Comparison of clinical characteristics and outcomes between positive and negative blood culture septic patients: A retrospective cohort study
Infection and Drug Resistance Oct 15, 2021
Yang L, Lin Y, Wang J, et al. - Among sepsis patients, there were higher in-hospital mortality, comparable early mortality, and worse late mortality among culture-positive patients vs culture-negative patients. Mortality may reduce and clinical prognosis may improve with providing early appropriate antibiotic therapy.
Of 640 patients suffering from sepsis, 592 met the inclusion criteria for sepsis, with 274 having culture-positive results.
Mostly elderly suffering from diabetes and at risk of cancer, with a higher white blood cell count, and higher procalcitonin, comprised the culture-positive patients.
Acute physiology and chronic health evaluation II scores (15 vs 11), as well as predisposition, infection, response, and organ dysfunction (17 vs 11), were higher for the culture-positive patients vs individuals in the culture-negative group.
Relative to culture-negative individuals, culture-positive patients had a longer duration of hospital stay (14 vs 6) and higher in-hospital mortality (14.6% vs 8.5%).
Increased late mortality (15.7% vs 6.9%) was observed in culture-positive patients.
A lower mortality rate was observed in the culture-positive patients in correlation with receipt of early appropriate antibiotics when compared with the culture-negative patients.
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