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. 2022 Apr 15;9(5):ofac173.
doi: 10.1093/ofid/ofac173. eCollection 2022 May.

Follow-up Blood Culture Practices for Gram-Negative Bloodstream Infections in Immunocompromised Hosts at a Large Academic Medical Center

Lauren Groft Buzzalino  1 , James Mease  2 , Ciera L Bernhardi  3 , Jacqueline T Bork  4 , J Kristie Johnson  4 , Kimberly C Claeys  5
Affiliations

Follow-up Blood Culture Practices for Gram-Negative Bloodstream Infections in Immunocompromised Hosts at a Large Academic Medical Center

Lauren Groft Buzzalino et al. Open Forum Infect Dis. .

Abstract

The role of follow-up blood cultures (FUBCs) in gram-negative bloodstream infections to improve clinical outcomes remains controversial, especially among immunocompromised patients. Among 139 patients, FUBCs were common (117, 84.2%); however, positive FUBCs were rare (3, 2.6%). Only presence of fever was associated with a positive FUBC.

Keywords: bloodstream infection; gram-negative; immunocompromise; oncology; transplant.

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Figures

Figure 1.
Figure 1.
Microbiologic distribution of index blood cultures. aEnterobacter hormaechei, Citrobacter spp., Klebsiella variicola, Morganella morganii, Pantoea spp., Pluralibacter (Enterobacter) gergoviae, Raoultella (Klebsiella) planticola, Stenotrophomonas maltophilia.
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