Efficacy of routine catheter tip culture in a neonatal intensive care unit

Pediatrics International : Official Journal of the Japan Pediatric Society
Taito KitanoHideki Minowa

Abstract

Routine catheter tip cultures are not recommended because some cases of colonization, such as with Staphylococcus aureus, can lead to subsequent bacteremia. To evaluate the safety of colonization without antimicrobial treatment, as well as the effectiveness of routine catheter tip cultures in the neonatal intensive care unit (NICU), we performed a retrospective data analysis in a Japanese community hospital. We reviewed all peripherally inserted central venous catheter tip culture results from the NICU ward between April 2012 and June 2017 and noted outcome (i.e. antimicrobial treatment or subsequent infection). We then performed a cost analysis for routine catheter tip culturing on patients who were symptom free during the study period. Of the 93 positive cases in 80 patients from 1,051 catheter tip cultures, seven patients had suspected infection and were treated with antimicrobials. The other 73 symptom-free, positive patients had no subsequent or exacerbated symptoms indicative of an infection, and did not have antimicrobial treatment. The total cost for catheter tip culturing during the study period was ¥548 731. After excluding patients with symptoms of infection at the time of culture, the efficacy of routine catheter ti...Continue Reading

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Citations

Mar 19, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Yi Ling LaiSameer S Kadri
Oct 23, 2019·Journal of Healthcare Engineering·Yu HeYanping Ying

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