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

María Velasco | Zendy; J. A. Martínez | Zendy; A Moreno-Martínez | Zendy; Juan Pablo Horcajada | Zendy; Joaquı́m Ruiz | Zendy; M. Barranco | Zendy; Manel Almela | Zendy; Jordi Vilà | Zendy; Josep Mensa | Zendy

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

Author(s) -

María Velasco,

J. A. Martínez,

A Moreno-Martínez,

Juan Pablo Horcajada,

Joaquı́m Ruiz,

M. Barranco,

Manel Almela,

Jordi Vilà,

Josep Mensa

Publication year - 2003

Publication title -

clinical infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1086/378291

Subject(s) - medicine , blood culture , antibiotics , urine , chronic pyelonephritis , antibiotic therapy , intensive care medicine , microbiology and biotechnology , biology

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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