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Singh NV, Gutman CK, Green RS, Thompson AD, Jackson K, Kalari NC, Lucrezia S, Krack A, Corboy JB, Cheng T, Duong M, St Pierre-Hetz R, Akinsola B, Kelly J, Sartori LF, Yan X, Lou XY, Lion KC, Fernandez R, Aronson PL. Contaminant Organism Growth in Febrile Infants at Low Risk for Invasive Bacterial Infection. J Pediatr 2024; 267:113910. [PMID: 38218368 DOI: 10.1016/j.jpeds.2024.113910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Revised: 12/18/2023] [Accepted: 01/09/2024] [Indexed: 01/15/2024]
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.
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Affiliation(s)
- Nidhi V Singh
- Division of Pediatric Emergency Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX
| | - Colleen K Gutman
- Departments of Emergency Medicine and Pediatrics, University of Florida College of Medicine, Gainesville, FL.
| | - Rebecca S Green
- Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Amy D Thompson
- Department of Pediatrics, Nemours Children's Hospital of Delaware, Wilmington, DE
| | - Kathleen Jackson
- Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Prisma Health, University of South Carolina School of Medicine Greenville, Greenville, SC
| | - Nabila C Kalari
- Pediatric Emergency Medicine, St. Christopher's Hospital for Children, Philadelphia, PA
| | - Samantha Lucrezia
- Department of Pediatric Emergency Medicine, Johns Hopkins All Children's Hospital, St. Petersburg, FL
| | - Andrew Krack
- Section of Emergency Medicine, Department of Pediatrics, School of Medicine, University of Colorado and Children's Hospital Colorado, Aurora, CO
| | - Jacqueline B Corboy
- Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Tabitha Cheng
- Department of Emergency Medicine, Harbor UCLA Medical Center and the David Geffen School of Medicine at UCLA, Los Angeles, CA
| | - Myto Duong
- Division of Pediatric Emergency Medicine, Southern Illinois University, Carbondale, IL
| | - Ryan St Pierre-Hetz
- Department of Pediatrics, University of Pittsburgh Medical Center and Children's Hospital of Pittsburgh, Pittsburgh, PA
| | - Bolanle Akinsola
- Department of Pediatrics and Emergency Medicine, Children's Healthcare of Atlanta, Emory University School of Medicine
| | - Jessica Kelly
- Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Laura F Sartori
- Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Xinyu Yan
- Department of Biostatistics, University of Florida College of Medicine and College of Public Health and Health Professions, Gainesville, FL
| | - Xiang Yang Lou
- Department of Biostatistics, University of Florida College of Medicine and College of Public Health and Health Professions, Gainesville, FL
| | - K Casey Lion
- Department of Pediatrics, University of Washington School of Medicine, Seattle, WA; Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, WA
| | - Rosemarie Fernandez
- Department of Emergency Medicine and the Center for Experiential Learning and Simulation, University of Florida College of Medicine, Gainesville, FL
| | - Paul L Aronson
- Section of Pediatric Emergency Medicine, Departments of Pediatrics and Emergency Medicine, Yale School of Medicine, New Haven, CT
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