Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3396476 | Clinical Microbiology and Infection | 2014 | 4 Pages |
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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Authors
V. Spoorenberg, J.M. Prins, B.C. Opmeer, T.M. de Reijke, M.E.J.L. Hulscher, S.E. Geerlings,