ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2026
Urinary bacterial count as a predictor of concomitant bacteremia in adults with community-acquired Enterobacterales urinary tract infections.
Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeConcomitant bacteremia is associated with poorer clinical outcomes among adults with community-acquired Enterobacterales urinary tract infections (UTIs). However, evidence regarding whether routine urinalysis parameters can predict concomitant bacteremia remains limited. We aimed to evaluate the diagnostic performance of routine urinalysis parameters for predicting concomitant bacteremia, using blood culture as the reference standard.
methodsThis retrospective cohort study included adults without an indwelling urinary catheter who had community-acquired Enterobacterales UTIs. The predictive performance of urinalysis parameters for concomitant bacteremia was assessed using Receiver operating characteristic curve analysis and multivariable logistic regression.
resultsA total of 153 patients were included, of whom 50 (32.7%) had concomitant bacteremia. Patients with bacteremia were significantly older and had higher urinary leukocyte counts, urinary bacterial counts, and serum procalcitonin levels than those without bacteremia (p < 0.05). Urinary bacterial count had an Area Under the Curve (AUC) value of 0.843 for predicting concomitant bacteremia, with an optimal cut-off value of 57 counts per high-power field, 68.0% sensitivity, 86.4% specificity, and an 84.8% negative predictive value. Serum procalcitonin had an AUC of 0.828, with an optimal cut-off value of 1.27 ng/mL, 79.3% sensitivity, 76.3% specificity, and an 88.2% negative predictive value. In multivariable analysis, urinary bacterial count (OR = 14.8, p < 0.001) and serum procalcitonin level (OR = 6.0, p = 0.009) were independent predictors of concomitant bacteremia.
conclusionsUrinary bacterial count is an independent predictor of concomitant bacteremia in catheter-free adults with community-acquired Enterobacterales UTIs. Its diagnostic performance was comparable to that of serum procalcitonin, suggesting that this inexpensive and readily available parameter may provide additional information regarding the likelihood of concomitant bacteremia.
Indexed as
Identifiers
42521980What OpenQuestion holds
Registered trials
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.