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Factors associated with blood culture positivity in patients with complicated skin and skin structure infection—a population-based study

Artikel i vetenskaplig tidskrift
Författare M. Halavaara
I. H. Jääskeläinen
Lars Hagberg
A. Järvinen
Publicerad i European Journal of Clinical Microbiology and Infectious Diseases
Volym 38
Nummer/häfte 7
Sidor 1351–1357
ISSN 0934-9723
Publiceringsår 2019
Publicerad vid Institutionen för biomedicin, avdelningen för infektionssjukdomar
Sidor 1351–1357
Språk en
Länkar dx.doi.org/10.1007/s10096-019-03560...
Ämnesord Abscess, Bacteremia, Bloodstream infection, C-reactive protein, Cellulitis, Skin and soft tissue infection
Ämneskategorier Mikrobiologi inom det medicinska området

Sammanfattning

Skin and skin structure infection (SSSI) is classified as complicated (cSSSI) if it involves deep subcutaneous tissue or requires surgery. Factors associated with blood culture sampling and bacteremia have not been established in patients with cSSSI. Moreover, the benefit of information acquired from positive blood culture is unknown. The aim of this study was to address these important issues. In this retrospective population-based study from two Nordic cities, a total of 460 patients with cSSSI were included. Blood cultures were drawn from 258 (56.1%) patients and they were positive in 61 (23.6%) of them. Factors found to be associated with more blood culture sampling in multivariate analysis were diabetes, duration of symptoms shorter than 2 days and higher C-reactive protein (CRP) level. Whereas factors associated with less frequent blood culture sampling were peripheral vascular disease and a surgical wound infection. In patients from whom blood cultures were taken, alcohol abuse was the only factor associated with culture positivity, as CRP level was not. Patients with a positive blood culture had antibiotic streamlining more often than non-bacteremic patients. A high rate of blood culture positivity in patients with cSSSI was observed. Factors related to more frequent blood culture sampling were different from those associated with a positive culture. © 2019, The Author(s).

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