The clinical significance of concurrent Staphylococcus aureus bacteriuria in patients with S. aureus bacteremia

Choi, Seong-Ho; Lee, Sang‐Oh; Choi, Joong Myung; Lim, Seung Kwan; Chung, Jin-Won; Choi, Sang‐Ho; Jeong, Jin‐Yong; Woo, Jun Hee; Kim, Yang Soo

doi:10.1016/j.jinf.2009.05.002

Cited by 31 publications

(28 citation statements)

References 16 publications

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“…vs 45 complicated SAB in our study); when we studied separately endocarditis and the other complications in our study, the association with concomitant bacteriuria was also not statistically significant anymore, due to small numbers. 24e26 Our results are quite similar to those of Choi et al; in a recent retrospective study including patients with SAB, they demonstrated that concomitant S. aureus bacteriuria was associated with vertebral osteomyelitis, but not with endocarditis, in univariate analysis 27. S. aureus bacteriuria in association with S. aureus bacteremia is well documented 26.…”

supporting

confidence: 89%

Concomitant Staphylococcus aureus bacteriuria is associated with complicated S. aureus bacteremia

Pulcini

Matta

Mondain

et al. 2009

Journal of Infection

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supporting

confidence: 89%

Concomitant Staphylococcus aureus bacteriuria is associated with complicated S. aureus bacteremia

Pulcini

Matta

Mondain

et al. 2009

Journal of Infection

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“…The majority of these were Staphylococcus pseudintermedius. The predilection of coagulase-positive staphylococci to present as both bloodstream and urinary tract infections has been well established in humans, where Staphylococcus bacteriuria is usually associated with hematogenous spread (17,35). Human patients with concurrent Staphylococcus aureus bacteriuria and bacteremia have worse outcomes than those with bacteremia alone (36,37).…”

Section: Discussionmentioning

confidence: 99%

Agreement between Parallel Canine Blood and Urine Cultures: Is Urine Culture the Poor Man's Blood Culture?

et al. 2018

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Bloodstream infections are a significant cause of morbidity and mortality in critically ill dogs, but due to cost and difficulties in sample acquisition, blood cultures are infrequently obtained. In ill dogs, urine cultures may be recommended as surrogates for blood cultures. In order to determine the outcome agreement between parallel urine and blood cultures, we retrospectively analyzed parallel blood and urine specimens submitted for culture from dogs at the NC State Veterinary Hospital between 2011 and 2016. Positive cultures were reported from 15% of the submitted blood specimens and 23% of the submitted urine specimens. A total of 295 urine and blood samples were submitted in parallel, with positive growth demonstrated in 14 concordant and five discordant pairs. A kappa statistic comparing blood and urine culture outcomes was 0.266 (fair) when all parallel growth was included, including concordant and discordant results, and 0.170 (poor) when restricted to parallel concordant growth. The sensitivity of urine to reflect concordant bloodstream bacterial organisms was 30%, with a specificity of 87%. The positive and negative predictive values were 30% and 88%, respectively. Of dogs with both specimens positive on bacterial culture, 7 of 7 (100%) with suspected urogenital infection sources were concordant. All dogs with discordant bloodstream and urinary infections were immunosuppressed. Urinary coagulase-positive isolates were most likely to be concordant with bloodstream infections. In conclusion, we found that urine culture is neither a substitute nor a screen for blood culture. Blood cultures should be performed in any potentially septic animal, especially those that are considered immunosuppressed.

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“… 16 Another study suggests that SABU is frequently associated with SAB. 17 In patients without an indwelling urinary catheter, 25 of 128 (19.5%) SAB patients were positive for SABU. Concurrent SABU was associated with methicillin susceptible, community-onset SAB, urinary tract obstruction/surgery, urinary tract infection, and vertebral osteomyelitis in patients with SAB.…”

Section: Discussionmentioning

confidence: 97%

A 73-Year-Old Male with Cervical Spine Osteomyelitis Presenting as Urosepsis

Kakarlapudi¹,

Speirs

Lal³

et al. 2015

Clin Med Insights Case Rep

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Vertebral osteomyelitis is a serious debilitating infection if not detected early. Involvement of cervical vertebrae is usually seen in the presence of specific risk factors. Urinary tract infection commonly spreads to the lumbar vertebrae. This is a case presentation of an elderly male who, in the absence of specific risk factors for cervical osteomyelitis, presented with symptoms of urinary tract infection and was found to have cervical spine osteomyelitis.

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The clinical significance of concurrent Staphylococcus aureus bacteriuria in patients with S. aureus bacteremia

Cited by 31 publications

References 16 publications

Concomitant Staphylococcus aureus bacteriuria is associated with complicated S. aureus bacteremia

Concomitant Staphylococcus aureus bacteriuria is associated with complicated S. aureus bacteremia

Agreement between Parallel Canine Blood and Urine Cultures: Is Urine Culture the Poor Man's Blood Culture?

A 73-Year-Old Male with Cervical Spine Osteomyelitis Presenting as Urosepsis

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