Limited Clinical Utility of Follow-up Blood Cultures in Patients With Streptococcal Bacteremia: An Opportunity for Blood Culture Stewardship.

Document Type

Article

Publication Date

11-7-2020

Institution/Department

Infection Control, MaineHealth Institute for Research

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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