Risk factors for bacteremia in urinary tract infections attended in the emergency department.

Urinary tract infections (UTI) are common in emergency departments (ED), and at least 15% of them are bacteremic. However, there are few data on how to predict which patients are at high risk of developing bacteremic UTI (b-UTI). We performed a retrospective observational cohort study including patients diagnosed with UTI who were admitted to the ED of a tertiary-care hospital in Spain. We included only those patients in whom blood cultures were performed. A nomogram for b-UTI was developed as visualizations of a logistic regression model. Two hundred and thirteen patients with UTI were finally included, 108 of them developed b-UTI (50.7%). The mean age was 60.5 ± 21.4 years. A previous urologic disease was present in 45.5%, 12 out of 213 patients (5.6%) had a urologic tumor (10.2% in b-UTI group vs. 1% in non b-UTI, p = 0.003), and 4.2% were kidney transplant recipients. In a multivariate analysis, variables associated with b-UTI were: solid organ malignancy (OR 3.19; CI 95% 1.01-10.03, p = 0.04), elevated neutrophil count (more than 80% of neutrophils) (OR 5.84; CI 95% 2.13-15.99, p = 0.0006), elevated C reactive protein (OR 1.046; CI 95% 1.006-1.087, p = 0.022), and pyuria (presence of ≥50 white cells per high-power field of urine) (OR 4.43; CI 95% 1.94-10.11, p = 0.0004). The presence of solid tumor, elevated neutrophil count, elevated C reactive protein, and pyuria are independent risk factors that could be useful in anticipating the development of bacteremia in patients with UTI seen in the ED.

Biodeterioration of funeral sculptures in La Recoleta Cemetery, Buenos Aires, Argentina: pre- and post-intervention studies.

Stone materials exposed to weathering are subject to biological colonization and consequently to biofilm formation, causing biodeterioration. The color changes on the stone substrates caused by biogenic pigments, mechanical stress on the mineral structure due to extracellular polymeric substances (EPS) and the accumulation of atmospheric pollutants by the biofilm are some of the deteriogenic effects, which modify esthetic and functional aspects of the work. The aim of this study was to determine biodeterioration and biofilm formation on marble tombstones from La Recoleta Cemetery, Buenos Aires, Argentina. The effect of the biocide benzalkonium chloride on biofilm formation was studied, and a chart produced of the treated tombstones. Pre- and post-intervention microbiological studies, scanning electron microscopy and X-ray dispersion analysis showed a significant decrease of the biofilm flora after treatment. However, algae of the genus Trentepohlia were difficult to eradicate. These studies are a valuable contribution to determine restoration criteria against biofilm formation, to characterize chromatic variations of biological origin on the stone and to formulate conservation and restoration policies.