Blood cultures ordered in the adult emergency department are rarely useful

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
David MountainGeorge A Jelinek

Abstract

Although blood cultures are commonly ordered in the emergency department, there is controversy about their utility. This study aimed to determine the usefulness of blood cultures in the management of patients presenting to a tertiary adult teaching hospital emergency department in Perth, Western Australia. A detailed chart review was undertaken of all blood cultures taken in our emergency department over a 2-month period. All patients within the hospital having blood cultures taken were identified; from this group, blood cultures originating from the emergency department were reviewed. Data were collected concerning patient demographics, culture indication, vital signs, culture outcome, disposition and alterations in management resulting from the blood culture. 218 blood cultures were ordered from the emergency department during the study period. This represented 4.0% (218/5478) of the total number of patients seen. Of the 218 cultures, only 30 were positive (13% of the study population), with 16 (7.3%) probable contaminants and 14 (6.4 %) true positives. No anaerobic isolates were identified. Of the 14 significantly positive blood cultures, the result influenced management in six patients, resulting in a useful culture rate of...Continue Reading

References

Aug 1, 1996·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·K M SturmannJ Murphy
Mar 11, 1998·Pediatrics·K B Sadow, J M Chamberlain
Jun 2, 1998·Pediatrics·R E Davis, I Osorio
Jul 29, 1998·Journal of Accident & Emergency Medicine·A M Kelly
May 12, 2000·Archives of Pediatrics & Adolescent Medicine·G S Segal, J M Chamberlain
Jul 5, 2002·The American Journal of Emergency Medicine·Raymond D Pitetti, Sylvia Choi
Feb 27, 2004·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J M RamosA Martín-Hidalgo

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Citations

Apr 20, 2011·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·K WildiR Nüesch
Apr 23, 2009·International Journal of Emergency Medicine·Jon W SchrockRita K Cydulka
Jan 6, 2011·The Pediatric Infectious Disease Journal·Samir S ShahJoshua P Metlay
Sep 8, 2007·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·David A Westwood
Jan 18, 2011·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Ruth R Robert
Feb 25, 2010·Pediatric Emergency Care·April J KamStephen B Freedman
Sep 28, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Julius Cuong PhamPeter J Pronovost
Dec 25, 2015·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Kazuaki TokodaiNoriaki Ohuchi
Apr 29, 2014·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·S DargèreUNKNOWN UBC study group
Dec 5, 2008·Journal of the American Geriatrics Society·Henry J Woodford, James George
Feb 17, 2009·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Nima AfsharRobert Silbergleit
Aug 6, 2013·Emergency Medicine Australasia : EMA·Diana Egerton-Warburton, Sue Ieraci
Mar 27, 2015·Internal and Emergency Medicine·Stanislas LedochowskiArnaud Friggeri
Apr 17, 2013·The Journal of Emergency Medicine·William F PaoloSusan Wojcik
Jun 26, 2009·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Toshikazu AbeRichard B Birrer
Aug 10, 2016·The American Journal of Emergency Medicine·Kayvan Moussavi, Vitaliy Nikitenko
Oct 30, 2016·The Journal of Emergency Medicine·Brit Long, Alex Koyfman
Nov 18, 2018·The Journal of Antimicrobial Chemotherapy·Kerina J DennyGerben Keijzers
Oct 16, 2012·Nursing Education Perspectives·Kimberly I Dudas
Jul 20, 2014·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Amélie Blanchet Garneau, Jacinthe Pepin
Dec 11, 2007·Journal of Medical Microbiology·Timothy J J InglisSelva Ketharanathan
Feb 14, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Ariel KenigSarah Israel
Dec 7, 2007·Omega·Barbara MonroeNigel Sykes
Jul 3, 2018·Emergency Medicine Australasia : EMA·Kerina J DennyGerben Keijzers
May 31, 2018·Surgical Infections·Sarah E PosillicoJeffrey A Claridge
Jun 23, 2011·Expert Review of Anti-infective Therapy·Werner C Albrich, Beat Mueller
Aug 22, 2018·Emergency Medicine Australasia : EMA·Kerina J Denny, Gerben Keijzers
Jan 1, 2011·World Journal of Emergency Medicine·Samuel George CampbellDavid Graydon Urquhart

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