Community-acquired Staphylococcus aureus bacteriuria: a warning microbiological marker for infective endocarditis?

Autor: Thomas Lafon, Ana Catalina Hernandez Padilla, Arthur Baisse, Lucie Lavaud, Marine Goudelin, Olivier Barraud, Thomas Daix, Bruno Francois, Philippe Vignon
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: BMC Infectious Diseases, Vol 19, Iss 1, Pp 1-5 (2019)
Druh dokumentu: article
ISSN: 1471-2334
DOI: 10.1186/s12879-019-4106-0
Popis: Abstract Background Urinary tract infection (UTI) is frequently diagnosed in the Emergency Department (ED). Staphylococcus aureus (SA) is an uncommon isolate in urine cultures (0.5–6% of positive urine cultures), except in patients with risk factors for urinary tract colonization. In the absence of risk factors, community-acquired SA bacteriuria may be related to deep-seated SA infection including infective endocarditis. We hypothesized that SA bacteriuria could be a warning microbiological marker of unsuspected infective endocarditis in the ED. Methods This is a retrospective chart review of consecutive adult patients between December 2005 and February 2018. All patients admitted in the ED with both SA bacteriuria (104 CFU/ml SA isolated from a single urine sample) and SA bacteremia, without risk factors for UT colonization (i.e.,
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje