Title

Limited clinical utility of follow-up blood cultures in patients with streptococcal bacteremia: an opportunity for blood culture stewardship

Document Type

Article

Publication Date

12-1-2020

Institution/Department

Pharmacy, Infection Control

Journal Title

Open Forum Infect Dis

Abstract

Background: The value of positive follow-up blood cultures (FUBCs) in streptococcal bacteremia has not been well defined. Therefore, we explored the frequency of and risk factors for positive FUBC in a retrospective cohort of patients with streptococcal bacteremia.

Methods: Adults ≥18 years of age, admitted with at least 1 positive blood culture for

Results: In our single-center cohort, we identified 590 patients with streptococcal bacteremia, and 314 patients met inclusion criteria. Ten patients had FUBC with

Conclusions: Follow-up blood cultures among patients with streptococcal BSI are rarely positive. Clinicians could consider limiting follow-up blood cultures in patients at low risk for deep-seated streptococcal infections, persistent bacteremia, or endovascular infection.

ISSN

2328-8957

First Page

541

Last Page

541

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