title: Blood cultures for women with uncomplicated acute pyelonephritis: are they necessary?
abstract: 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.
authors.affiliation: Servei de Malalties Infeccioses, Institut Clinic Infecciones i Inmunologia, Hospital ClinicInstitut d'Investigacions Biomèdiques August Pi I Sunyer, Barcelona, Spain. mvelasco@fhalcorcon.es
authors.forename: María
authors.initials: M
authors.lastname: Velasco
authors.forename: J Antonio
authors.initials: JA
authors.lastname: Martínez
authors.forename: Antonio
authors.initials: A
authors.lastname: Moreno-Martínez
authors.forename: J Pablo
authors.initials: JP
authors.lastname: Horcajada
authors.forename: Joaquim
authors.initials: J
authors.lastname: Ruiz
authors.forename: Margarita
authors.initials: M
authors.lastname: Barranco
authors.forename: Manel
authors.initials: M
authors.lastname: Almela
authors.forename: Jordi
authors.initials: J
authors.lastname: Vila
authors.forename: José
authors.initials: J
authors.lastname: Mensa
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D001431:Bacteriological Techniques; D001769:Blood / Q000382:microbiology; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D011446:Prospective Studies; D011704:Pyelonephritis / Q000175:diagnosis* / Q000188:drug therapy; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy; D014556:Urine / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents