Risk factors for bacteremia with uropathogen not cultured from urine in adults with febrile urinary tract infection.
prospective_cohort · Level II
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- Record sourced from PubMed, PMID 20420504.
- Also identified by DOI 10.1086/652657.
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Abstract
In a prospective study involving 642 patients with febrile urinary tract infection (UTI), we found antimicrobial pretreatment (odds ratio [OR], 3.3), an indwelling urinary catheter (OR, 2.8), and malignancy (OR, 2.7) to be independent risk factors for bacteremia with a uropathogen that was not cultured or recognized in the urine. Although the diagnostic value of blood cultures has been questioned in UTI, we advocate performing blood cultures for patients with these risk factors.
Medical subject headings
- Bacteremia
- Urinary Tract Infections
- Urine