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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 and José Mensa
Clinical Infectious Diseases
Vol. 37, No. 8 (Oct. 15, 2003), pp. 1127-1130
Published by: Oxford University Press
Stable URL: http://www.jstor.org/stable/4483630
Page Count: 4
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Blood Cultures for Women with Uncomplicated Acute Pyelonephritis: Are They Necessary?
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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.

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