Prognostic roles of time to positivity of blood culture in children with Streptococcus pneumoniae bacteremia

We aimed to investigate the relationship between time to positivity (TTP) of blood cultures and clinical outcomes in children with S. pneumoniae bacteremia. Children with S. pneumoniae bacteremia hospitalized in Children’s Hospital of Chongqing Medical University from May 2011 to December 2017 were...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2019-03, Vol.38 (3), p.457-465
Hauptverfasser: Li, Qinyuan, Li, Yuanyuan, Yi, Qian, Suo, Fengtao, Tang, Yuan, Luo, Siying, Tian, Xiaoyin, Zhang, Guangli, Chen, Dapeng, Luo, Zhengxiu
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container_title European journal of clinical microbiology & infectious diseases
container_volume 38
creator Li, Qinyuan
Li, Yuanyuan
Yi, Qian
Suo, Fengtao
Tang, Yuan
Luo, Siying
Tian, Xiaoyin
Zhang, Guangli
Chen, Dapeng
Luo, Zhengxiu
description We aimed to investigate the relationship between time to positivity (TTP) of blood cultures and clinical outcomes in children with S. pneumoniae bacteremia. Children with S. pneumoniae bacteremia hospitalized in Children’s Hospital of Chongqing Medical University from May 2011 to December 2017 were enrolled retrospectively. Overall, 136 children with S. pneumoniae bacteremia were enrolled. The standard cutoff TTP was 12 h. We stated that in-hospital mortality is significantly higher in the early TTP (≤ 12 h) group than that in the late TTP (> 12 h) group (41.70% vs 8.00%, P  
doi_str_mv 10.1007/s10096-018-03443-5
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Children with S. pneumoniae bacteremia hospitalized in Children’s Hospital of Chongqing Medical University from May 2011 to December 2017 were enrolled retrospectively. Overall, 136 children with S. pneumoniae bacteremia were enrolled. The standard cutoff TTP was 12 h. We stated that in-hospital mortality is significantly higher in the early TTP (≤ 12 h) group than that in the late TTP (&gt; 12 h) group (41.70% vs 8.00%, P  &lt; 0.001). Septic shock occurred in 58.30% of patients with early TTP and in 21.00% of patients with late TTP ( P  &lt; 0.001). Independent risk factors of in-hospital mortality and septic shock in children with S. pneumoniae bacteremia included early TTP, need for invasive mechanical ventilation, and PRISM III score ≥ 10. Overall, TTP ≤ 12 h appeared to associate with the worse outcomes for children with S. pneumoniae bacteremia.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-018-03443-5</identifier><identifier>PMID: 30680552</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bacteremia ; Biomedical and Life Sciences ; Biomedicine ; Blood ; Blood culture ; Children ; Internal Medicine ; Mechanical ventilation ; Medical Microbiology ; Mortality ; Original Article ; Patients ; Risk analysis ; Risk factors ; Sepsis ; Septic shock ; Streptococcus infections ; Streptococcus pneumoniae ; Ventilation</subject><ispartof>European journal of clinical microbiology &amp; infectious diseases, 2019-03, Vol.38 (3), p.457-465</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>European Journal of Clinical Microbiology &amp; Infectious Diseases is a copyright of Springer, (2019). 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Overall, TTP ≤ 12 h appeared to associate with the worse outcomes for children with S. pneumoniae bacteremia.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30680552</pmid><doi>10.1007/s10096-018-03443-5</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3029-9624</orcidid></addata></record>
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source SpringerNature Journals
subjects Bacteremia
Biomedical and Life Sciences
Biomedicine
Blood
Blood culture
Children
Internal Medicine
Mechanical ventilation
Medical Microbiology
Mortality
Original Article
Patients
Risk analysis
Risk factors
Sepsis
Septic shock
Streptococcus infections
Streptococcus pneumoniae
Ventilation
title Prognostic roles of time to positivity of blood culture in children with Streptococcus pneumoniae bacteremia
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