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Indian Journal of Medical Microbiology
Medknow Publications on behalf of Indian Association of Medical Microbiology
ISSN: 0255-0857 EISSN: 0255-0857
Vol. 25, No. 3, 2007, pp. 220-224
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Bioline Code: mb07063
Full paper language: English
Document type: Research Article
Document available free of charge
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Indian Journal of Medical Microbiology, Vol. 25, No. 3, 2007, pp. 220-224
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Blood cultures in paediatric patients: A study of clinical impact
Murty, DS & Gyaneshwari, M
Abstract
Purpose : Blood cultures form a critical part of evaluation of patients with suspected sepsis. The present study was undertaken to study the risk factors, duration of incubation for obtaining positive cultures, and the clinical impact of the culture report. Methods : A total of 220 samples from 107 pediatric patients presenting with suspected bacteraemia were processed aerobically. Results : Cultures were positive in 18.7% of the samples. Most of the positive cultures were obtained after 24 hours of incubation of the broth and no isolates were obtained beyond day 4 of incubation. Therapy was modified in 54.23% of the patients after receipt of culture report. Conclusions : Incubation beyond four days (unless with specific indication like enteric fever) may be unnecessary for issuing a negative culture report. Repeated isolation of doubtful pathogens confirms true bacteraemia. Early culture report increases therapeutic compliance.
Keywords
Blood culture, clinical impact, septicaemia, bacteraemia
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© Copyright 2007 Indian Journal of Medical Microbiology. Alternative site location: http://www.ijmm.org
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