Coluna/Columna (Jul 2024)
BACTERIAL PROFILE IN SPONDYLODISCITIS: COMPARING BIOPSY, BLOOD CULTURE AND UROCULTURE
Abstract
ABSTRACT Objective: To evaluate and correlate the bacterial profile identified in blood cultures, urine cultures and vertebral biopsies in patients at Hospital Santa Marcelina in São Paulo - SP. Methods: Cross-sectional study of 20 patients affected by spondylodiscitis. Blood culture, urine culture, and spinal biopsy results were evaluated, in addition to sex and age. Results: The sample consisted of 20 patients, between 32 and 79 years old, predominantly male, diagnosed with spondylodiscitis. Most blood culture and urine culture results were negative, 80% and 65%, respectively. Among the spinal biopsy samples, 60% identified pathogens. When correlating the samples, 50% of the blood culture and biopsy cases presented the same result; however, between urine culture and biopsy, none identified the same germ between the samples. Conclusion: It is concluded that results from blood cultures, urine cultures, and spinal biopsies may frequently differ, making biopsy essential in diagnosing and treating spondylodiscitis. Level of Evidence IV; Cross-Sectional Study.
Keywords