The additional value of blood cultures in patients with complicated urinary tract infections.
Clin Microbiol Infect. 2013 Dec 4;
Authors: Spoorenberg V, Prins JM, Opmeer BC, de Reijke TM, Hulscher ME, Geerlings SE
We evaluated 800 hospitalized patients with a complicated urinary tract infection in whom on the day of start of antibiotic treatment both a blood- and a urine culture were obtained. In 70% of patients urine cultures were positive and blood cultures 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. This article is protected by copyright. All rights reserved.
PMID: 24304179 [PubMed - as supplied by publisher]Link to Article at PubMed