High positivity of blood cultures obtained within two hours after shaking chills
Objective: To determine whether the time lag between blood culture draw and the start of shaking chills is associated with blood culture positivity. Methods: A prospective observational study was undertaken from January 2013 to March 2015 at a referral center in Okinawa, Japan. All enrolled patients...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-11-01
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| Series: | International Journal of Infectious Diseases |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971218344813 |
| _version_ | 1818256839634059264 |
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| author | Tomohiro Taniguchi Sanefumi Tsuha Soichi Shiiki Masashi Narita |
| author_facet | Tomohiro Taniguchi Sanefumi Tsuha Soichi Shiiki Masashi Narita |
| author_sort | Tomohiro Taniguchi |
| collection | DOAJ |
| description | Objective: To determine whether the time lag between blood culture draw and the start of shaking chills is associated with blood culture positivity. Methods: A prospective observational study was undertaken from January 2013 to March 2015 at a referral center in Okinawa, Japan. All enrolled patients were adults with an episode of shaking chills who were newly admitted to the division of infectious diseases. The study exposure was the time lag between blood culture draw and the most recent episode of shaking chills. Results: Among patients whose blood cultures were obtained within 2 h after shaking chills started, the blood culture positivity was 53.6% (52/97), whereas among patients whose blood cultures were obtained after more than 2 h, the positivity was 37.6% (44/117) (p = 0.019). The adjusted odds ratio of blood culture positivity for samples drawn within 2 h after shaking chills was 1.88 (95% confidence interval 1.01–3.51, p = 0.046). Escherichia coli were the most frequently detected bacteria (58/105). Conclusions: The positivity of blood cultures obtained within 2 h after the start of the most recent shaking chills was higher than that for blood cultures obtained after 2 h. Keywords: Blood culture, Shaking chills, Bacteremia, Sepsis, Shivering |
| first_indexed | 2024-12-12T17:34:08Z |
| format | Article |
| id | doaj.art-95fda25af483457085fb9d0db0170103 |
| institution | Directory Open Access Journal |
| issn | 1201-9712 |
| language | English |
| last_indexed | 2024-12-12T17:34:08Z |
| publishDate | 2018-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-95fda25af483457085fb9d0db01701032022-12-22T00:17:17ZengElsevierInternational Journal of Infectious Diseases1201-97122018-11-01762328High positivity of blood cultures obtained within two hours after shaking chillsTomohiro Taniguchi0Sanefumi Tsuha1Soichi Shiiki2Masashi Narita3Division of Infectious Diseases, Department of Internal Medicine, Okinawa Chubu Hospital, 281 Miyazato, Uruma, Okinawa 904-2293, Japan; Division of General Internal Medicine and Infectious Diseases, Hiroshima Prefectural Hospital, 1-5-54 Ujinakanda, Minamiku, Hiroshima 734-8530, Japan; Corresponding author at: Division of General Internal Medicine and Infectious Diseases, Hiroshima Prefectural Hospital, 1-5-54 Ujinakanda, Minamiku, Hiroshima 734-8530, Japan.Division of Infectious Diseases, Department of Internal Medicine, Okinawa Chubu Hospital, 281 Miyazato, Uruma, Okinawa 904-2293, JapanDivision of Infectious Diseases, Department of Internal Medicine, Okinawa Chubu Hospital, 281 Miyazato, Uruma, Okinawa 904-2293, JapanDivision of Infectious Diseases, Department of Internal Medicine, Okinawa Chubu Hospital, 281 Miyazato, Uruma, Okinawa 904-2293, JapanObjective: To determine whether the time lag between blood culture draw and the start of shaking chills is associated with blood culture positivity. Methods: A prospective observational study was undertaken from January 2013 to March 2015 at a referral center in Okinawa, Japan. All enrolled patients were adults with an episode of shaking chills who were newly admitted to the division of infectious diseases. The study exposure was the time lag between blood culture draw and the most recent episode of shaking chills. Results: Among patients whose blood cultures were obtained within 2 h after shaking chills started, the blood culture positivity was 53.6% (52/97), whereas among patients whose blood cultures were obtained after more than 2 h, the positivity was 37.6% (44/117) (p = 0.019). The adjusted odds ratio of blood culture positivity for samples drawn within 2 h after shaking chills was 1.88 (95% confidence interval 1.01–3.51, p = 0.046). Escherichia coli were the most frequently detected bacteria (58/105). Conclusions: The positivity of blood cultures obtained within 2 h after the start of the most recent shaking chills was higher than that for blood cultures obtained after 2 h. Keywords: Blood culture, Shaking chills, Bacteremia, Sepsis, Shiveringhttp://www.sciencedirect.com/science/article/pii/S1201971218344813 |
| spellingShingle | Tomohiro Taniguchi Sanefumi Tsuha Soichi Shiiki Masashi Narita High positivity of blood cultures obtained within two hours after shaking chills International Journal of Infectious Diseases |
| title | High positivity of blood cultures obtained within two hours after shaking chills |
| title_full | High positivity of blood cultures obtained within two hours after shaking chills |
| title_fullStr | High positivity of blood cultures obtained within two hours after shaking chills |
| title_full_unstemmed | High positivity of blood cultures obtained within two hours after shaking chills |
| title_short | High positivity of blood cultures obtained within two hours after shaking chills |
| title_sort | high positivity of blood cultures obtained within two hours after shaking chills |
| url | http://www.sciencedirect.com/science/article/pii/S1201971218344813 |
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