Blood culture collection practices in NICU; A national survey
| Autor: | Nicole Hajjar, Joseph Y Ting, Prakesh S Shah, Kyong-Soon Lee, Michael S Dunn, Jocelyn A Srigley, Faiza Khurshid |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Paediatrics & Child Health. 28:166-171 |
| ISSN: | 1918-1485 1205-7088 |
| DOI: | 10.1093/pch/pxac112 |
| Popis: | Background Sepsis is the leading cause of mortality and morbidity in neonates. Blood cultures are the gold standard in diagnosing neonatal sepsis; however, there are currently no consensus guidelines for blood culture collection in neonates and significant practice variation exists in Neonatal Intensive Care Units (NICUs) globally. Objective To examine current practices in obtaining blood cultures in the evaluation of neonatal sepsis in NICUs across Canada. Methods A nine-item electronic survey was sent to each of the 29 level-3 NICUs in Canada, which are equipped to provide highly specialized care for newborns. Results Responses were received from 90% (26/29) of sites. Sixty-five percent (17/26) of sites have blood culture collection guidelines for the investigation of neonatal sepsis. Forty-eight percent (12/25) of sites routinely target 1.0 mL per culture bottle. In late-onset sepsis (LOS), 58% (15/26) of sites process one aerobic culture bottle, whereas four sites routinely add anaerobic culture bottles. In early-onset sepsis (EOS) in very low birth weight infants (BW Conclusions There is significant practice variation in methods used to obtain blood cultures in level-3 NICUs across Canada. Standardization of blood culture collection practices can provide reliable estimates of the true incidence of neonatal sepsis and help to develop appropriate antimicrobial stewardship strategies. |
| Databáze: | OpenAIRE |
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