The additional value of blood cultures in patients with complicated urinary tract infections

V. Spoorenberg; J. M. Prins; B. C. Opmeer; T. M. de Reijke; M. E. J. L. Hulscher; S. E. Geerlings

doi:https://doi.org/10.1111/1469-0691.12491

The additional value of blood cultures in patients with complicated urinary tract infections

V. Spoorenberg, J. M. Prins, B. C. Opmeer, T. M. de Reijke, M. E. J. L. Hulscher, S. E. Geerlings

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22 Citations (Scopus)

Abstract

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

Original language	English
Pages (from-to)	O476-O479
Journal	Clinical Microbiology and Infection
Volume	20
Issue number	8
DOIs	https://doi.org/10.1111/1469-0691.12491
Publication status	Published - 2014

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https://doi.org/10.1111/1469-0691.12491

Cite this

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title = "The additional value of blood cultures in patients with complicated urinary tract infections",

abstract = "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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AU - Spoorenberg, V.

AU - Prins, J. M.

AU - Opmeer, B. C.

AU - de Reijke, T. M.

AU - Hulscher, M. E. J. L.

AU - Geerlings, S. E.

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AB - 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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DO - https://doi.org/10.1111/1469-0691.12491

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