Blood cultures for women with uncomplicated acute pyelonephritis: are they necessary?
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.
Velasco
María
M
Servei de Malalties Infeccioses, Institut Clinic Infecciones i Inmunologia, Hospital ClinicInstitut d'Investigacions Biomèdiques August Pi I Sunyer, Barcelona, Spain. mvelasco@fhalcorcon.es
Martínez
J Antonio
JA
Moreno-Martínez
Antonio
A
Horcajada
J Pablo
JP
Ruiz
Joaquim
J
Barranco
Margarita
M
Almela
Manel
M
Vila
Jordi
J
Mensa
José
J
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
D000900:Anti-Bacterial Agents