Prevalence and predictive features of bacteremic urinary tract infection in emergency department patients

被引：46
|
作者：
Bahagon, Y.
Raveh, D.
Schlesinger, Y.
Rudensky, B.
Yinnon, A. M. [1 ]
机构：
[1] Hebrew Univ Jerusalem, Hadassah Med Sch, Dept Family Med, Clalit Hlth Serv, IL-91120 Jerusalem, Israel
[2] Ben Gurion Univ Negev, Fac Hlth Sci, Infect Dis Unit, Shaare Zedek Med Ctr, IL-91031 Jerusalem, Israel
[3] Ben Gurion Univ Negev, Fac Hlth Sci, Clin Microbiol Lab, Shaare Zedek Med Ctr, IL-91031 Jerusalem, Israel
来源：
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES | 2007年 / 26卷 / 05期
关键词：
D O I：
10.1007/s10096-007-0287-3
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
The aim of this study was to determine the prevalence and predictive features of bacteremia among patients evaluated in the emergency department for urinary tract infection. Of the 350 patients with symptomatic urinary tract infection included in this retrospective study, 53 (15%; 95%CI 11.6-19.4%) were bacteremic. Five variables were independently associated with bacteremia: residence at home rather than in an institution (OR 4; 95%CI 1.5-10.7), presence of an indwelling urinary catheter (OR 3.3; 95%CI 1.3-8.8), presence of band forms in the blood count (OR 3.3; 95%CI 1.5-7.2), shaking chills (OR 2.3; 95%CI 1.1-4.8), and neutrophilia (OR 1.1; 95%CI 1.04-1.15). These easily assessable parameters may assist in the diagnosis of bacteremic urinary tract infection and the selection of empiric antibiotic treatment, thus potentially improving a patient's prognosis.
引用
收藏
页码：349 / 352
页数：4
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