Contaminant Organism Growth in Febrile Infants at Low Risk for Invasive Bacterial Infection - 26/03/24
Doi : 10.1016/j.jpeds.2024.113910
Nidhi V. Singh, MD 1, ∗, Colleen K. Gutman, MD 2, ⁎∗ 
, Rebecca S. Green, MD 3, Amy D. Thompson, MD 4, Kathleen Jackson, MD 5, Nabila C. Kalari, MD 6, Samantha Lucrezia, MD 7, Andrew Krack, MD, MS 8, Jacqueline B. Corboy, MD, MS 9, Tabitha Cheng, MD 10, Myto Duong, MD 11, Ryan St Pierre-Hetz, MD 12, Bolanle Akinsola, MD 13, Jessica Kelly, MD 3, Laura F. Sartori, MD, MPH 3, Xinyu Yan, MS 14, Xiang Yang Lou, PhD 14, K. Casey Lion, MD, MPH 15, 16, Rosemarie Fernandez, MD 17, Paul L. Aronson, MD, MHS 18
on behalf of the
, Rebecca S. Green, MD 3, Amy D. Thompson, MD 4, Kathleen Jackson, MD 5, Nabila C. Kalari, MD 6, Samantha Lucrezia, MD 7, Andrew Krack, MD, MS 8, Jacqueline B. Corboy, MD, MS 9, Tabitha Cheng, MD 10, Myto Duong, MD 11, Ryan St Pierre-Hetz, MD 12, Bolanle Akinsola, MD 13, Jessica Kelly, MD 3, Laura F. Sartori, MD, MPH 3, Xinyu Yan, MS 14, Xiang Yang Lou, PhD 14, K. Casey Lion, MD, MPH 15, 16, Rosemarie Fernandez, MD 17, Paul L. Aronson, MD, MHS 18on behalf of the
Pediatric Emergency Medicine Collaborative Research Committee Febrile Infants and Health Disparities Study Group
1 Division of Pediatric Emergency Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX
2 Departments of Emergency Medicine and Pediatrics, University of Florida College of Medicine, Gainesville, FL
3 Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA
4 Department of Pediatrics, Nemours Children's Hospital of Delaware, Wilmington, DE
5 Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Prisma Health, University of South Carolina School of Medicine Greenville, Greenville, SC
6 Pediatric Emergency Medicine, St. Christopher's Hospital for Children, Philadelphia, PA
7 Department of Pediatric Emergency Medicine, Johns Hopkins All Children's Hospital, St. Petersburg, FL
8 Section of Emergency Medicine, Department of Pediatrics, School of Medicine, University of Colorado and Children's Hospital Colorado, Aurora, CO
9 Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL
10 Department of Emergency Medicine, Harbor UCLA Medical Center and the David Geffen School of Medicine at UCLA, Los Angeles, CA
11 Division of Pediatric Emergency Medicine, Southern Illinois University, Carbondale, IL
12 Department of Pediatrics, University of Pittsburgh Medical Center and Children's Hospital of Pittsburgh, Pittsburgh, PA
13 Department of Pediatrics and Emergency Medicine, Children's Healthcare of Atlanta, Emory University School of Medicine
14 Department of Biostatistics, University of Florida College of Medicine and College of Public Health and Health Professions, Gainesville, FL
15 Department of Pediatrics, University of Washington School of Medicine, Seattle, WA
16 Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, WA
17 Department of Emergency Medicine and the Center for Experiential Learning and Simulation, University of Florida College of Medicine, Gainesville, FL
18 Section of Pediatric Emergency Medicine, Departments of Pediatrics and Emergency Medicine, Yale School of Medicine, New Haven, CT
∗Reprint requests: Colleen K. Gutman, MD, 1329 SW 16th St, Gainesville, FL 326101329 SW 16th StGainesvilleFL32610
Abstract |
In this multicenter, cross-sectional, secondary analysis of 4042 low-risk febrile infants, nearly 10% had a contaminated culture obtained during their evaluation (4.9% of blood cultures, 5.0% of urine cultures, and 1.8% of cerebrospinal fluid cultures). Our findings have important implications for improving sterile technique and reducing unnecessary cultures.
Le texte complet de cet article est disponible en PDF.Keywords : emergency department, blood cultures, urine cultures, cerebrospinal fluid, patient safety
Abbreviations : ED, IBI, UTI, CSF, cfu
Plan
© 2024
Elsevier Inc. Tous droits réservés.
Vol 267
Article 113910- avril 2024 Retour au numéro
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