J Pediatr Intensive Care 2019; 08(03): 144-147
DOI: 10.1055/s-0038-1676993
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Epidemiology of Blood Culture Utilization in a Cohort of Critically Ill Children

Christine Anh-Thu Tran
1   University of Virginia School of Medicine, Charlottesville, Virginia, United States
,
Jenna Verena Zschaebitz
2   Division of Pediatric Critical Care, Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia, United States
,
2   Division of Pediatric Critical Care, Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia, United States
3   Center for Advanced Medical Analytics, University of Virginia, Charlottesville, Virginia, United States
› Institutsangaben

Funding Christine Tran received funding support from NIAID T35 (T35AI060528). All other authors have no funding support to disclose.
Weitere Informationen

Publikationsverlauf

06. September 2018

26. November 2018

Publikationsdatum:
03. Januar 2019 (online)

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Abstract

Blood culture acquisition is integral in the assessment of patients with sepsis, though there exists a lack of clarity relating to clinical states that warrant acquisition. We investigated the clinical status of critically ill children in the timeframe proximate to acquisition of blood cultures. The associated rates of systemic inflammatory response syndrome (72%) and sepsis (57%) with blood culture acquisition were relatively low suggesting a potential overutilization of blood cultures. Efforts are needed to improve decision making at the time that acquisition of blood cultures is under consideration and promote percutaneous blood draws over indwelling lines.

Note

All work pertinent to this manuscript was performed at the University of Virginia Children's Hospital and the University of Virginia School of Medicine, Charlottesville, VA.