PMID: 11901320Mar 20, 2002Paper

Blood culturing practices in a trauma intensive care unit: does concurrent antibiotic use make a difference?

The Journal of Trauma
Carol R SchermerDonald E Fry

Abstract

Febrile trauma patients have repeated blood cultures drawn during a prolonged hospitalization. We examined the diagnostic yield of blood cultures in severely injured patients to determine whether concurrent antimicrobial therapy or prophylactic administration of antibiotics affects blood culture growth. We also determined how rapidly growth changed to determine whether total numbers of blood cultures could be decreased. The hypotheses of the study were that concurrent antimicrobial administration affects blood culture yield, prophylactic administration alters the culture result, and repetitive culturing is unnecessary. A retrospective chart review of trauma patients with minimum Injury Severity Score of 15 and minimum 5-day intensive care unit length of stay was performed. The dates and results of blood cultures and antibiotic type and administration dates were recorded. "Prophylactic" antibiotics were defined as antibiotics administered on admission to the unit. Computer software was used to match the blood culture date to the period of antimicrobial administration. Categorical data were compared using Fisher's exact test. Two hundred fifty-eight patients met entry criteria, and 208 charts were complete for review. One hundred...Continue Reading

References

May 1, 1978·The American Journal of the Medical Sciences·D G Maki, A A Schuna
Dec 1, 1991·American Journal of Surgery·C P TheuerS R Klein
Nov 1, 1991·Annals of Surgery·D M MosdellD E Fry
Mar 1, 1988·Archives of Surgery·E P DellingerS K Benirschke
May 1, 1988·Archives of Internal Medicine·D E CravenW R McCabe
Sep 1, 1987·Journal of General Internal Medicine·H J MakadonM D Aronson
Aug 1, 1986·The Journal of Trauma·A I RothH C Polk
Dec 1, 1985·Infection Control : IC·C Galicier, H Richet
Jun 1, 1985·Critical Care Medicine·R B BrownD Opalenik
Feb 1, 1982·Archives of Surgery·M R OreskovichB H Minshew
Jun 1, 1982·Critical Care Medicine·L G DonowitzJ W Hoyt
Sep 13, 1995·JAMA : the Journal of the American Medical Association·L LeiboviciS D Pitlik
Jul 1, 1994·Intensive Care Medicine·K J SchwenzerC G Durbin
Dec 12, 1994·Archives of Internal Medicine·M D Arbo, D R Snydman
Jan 1, 1994·Critical Care Medicine·A Bueno-CavanillasR Gálvez-Vargas
Nov 5, 1997·The Pediatric Infectious Disease Journal·L C ThulerM H Lebel
Feb 26, 1998·American Journal of Respiratory and Critical Care Medicine·J L TrouilletC Gibert
Oct 26, 1999·Chest·W W Addington, K B Weiss

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Citations

Feb 22, 2012·Croatian Medical Journal·Marco PrevisdominiAndreas Perren
Sep 18, 2007·Critical Care Nursing Quarterly·Anne Ferguson
Jan 9, 2009·Journal of the American Academy of Nurse Practitioners·Barbara K ChesnuttRuth M Kleinpell
Apr 19, 2013·Seminars in Dialysis·Alexander J Kallen
Jun 25, 2004·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·M S TabrizR Khatib
Nov 8, 2014·The Journal of International Medical Research·Manar Al-Lawama, Eman Badran
Sep 9, 2004·Surgical Infections·Philip S BarieSoumitra R Eachempati

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