Blood Cultures for Women with Uncomplicated Acute Pyelonephritis: Are They Necessary?

María Velasco; J. Antonio Martínez; Antonio Moreno-Martínez; J. Pablo Horcajada; Joaquim Ruiz; Margarita Barranco; Manel Almela; Jordi Vila; José Mensa

doi:10.1086/378291

Blood Cultures for Women with Uncomplicated Acute Pyelonephritis: Are They Necessary?

María Velasco, J. Antonio Martínez, Antonio Moreno-Martínez, J. Pablo Horcajada, Joaquim Ruiz, Margarita Barranco, Manel Almela, Jordi Vila, José Mensa

Medicina humana

Research output: Contribution to journal › Article › peer-review

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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.

Original language	English
Pages (from-to)	1127-1130
Number of pages	4
Journal	Clinical Infectious Diseases
Volume	37
Issue number	8
DOIs	https://doi.org/10.1086/378291
State	Published - 15 Oct 2003

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10.1086/378291

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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.",

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T1 - Blood Cultures for Women with Uncomplicated Acute Pyelonephritis

T2 - Are They Necessary?

AU - Velasco, María

AU - Martínez, J. Antonio

AU - Moreno-Martínez, Antonio

AU - Horcajada, J. Pablo

AU - Ruiz, Joaquim

AU - Barranco, Margarita

AU - Almela, Manel

AU - Vila, Jordi

AU - Mensa, José

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AB - 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.

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ER -

Blood Cultures for Women with Uncomplicated Acute Pyelonephritis: Are They Necessary?

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