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Related Experiment Videos

The association between Staphylococcus aureus bacteremia and bacteriuria.

B K Lee, K Crossley, D N Gerding

    The American Journal of Medicine
    |August 1, 1978
    PubMed
    Summary

    Staphylococcus aureus bacteremia frequently co-occurs with bacteriuria, particularly in Veterans Affairs hospitals. This study found 27% of patients with bacteremia also had Staphylococcus aureus in their urine, often without clear kidney infection.

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    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Urology

    Background:

    • Staphylococcus aureus bacteremia is a serious condition.
    • The co-occurrence of Staphylococcus aureus bacteriuria with bacteremia is not well understood.
    • Urinary tract infections can complicate systemic bacterial infections.

    Purpose of the Study:

    • To investigate the relationship between Staphylococcus aureus bacteremia and bacteriuria.
    • To compare clinical and laboratory findings in patients with and without bacteriuria during bacteremia.
    • To determine the incidence of staphylococcal bacteriuria in different hospital settings.

    Main Methods:

    • Prospective study over five years in three hospitals.
    • Analysis of blood and urine cultures from patients with Staphylococcus aureus bacteremia.

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  • Comparison of clinical parameters between patients with and without bacteriuria.
  • Review of autopsy records for renal abscesses.

    • Main Results:

    • Staphylococcus aureus bacteriuria occurred in 27% of bacteremic patients at one hospital.
    • Six patients had apparent primary staphylococcal urinary tract infections.
    • Bacteriuric patients showed more frequent pyuria and proteinuria.
    • Staphylococcal bacteriuria occurred in 7% of bacteremic patients and 13% of endocarditis cases in two other hospitals.
    • No correlation found between bacteriuria and renal abscesses in autopsy reviews.

    Conclusions:

    • Staphylococcal bacteriuria is a frequent, unexplained finding in patients with Staphylococcus aureus bacteremia.
    • Bacteriuria in this context may be associated with pyuria and proteinuria.
    • Further research is needed to understand the mechanisms and implications of staphylococcal bacteriuria during bacteremia.