Blood cultures for women with uncomplicated acute pyelonephritis:: Are they necessary?

被引:91
作者
Velasco, M
Martínez, JA
Moreno-Martínez, A
Horcajada, JP
Ruiz, J
Barranco, M
Almela, M
Vila, J
Mensa, J
机构
[1] Hosp Clin Barcelona, Serv Malalties Infeccioses, Inst Clin Infecc & Inmunol, Inst Invest Biomed August Pi & Sunyer, Barcelona, Spain
[2] Hosp Clin Barcelona, Microbiol Serv, Inst Clin Infecc & Inmunol, Inst Invest Biomed August Pi & Sunyer, Barcelona, Spain
关键词
D O I
10.1086/378291
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To assess the utility of blood cultures in the management of uncomplicated pyelonephritis in women, we prospectively collected data from 583 cases. Discordant cases were defined as those for which the pathogens isolated from urine and from blood were different. We found that 97.6% of cases were nondiscordant. Clinical and microbiological evolution of infection did not differ between the 2 groups, and no changes of antibiotic therapy were required on the basis of blood culture results. Blood culture may not be routinely required for the evaluation of uncomplicated pyelonephritis in women.
引用
收藏
页码:1127 / 1130
页数:4
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