Superficial Cultures in Neonatal Sepsis Evaluations.

Autor: Zuerlein, Terrance J., Butler, Jay C., Yeager, Thomas D.
Předmět:
Zdroj: Clinical Pediatrics; Aug1990, Vol. 29 Issue 8, p445-447, 3p
Abstrakt: The authors performed a retrospective analysis of neonatal superficial cultures and their effect on antimicrobial decision making during a nine-month period at Nashville General Hospital. They obtained and reviewed charts of infants (n=66) having paired superficial (skin and/or gastric aspirate) and deep (blood and cerebrospinal fluid) cultures for the evaluation of early-onset sepsis. Superficial cultures were positive for pathogens (any streptococcus or enteric gram-negative) in 15% (10/66) of cases. Antimicrobial decision making was affected in only one of these cases, and in a seemingly inappropriate manner. In summary, there was no evidence or review that superficial cultures used in sepsis evaluation influenced physician antimicrobial decision making; in one case they may have led to unnecessary antibiotic exposure. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index