Time to Detection of Bacterial Cultures in Infants Aged 0 to 90 Days
| Autor: | Bryan R. Fine, Rianna C. Evans |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Pediatrics
medicine.medical_specialty Time Factors Time to detection Microbiological culture medicine.diagnostic_test business.industry Colony Count Microbial Infant Newborn Infant Retrospective cohort study Bacterial Infections General Medicine Urine Inpatient setting Emergency department Cerebrospinal fluid Pediatrics Perinatology and Child Health medicine Humans Blood culture business Retrospective Studies |
| Zdroj: | Hospital Pediatrics. 3:97-102 |
| ISSN: | 2154-1671 2154-1663 |
| DOI: | 10.1542/hpeds.2012-0025 |
| Popis: | Objective: To determine the time to detection (TTD) of positive results on blood, urine, and cerebrospinal fluid (CSF) cultures taken during the evaluation for serious bacterial infection (SBI) in otherwise healthy infants aged 0 to 90 days. Methods: This study was a retrospective chart review of infants aged 0 to 90 days with positive blood, urine, or CSF cultures drawn during evaluation for SBI in the emergency department or inpatient setting. The TTD of positive culture results, reason for testing, and age of the infant were recorded. Results: A total of 283 charts were reviewed related to 307 positive culture results. Of the 101 positive results on blood culture, 38% were true pathogens with a mean TTD of 13.3 hours; 97% were identified in ≤36 hours. Blood cultures with TTD ≥36 hours were 7.8 times more likely to be contaminants compared with those with TTD Conclusions: In certain clinical situations, the inpatient observation period for infants under evaluation for SBI may be decreased to 36 hours. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|