Evidence map›Paper›PMID 37884696›Full record

ArticleInfection2024

Rate and predictors of blood culture positivity after antibiotic administration: a prospective single-center study.

Lior Zornitzki, Lana Anuk, Shir Frydman, Nira Morag-Koren, David Zahler, Ophir Freund, Roni Biran, Yael Liron, Luba Tau, Joseph Zvi Tchebiner and 2 more

Abstract read
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In one paragraph

Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  5. Successful Treatment ofClinical case reports · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Lior ZornitzkiDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel. Lior.zoz@gmail.com.
Lana AnukSchool of Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Shir FrydmanDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.
Nira Morag-KorenSchool of Medicine, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
David ZahlerDepartment of Cardiology, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ophir FreundDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.
Roni BiranDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.
Yael LironDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.
Luba TauThe Unit for Infectious Diseases, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Joseph Zvi TchebinerDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.
Haitam KatashDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.
Gil BornsteinDepartment of Internal Medicine B, Tel Aviv Sourasky Medical Center, Affiliated with the School of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBlood culture obtainment prior to antibiotic administration, in patients with suspected infection, is considered the best practice in international guidelines. However, there is little data regarding the effect of a single dose of antibiotics on blood culture sterilization.

methodsWe conducted a prospective study, enrolling consecutive patients with suspected infection, hospitalized in an internal medicine ward between December 2019 and January 2023. Included patients had a positive blood culture prior to antibiotic administration and a set of blood cultures taken within 24 h after a single dose of antibiotics. The rate of patients with pathogen isolation after antibiotic administration was assessed. Logistic regression was performed to examine factors associated with blood culture positivity.

resultsA total of 155 patients were recruited for the study of which 131 (50.8% female 77.5 ± 13.4 years) met the inclusion criteria. The overall rate of patients with a positive blood culture after a single dose of antibiotics was 42.0% (55/131 patients). Increasing time between antibiotic administration and post-antibiotic culture was an independent predictor for blood culture sterilization (odds ratio 0.89 [95% confidence interval, 0.83-0.97; p = 0.006] for every 60 min). Blood culture volume was an independent predictor for blood culture positivity in a sensitivity analysis which included 82 patients (OR = 1.26 [95% CI 1.03-1.57] for every 1 ml increase; p = 0.024).

conclusionBlood culture positivity is reduced by antimicrobial therapy but remains high after a single dose of antibiotics. If cultures are not obtained prior to antibiotic administration, they should be obtained as soon as possible afterwards.

Indexed as

Anti-Bacterial AgentsBlood CultureFemaleHumansMaleProspective StudiesAnti-Bacterial AgentsAntibioticsBlood culturesInfectionMicrobiologySepsis

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.