scholarly journals Clinical practice of obtaining blood cultures from patients with a central venous catheter in place: an international survey

2009 ◽  
Vol 15 (7) ◽  
pp. 683-686 ◽  
Author(s):  
M.E. Falagas ◽  
V. Ierodiakonou ◽  
V.G. Alexiou
1993 ◽  
Vol 17 (2) ◽  
pp. 177-179 ◽  
Author(s):  
Robert J. Shulman ◽  
Sara Phillips ◽  
Laura Laine ◽  
Pat Gardner ◽  
Valerie Nichols ◽  
...  

1998 ◽  
Vol 36 (1) ◽  
pp. 105-109 ◽  
Author(s):  
François Blot ◽  
Eric Schmidt ◽  
Gérard Nitenberg ◽  
Cyrille Tancrède ◽  
Bernard Leclercq ◽  
...  

To diagnose catheter-related sepsis without removing the catheter, we evaluated the differential positivity times of cultures of blood drawn simultaneously from central venous catheter and peripheral sites. In a 450-bed cancer reference center, simultaneous central- and peripheral-blood cultures were prospectively performed for patients with suspicion of catheter-related sepsis over an 18-month period. Data for 64 patients for whom the same microorganisms were found when central- and peripheral-blood samples were cultured were retrospectively reviewed by two independent physicians blinded to the differential positivity time values in order to establish or refute the diagnosis of catheter-related sepsis. The diagnosis was established in 28 cases, refuted in 14, and indeterminate in the remaining 22. The differential positivity time was significantly greater for patients with catheter-related sepsis (P < 10−4). A cutoff limit of +120 min had 100% specificity and 96.4% sensitivity for the diagnosis of catheter-related sepsis. These results strongly suggest that measurement of the differential positivity time might be a reliable tool facilitating the diagnosis of catheter-related sepsis in patients with an indwelling catheter.


2019 ◽  
Vol 40 (4) ◽  
pp. 457-459 ◽  
Author(s):  
Leonard A. Mermel

AbstractStudies published between 1999 and 2011 demonstrated increased blood culture contamination with catheter-drawn cultures compared with percutaneously-drawn cultures. Studies published between 2012 and 2015 reported that use of antiseptic barrier caps on central venous catheter hubs significantly reduces the incidence of catheter-drawn blood culture contamination. Local guidelines regarding sites for blood culture collection should reflect institution-level blood culture contamination rates for percutaneously-drawn and catheter-drawn cultures using currently available technologies that reduce contamination at both sites.


2018 ◽  
Vol 2 ◽  
pp. 53-53
Author(s):  
Zhongheng Zhang ◽  
Claudia Brusasco ◽  
Antonio Anile ◽  
Francesco Corradi ◽  
Maryanne Mariyaselvam ◽  
...  

2010 ◽  
Vol 85 (9) ◽  
pp. 1462-1469 ◽  
Author(s):  
Leigh V. Evans ◽  
Kelly L. Dodge ◽  
Tanya D. Shah ◽  
Lewis J. Kaplan ◽  
Mark D. Siegel ◽  
...  

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