medigraphic.com
SPANISH

MediSur

ISSN 1727-897X (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2014, Number 1

<< Back Next >>

Medisur 2014; 12 (1)

Results of Performing Blood Cultures at Hospital Admission in Patients with Community-acquired Pneumonia

González MI, Fragoso MMC, Corona MLA
Full text How to cite this article

Language: Spanish
References: 14
Page: 135-139
PDF size: 157.28 Kb.


Key words:

pneumonia, community-acquired infections, hospitalization, blood chemical analysis, blood specimen collection.

ABSTRACT

Background: community-acquired pneumonia is a major health problem worldwide, in Cuba and in the province of Cienfuegos.
Objective: to report the results of blood cultures performed at hospital admission in patients with community-acquired pneumonia.
Methods: a prospective descriptive study was conducted in the Gustavo Aldereguía Lima Hospital in Cienfuegos, during the second half of 2012. It included 52 patients with community-acquired pneumonia who underwent blood culture at their admission to the hospital.
Results: only five patients (9.6% of the cases) had a positive test result; Streptococcus pneumoniae was isolated from only one positive culture; Staphylococcus aureus and Klebsiella pneumoniae were isolated from the rest.
Conclusions: the percentage obtained in this study confirms the low diagnostic yield of blood cultures performed at admission in patients with community-acquired pneumonia; the low isolation rate of S. pneumoniae in our study was also significant.


REFERENCES

  1. Corona Martínez LA, Fragoso Marchante MC, González Morales I, Sierra Martínez D, Borroto Lecuna S, Chávez Troya O. Aplicación de un instrumento para la estratificación del paciente con neumonía adquirida en la comunidad en el Departamento de Urgencias. Medisur [revista en Internet]. 2011 [ cited 1 Jul 2013 ] ; 9 (5): [aprox. 9p]. Available from: http://www.medisur.sld.cu/index.php/medisur/arti cle/view/1544.

  2. Corona Martínez LA, Fragoso Marchante MC, Borroto Lecuna S, Hernández Abreus C, Home López-Viera B, Domínguez Casillas I. Un instrumento para la estratificación del paciente con neumonía adquirida en la comunidad en el departamento de urgencias. Rev Cubana Med [revista en Internet]. 2006 [ cited 1 Jul 2013 ] ; 45 (2): [aprox. 10p]. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext& pid=S0034-75232006000200012&lng=es.

  3. Cervantes Narváez IA. Sensibilidad y especificidad del hemocultivo como factor predictivo de bacteriemia en pacientes con neumonía. Rev Sanid Milit Mex. 2002 ; 56 (2): 74-8.

  4. Mathurin S, Jaimet C, Agüero A, Moro J, Del Pino A, Arosio A, et al. Estudio prospectivo observacional de bacteriemia neumocóccica en adultos. Aspectos clínicos y factores pronósticos. Rev Méd Rosario. 2008 ; 74: 108-121.

  5. Washington JA. Collection, transport and processing of blood culture. Clin Lab Med. 1994 ; 14 (1): 59-68.

  6. Ostergaard L, Andersen PL. Etiology of community adquired pneumonia. Evaluation by transtracheal aspiration, blood culture or serology. Chest. 1993 ; 104 (5): 1400-7.

  7. Glerant JC, Hellmuth D, Schmit JL, Ducroix JP, Jounieaux V. Utility of blood cultures in community-acquired pneumonia requiring hospitalization: influence of antibiotic treatment before admission. Respir Med. 1999 ; 93 (3): 208-12.Descargado el: 13-03-2014 ISSN 1727-897X Medisur 139 febrero 2014 | Volumen 12 | Numero 1

  8. Waterer G, Jennings G, Wunderink R. The impact of blood cultures on antibiotic therapy in pneumococcal pneumonia. Chest. 1999 ; 116 (5): 1278-81.

  9. Rodríguez Luna H, Pankey G. The Utility of Blood Culture in Patients with Community-Acquired Pneumonia. Ochsner J. 2001 ; 3 (2): 85-93.

  10. Campbell S, Marrie T, Anstey R, Ackroyd-Stolarz S, Dickinson G. Utility of blood cultures in the management of adults with community acquired pneumonia discharged from the emergency department. Emerg Med J. 2003 ; 20 (6): 521-3.

  11. Theerthakarai R, El-Halees W, Ismail M, Solis RA, Khan MA. Nonvalue of the initial microbiological studies in the management of nonsevere community-acquired pneumonia. Chest. 2001 ; 119 (1): 181-4.

  12. Catalán SC, Roxana Catay E, Mariana Pegoraro N, Tosolini ED. Utilidad del hemocultivo en el manejo de la neumonía adquirida en la comunidad. Revista de Posgrado de la VIa cátedra de Medicina. 2006 ; 163: 1-3.

  13. Luna C, Famiglietti A, Absi R, Videla A, Nogueira F, Fuenzalida AD. Community adquired pneumonia: etiology, epidemiology and outcomes at a teaching hospital in Argentina. Chest. 2000 ; 118 (5): 1344-54.

  14. Díaz Parodi GI, Musacchio HM. Evaluación de predictores clínicos de bacteriemia en adultos hospitalizados por neumonía adquirida en la comunidad. Rev Panam Salud Pública. 2011 ; 29 (6): 393-8.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Medisur. 2014;12