Leonard P, Beattie T F
Department Of Accident and Emergency Medicine, The Royal Hospital for Sick Children, Edinburgh, Scotland.
Emerg Med J. 2003 Jul;20(4):347-8. doi: 10.1136/emj.20.4.347.
To determine the clinical impact of positive results from blood cultures sent from a busy paediatric accident and emergency department.
All children who attended the department over a seven month period and had blood culture investigations were identified. Case notes of patients who had any growth on blood culture were reviewed to determine whether the organism was felt to be pathogenic and how the result affected clinical management.
1159 children had blood cultures sent, 26 of these grew an organism that was felt to be pathogenic. However, only five significantly influenced clinical management.
Blood cultures sent from an accident and emergency department rarely influence clinical management. A more focused approach to bacteriological investigation is recommended.
确定繁忙的儿科急诊科送检血培养阳性结果的临床影响。
识别出在七个月期间到该科室就诊并进行血培养检查的所有儿童。对血培养有任何细菌生长的患者病历进行审查，以确定该微生物是否被认为具有致病性以及结果如何影响临床管理。
1159名儿童接受了血培养，其中26名培养出被认为具有致病性的微生物。然而，只有5例对临床管理有显著影响。
急诊科送检的血培养很少影响临床管理。建议采用更有针对性的细菌学调查方法。
