Dataset Information

Risk factors for negative blood cultures in adult medical inpatients--a retrospective analysis.

ABSTRACT:

Background

The identification of clinical factors associated with negative blood cultures could help to avoid unnecessary blood cultures. C-reactive protein (CRP) is a well-established inflammation marker commonly used in the management of medical inpatients.

Methods

We studied the association of clinical factors, CRP levels and changes of CRP documented prior to blood culture draws with the absence of bacteremia for hospitalized medical patients.

Results

In the retrospective analysis of 710 blood cultures obtained from 310 medical inpatients of non-intensive-care wards during one year (admission blood cultures obtained in the emergency room were excluded), the following retrospectively available factors were the only independent predictors of blood cultures negative for obligate pathogens: a good clinical condition represented by the lowest of three general nursing categories (OR 4.2, 95% CI 1.8 - 9.5), a CRP rise > 50 mg/L documented before the blood culture draw (OR 2.0 95% CI 1.8-9.5) and any antibiotic treatment in the previous seven days (OR 2.0, 95% CI 1.1-3.5).

Conclusion

Including the general clinical condition, antibiotic pre-treatment and a substantial rise of CRP into the decision, whether or not to obtain blood cultures from medical inpatients with a suspected infection, could improve the diagnostic yield.

SUBMITTER: Ehrenstein BP

PROVIDER: S-EPMC2582035 | biostudies-literature | 2008 Oct

REPOSITORIES: biostudies-literature

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Publications

Risk factors for negative blood cultures in adult medical inpatients--a retrospective analysis.

Ehrenstein Boris P BP Ehrenstein Vera V Henke Christine C Linde Hans-Jörg HJ Salzberger Bernd B Schölmerich Jürgen J Glück Thomas T

BMC infectious diseases 20081028

<h4>Background</h4>The identification of clinical factors associated with negative blood cultures could help to avoid unnecessary blood cultures. C-reactive protein (CRP) is a well-established inflammation marker commonly used in the management of medical inpatients.<h4>Methods</h4>We studied the association of clinical factors, CRP levels and changes of CRP documented prior to blood culture draws with the absence of bacteremia for hospitalized medical patients.<h4>Results</h4>In the retrospecti ...[more]

PMID: 18957115

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Dataset Information

Risk factors for negative blood cultures in adult medical inpatients--a retrospective analysis.

Background

Methods

Results

Conclusion

Publications

Risk factors for negative blood cultures in adult medical inpatients--a retrospective analysis.

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