A Simple Algorithm for Predicting Bacteremia Using Food Consumption and Shaking Chills: A Prospective Observational Study
A Simple Algorithm for Predicting Bacteremia Using Food Consumption and Shaking Chills: A Prospective Observational Study
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DOI：
10.12788/jhm.2764
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发表时间：
2017-07-01
影响因子：
2.6
通讯作者：
Inoue, Kenji
中科院分区：
文献类型：
--
作者：
Komatsu, Takayuki;Takahashi, Erika;Inoue, Kenji
背景：根据临床检查预测真菌血症的存在是不可靠的。目的：建立一种简单的预测细菌血症的算法，通过食物消耗和摇动冷冻机来预测真实的细菌血症。设计：一项前瞻性多中心观察性研究。周边环境：位于日本某大城市的三家医院中心。参与者：在2013年4月至2014年8月期间，共有1943名14至96岁的住院患者接受了血液培养。排除有厌食症诱发条件的患者。干预措施：我们根据血培养前的一餐评估患者的口腔食物摄入量，当一餐消耗了80%时定义为“正常食物消耗”，当一餐消耗了80%时定义为“不良食物消耗”
BACKGROUND: Predicting the presence of true bacteremia based on clinical examination is unreliable.OBJECTIVE: We aimed to construct a simple algorithm for predicting true bacteremia by using food consumption and shaking chills.DESIGN: A prospective multicenter observational study.SETTING: Three hospital centers in a large Japanese city.PARTICIPANTS: In total, 1,943 hospitalized patients aged 14 to 96 years who underwent blood culture acquisitions between April 2013 and August 2014 were enrolled. Patients with anorexia-inducing conditions were excluded.INTERVENTIONS: We assessed the patients' oral food intake based on the meal immediately prior to the blood culture with definition as "normal food consumption" when >80% of a meal was consumed and "poor food consumption" when