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Eur J Clin Microbiol Infect Dis. 1995 Apr;14(4):346-9.

Value of routine stool cultures in hospitalized patients with diarrhea.

Author information

1
Laboratoire de Microbiologie, Hôpital Saint-Antoine, Paris, France.

Abstract

In a prospective study conducted over a six-month period, the relative yield of 721 routine cultures of stool from adult inpatients as a function of the time after hospital admission was assessed. Salmonella, Campylobacter, Shigella or Yersinia spp. were recovered from 10.9% (41/377) of patients within three days of hospitalization and from only 1.5% (5/344) after three days. However, a review of these patients' charts did not suggest nosocomial transmission but rather a delay in stool collection or asymptomatic carriage. Clostridium difficile was isolated with a high frequency in patients both within and after three days of hospitalization (10.3% and 10.2%, respectively). Thus, stool specimens from adults hospitalized for more than three days should not be cultured except for Clostridium difficile unless there are plausible clinical or epidemiological reasons to do so.

PMID:
7649200
DOI:
10.1007/bf02116530
[Indexed for MEDLINE]

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