期刊
CLINICAL MICROBIOLOGY AND INFECTION
卷 20, 期 8, 页码 O476-O479出版社
ELSEVIER SCI LTD
DOI: 10.1111/1469-0691.12491
关键词
Bacteraemia; culture (blood/urine); diagnostics; risk factors; urinary tract infection
资金
- Zon/MW, the Netherlands Organisation for Health Research and Development [993002]
We evaluated 800 hospitalized patients with a complicated urinary tract infection, from whom both a blood and a urine culture were obtained on the first day of antibiotic treatment. Urine cultures were positive in 70% of patients, and blood cultures were positive in 29%. In 7% of patients, uropathogens caused bacteraemia with a pathogen that was not isolated from urine. Receiving antibiotic therapy at the moment of hospitalization was the only factor independently associated with discordant culture results (OR, 2.06; 95% CI, 1.18-3.61). For those receiving antibiotics at the moment of hospitalization, blood cultures have additional diagnostic value over urine cultures.
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