Blood culture time to positivity in non-β-hemolytic streptococcal bacteremia as a predictor of infective endocarditis-a retrospective cohort study

被引:5
|
作者
Krus, David [1 ]
Kahn, Fredrik [1 ,2 ]
Nilson, Bo [3 ,4 ]
Sunnerhagen, Torgny [1 ,4 ]
Rasmussen, Magnus [1 ,2 ]
机构
[1] Lund Univ, Med Fac, Dept Clin Sci Lund, Div Infect Med, BMC B14,Tomavagen 10, S-22184 Lund, Sweden
[2] Skane Univ Hosp, Div Infect Dis, Lund, Sweden
[3] Lund Univ, Med Fac, Dept Lab Med Lund, Div Med Microbiol, Lund, Sweden
[4] Off Med Serv, Dept Clin Microbiol, Lund, Region Skane, Sweden
关键词
Time to positivity; Bacteremia; Blood culture; Streptococcus; Infective endocarditis; ECHOCARDIOGRAPHY; MANAGEMENT; DIAGNOSIS; ADULTS;
D O I
10.1007/s10096-021-04339-7
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Non-beta-hemolytic streptococci (NBHS) cause infective endocarditis (IE) and a short blood culture time to positivity (TTP) is associated with risk of IE in bacteremia with other pathogens. In this retrospective population-based cohort study, we investigate if TTP is associated to IE or mortality. Of 263 episodes with NBHS bacteremia, 28 represented IE and the median TTP did not differ significantly between episodes with IE (15 h) and non-IE (15 h) (p=0.51). TTP was similar among those who survived and those who died within 30 days. However, TTP significantly differed when comparing the different streptococcal groups (p<0.001).
引用
收藏
页码:325 / 329
页数:5
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