INFLUENCE OF BLOOD CULTURE RESULTS ON ANTIBIOTIC CHOICE IN THE TREATMENT OF BACTEREMIA
INFLUENCE OF BLOOD CULTURE RESULTS ON ANTIBIOTIC CHOICE IN THE TREATMENT OF BACTEREMIA
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DOI：
10.1001/archinte.1994.00420230024004
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发表时间：
1994-12-12
影响因子：
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通讯作者：
SNYDMAN, DR
中科院分区：
文献类型：
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作者：
ARBO, MDJ;SNYDMAN, DR
背景资料：目前还不清楚如何经常血培养结果的影响经验性antibiotics regiments.Methods：为了评估频率的抗生素修改和适当的文件的血培养结果的房子工作人员physics.We前瞻性地评估了226次发作的菌血症199 patients.Results：抗生素改变了49.6%的发作的真正的菌血症。如果分离出革兰氏阴性杆菌（优势比[OR]，3.19）或金黄色葡萄球菌（OR，3.12），如果在住院前7天内获得血培养（OR，1.9），或者如果住院医师在病历中正确记录了培养结果（OR，3.8）（所有P值，
Background: It is unclear how often blood culture results influence empiric antibiotic regimens.Methods: To assess the frequency of antibiotic modification and the rates of proper documentation of blood culture results by house staff physicians, we prospectively evaluated 226 episodes of bacteremia in 199 patients.Results: Antibiotics were changed in 49.6% of episodes of true bacteremias. Physicians were more likely to change therapy if gram-negative rods (odds ratio [OR], 3.19) or Staphylococcus aureus (OR, 3.12) were isolated, if the blood culture was obtained in the first 7 days of hospitalization (OR, 1.9), or if house staff physicians properly documented the culture results in the medical chart (OR, 3.8) (all P values,