Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/4813
Title: Time-to-Positivity of Blood Cultures in Children With Sepsis
Authors: Heininger, U.
Hasters, P.
Relly, C.
Riedel, T.
Aebi, C.
Schlapbach, L. J.
Dierig, A.
Berger, C.
Agyeman, P. K. A.
Bernhard-Stirnemann, S.
Giannoni, E.
Stocker, M.
Posfay-Barbe, K. M.
Niederer-Loher, A.
Kahlert, C. R.
Donas, A.
Issue Date: 2018
Source: 6 , 2018, p. 222
Pages: 222
Journal: Front Pediatr
Abstract: Background: Blood cultures are essential for the diagnosis and further appropriate treatment in children with suspected sepsis. In most hospitals, children will be empirically treated or closely monitored for at least 48 h awaiting results of blood cultures. Several studies have challenged the optimal duration of empiric treatment in the era of continuously monitored blood culture systems. The aim of our study was to investigate time-to-positivity (TTP) of blood cultures in children with proven sepsis. Methods: The Swiss Pediatric Sepsis Study prospectively enrolled children 0-16 years of age with blood culture positive sepsis between September 2011 and October 2015. TTP was prospectively assessed in six participating academic pediatric hospitals by fully automated blood culture systems. Results: In 521 (93%) of 562 bacteremia episodes (493 children, median age 103 days, range 0 days-16.9 years) a valid TTP was available. Median TTP was 12 h (IQR 8-17 h, range 0-109 h). By 24, 36, and 48 h, 460 (88%), 498 (96%), and 510 (98%) blood cultures, respectively, were positive. TTP was independent of age, sex, presence of comorbidities, site of infection and severity of infection. Median TTP in all age groups combined was shortest for group B streptococcus (8.7 h) and longest for coagulase-negative staphylococci (16.2 h). Conclusion: Growth of bacteria in blood cultures is detectable within 24 h in 9 of 10 children with blood culture-proven sepsis. Therefore, a strict rule to observe or treat all children with suspected sepsis for at least 48 h is not justified.2296-2360Dierig, Alexa
Berger, Christoph
Agyeman, Philipp K A
Bernhard-Stirnemann, Sara
Giannoni, Eric
Stocker, Martin
Posfay-Barbe, Klara M
Niederer-Loher, Anita
Kahlert, Christian R
Donas, Alex
Hasters, Paul
Relly, Christa
Riedel, Thomas
Aebi, Christoph
Schlapbach, Luregn J
Heininger, Ulrich
Swiss Pediatric Sepsis Study
Journal Article
Front Pediatr. 2018 Aug 8;6:222. doi: 10.3389/fped.2018.00222. eCollection 2018.
DOI: 10.3389/fped.2018.00222
Keywords: sepsis;bacteremiablood cultures;time-to-positivity;children
Type: Article
Appears in Sites:Children's Health Queensland Publications

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