An after-hours clinical liaison blood culture service--is it worth it?

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
F FitzpatrickE Smyth

Abstract

The impact of clinical liaison on therapy for positive after-hours blood cultures was evaluated. Of 223 positive blood cultures, no change in management occurred in 164 (73%) cases: 115 positive cultures were regarded as contaminants, and 49 patients were receiving appropriate therapy already. The results of microscopy or culture altered the antimicrobial management of 59 (27%) patients: therapy was altered on the basis of microscopy for 33 patients, and was altered for 26 patients when culture results were available. In total, 94 doses of inappropriate antibiotics were avoided. The main benefit of after-hours blood cultures was that laboratory results were available a day earlier, facilitating timely initiation of appropriate therapy and infection control procedures.

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Citations

Dec 5, 2009·Médecine et maladies infectieuses·H HitotoM-L Joly-Guillou
May 18, 2013·Diagnostic Microbiology and Infectious Disease·Caroline RönnbergVolkan Özenci
May 4, 2010·The Journal of Hospital Infection·A BarryF Fitzpatrick
Aug 4, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Alida Fe TalentoEdmond Smyth
Sep 8, 2009·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·M EveillardM-L Joly-Guillou
Sep 23, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Paul R IngramJ Flexman
Nov 12, 2016·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M J BruinsM J H M Wolfhagen
Jan 29, 2019·The Journal of Antimicrobial Chemotherapy·Romney Humphries, Tiziana Di Martino

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