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Master Thesis

Influence des hémocultures dans la prise en charge des pyélonéphrites aigües diagnostiquées aux urgences

Abstract : Acute pyelonephritis is a common disease encountered in emergency departments. They represent the second site of bacterial infection after pleuropulmonary infections. In practice, we found that blood cultures were routinely collected in addition to ECBU and standard biological assessment regardless of the type of pyelonephritis encountered when patients were referred to the emergency for this pathology. Objective: To study the influence of blood cultures in the management of acute pyelonephritis diagnosed in emergency department. Method: Retrospective study conducted from January 2017 to December 2017 at the Saint-Lô Memorial Hospital Center. 147 patients diagnosed with acute pyelonephritis were included in the emergency. Results: We did not show any significant difference in favor of blood cultures in the management of acute pyelonephritis. We found only 3 cases where the result of the blood cultures differed from that of the ECBU: 1 case where the blood cultures were contaminated and in the other 2 cases they made it possible to adapt the antibiotherapy. Conclusion: Routine blood cultures in patients with symptoms of acute pyelonephritis rarely result in therapeutic modification. Moreover, they represent a significant public health cost and lead to additional workload for paramedical staff. The interest of this levy should be assessed before any prescription.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02484291
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Submitted on : Wednesday, February 19, 2020 - 11:16:41 AM
Last modification on : Friday, April 10, 2020 - 3:38:08 PM

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  • HAL Id : dumas-02484291, version 1

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Cassandre Vielle. Influence des hémocultures dans la prise en charge des pyélonéphrites aigües diagnostiquées aux urgences. Médecine humaine et pathologie. 2019. ⟨dumas-02484291⟩

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