TITLE

Predicting Bacteremia at the Bedside

AUTHOR(S)
Jaimes, Fabián; Arango, Clara; Ruiz, Giovanni; Cuervo, Jorge; Botero, Juan; Vélez, Gloria; Upegui, Natalia; Machado, Faber
PUB. DATE
February 2004
SOURCE
Clinical Infectious Diseases;2/1/2004, Vol. 38 Issue 3, p357
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Our aim was to develop a clinical prediction rule for detection of bacteremia in a cohort of patients observed prospectively at a reference center in Medellín, Colombia. The significant predictors of bacteremia were an age of ≥30 years (odds ratio [OR], 2.07; 95% confidence interval [CI], 1.19–3.60), a heart rate of >90 beats/min (OR, 1.90; 95% CI, 1.13–3.17), a temperature of ≥37.8°C (OR, 2.42; 95% CI, 1.41–4.14), a leukocyte count of ≥12,000 cells/μL (OR, 2.40; 95% CI, 1.41­4.10), use of a central venous catheter (OR, 1.89; 95% CI, 1.02–3.50), and a length of hospitalization of ≥10 days (OR, 2.02; 95% CI, 1.25–3.24). The Hosmer­Lemeshow test revealed a goodness-of-fit of 2.99 (P=.981), and the area under the receiver operating characteristics curve was 0.7186. Simple variables obtained from the clinical history of patients are associated with bloodstream infection in a reproducible fashion and should be instrumental for prioritizing the requests for blood cultures by clinicians.
ACCESSION #
12080790

 

Related Articles

  • Predicting Bacteremia at the Bedside. Jaimes, Fabián; Arango, Clara; Ruiz, Giovanni; Cuervo, Jorge; Botero, Juan; Vélez, Gloria; Upegui, Natalia; Machado, Faber // Clinical Infectious Diseases;2/1/2004, Vol. 38 Issue 3, p357 

    Our aim was to develop a clinical prediction rule for detection of bacteremia in a cohort of patients observed prospectively at a reference center in Medellín, Colombia. The significant predictors of bacteremia were an age of ≥30 years (odds ratio [OR], 2.07; 95% confidence interval...

  • Bacteremia Due to Stenotrophomonas maltophilia in Patients with Hematologic Malignancies. Micozzi, Alessandra; Venditti, Mario; Monaco, Monica; Friedrich, Alexander; Taglietti, Fabrizio; Santilli, Stefania; Martino, Pietro // Clinical Infectious Diseases;9/1/2000, Vol. 31 Issue 3, p705 

    Evaluates the predisposing factors, clinical characteristics and antimicrobial treatment of hematologic patients with Stenotrophomonas maltophilia bacteremia who were sent to the department of hematology of the University La Sapienza in Rome, Italy from 1987 to 1996. Comparison between S....

  • bacteremia.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p229 

    A definition of the term "bacteremia," which refers to bacteria in the blood, is presented.

  • Incidence of Bacteremia Following Bronchoscopy with Argon Plasma Coagulation: A Prospective Study. Matveychuk, Alona; Guber, Alexander; Talker, Olga; Shitrit, David // Lung;Aug2014, Vol. 192 Issue 4, p615 

    Background: This evaluation was undertaken to determine the incidence of bacteremia and infectious complications associated with argon plasma coagulation (APC) procedures. Methods: Consecutive patients undergoing bronchoscopy with APC for treatment of endobronchial lesions were studied....

  • Brevundimonas Vesicularis Bacteremia In A Neonate: A Rare Case Report. Nandy, S.; Das, A. K.; Dudeja, M.; Tiwari, R.; Alam, S. // National Journal of Integrated Research in Medicine;May/Jun2013, Vol. 4 Issue 3, p170 

    There are very few cases of Brevundimonas vesicularis reported worldwide. We present a case of bacteremia in a neonate who had aspirated meconium . A blood culture showed growth of a non hemolytic yellow colored colony at 37°C. It was identified as Brevundimonas vesicularis by Vitek 2...

  • Anaerobic Bacteremia as Observed in a Children's Hospital. Echeverria, Peter; Smith, Arnold L. // Clinical Pediatrics;Sep1978, Vol. 17 Issue 9, p688 

    To ascertain the significance of anaerobic bacteremia in a children's hospital, the records of all patients whose blood cultures grew anaerobes during a 24- month period were reviewed. Anaerobes were isolated from 144 out of 1,126 blood cultures yielding bacteria. Anaerobic diphtheroid grew in...

  • Oerskovia xanthineolytica Bacteremia in an Immunocompromised Patient Without a Foreign Body. Niamut, S. M. L.; van der Vorm, E. R.; van Luyn-Wiegers, C. G. L.; Gökemeijer, J. D. M. // European Journal of Clinical Microbiology & Infectious Diseases;Apr2003, Vol. 22 Issue 4, p274 

    Describes the clinical case of a 64-year-old woman with Oerskovia xanthineolytica bacteremia. Development of nausea and diffuse abdomenal tenderness; Observation of dilatation of the intra- and extra-hepatic bile ducts without gallstones; Resistance of the organism to penicillin, netilmicin,...

  • Influence of tracheostomy on the incidence of central venous catheter-related bacteremia. Lorente, L.; Jiménez, A.; Martín, M. M.; Castedo, J.; Galván, R.; García, C.; Brouard, M. T.; Mora, M. L. // European Journal of Clinical Microbiology & Infectious Diseases;Sep2009, Vol. 28 Issue 9, p1141 

    Although there are many studies on catheter-related infection, there are scarce data about the influence of tracheostomy in the incidence of central venous catheter-related bacteremia (CRB). In this cohort study, we found a higher incidence of CRB in patients with tracheostomy than without...

  • Viridans streptococcal septicaemia in neutropenic patients: role of proinflammatory cytokines. Ihendyane, N.; Sparrelid, E.; Wretlind, B.; Remberger, M.; Andersson, J.; Ljungman, P.; Ringd&eaute;n, O.; Normark, B. Henriques; Allen, U.; Low, D. E.; Norrby-Teglund, A. // Bone Marrow Transplantation;Jan2004, Vol. 33 Issue 1, p79 

    Summary:The immunostimulatory activity of viridans streptococcal strains isolated from neutropenic patients with severe sepsis (n=9) or uncomplicated bacteraemia (n=10) was compared. Peripheral blood mononuclear cells from healthy individuals were stimulated with heat-killed bacteria or culture...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics