M Pneumonia 2 Alive 2 56 M Necrotizing fasciitis 32 Alive 2 73 F Urosepsis 6 Alive 2 67 M Cellulitis 19 Alive E Coli Source Blood Urine LOS (days) Admitted with bilateral cellulitis with respiratory/ renal failure. Day 10 developed acute small bowel perforation and elected for non-operative management. Palliated and died. Atypical pneumonia with acute kidney injury (creatinine 225umol/L) – responded to fluid resuscitation on ward. Rapidly progressive forearm cellulitis requiring surgical debridement. Intubated for respiratory distress day 2 of admission. Influenza isolated from sputum by PCR. Septic shock on background of hepatic carcinoma. Fluids/antibiotics and vasopressors on ward. Septic shock requiring noradrenalin infusion in ICU. Background of lymphoma (in remission). 2 2 2 66 F 80 M 35 F Urosepsis Cholecystitis Pneumonia 19 14 10 Alive Alive Alive E Coli S Pneumonia 2 59 M Pneumonia S Pneumonia 2 86 M Urosepsis K Pneumonia 2 74 F S Pyogenes 2 85 M P Aeruginosa 2 66 F Septic shock presumed from radiation colitis Gram negative sepsis Urosepsis Blood Sputu m Sputu m Urine & blood Blood E Coli 2 80 M 2 33 M Gram negative sepsis Septic shock 2 71 F 2 52 M Meningococcal sepsis Gastroenteritis Altered conscious state with fever and high lactate. Gram negative sepsis with shock requiring vasopressors in ICU. Lobar pneumonia with septic shock requiring vasopressors in ICU Lobar pneumonia with septic shock requiring vasopressors in ICU. Nursing home resident with gram-negative sepsis and high lactate. Managed on ward. 6 Alive 7 Alive 7 Alive Septic shock requiring vasopressors in ICU. Radiotherapy for cervical carcinoma. Blood 1 Died 8 Alive Capnocytophaga Urine and blood Blood Nursing home resident with gram-negative sepsis. Managed in ward. Died day 2. Acute renal failure with septic shock requiring vasopressors in ICU. 18 Alive Gram-negative sepsis with multi-organ failure. S Pyogenes Blood 13 Alive N Meningitis Blood 17 Died Intravenous drug user, multiple skin lesions, multi-organ failure managed in ICU. Shock and progressive multi-organ failure. Died day 17 in ICU. 6 Alive Diarrheal illness and septic shock requiring vasopressors in ICU. Cultures negative. Group 1 – Infection with SIRS/uncomplicated sepsis. Group 2 – severe sepsis/septic shock. *Organism isolated from sample collected within first 24h of admission.