Neonatal blood cultures: survey of neonatologists' practices.

BACKGROUND

There are currently no standard recommendations regarding the optimal method to obtain a blood culture in neonates.

METHODS

We performed an online survey of the membership of the Section on Perinatal Pediatrics of the American Academy of Pediatrics regarding their practices when drawing blood cultures. The survey included questions regarding the type of antisepsis used in preparing the site for sampling, the amount of blood drawn and preferred site for obtaining the culture.

RESULTS

Overall 715 of 2955 (24%) members responded to the survey. There was wide variability in responses to all of the questions. However, virtually all providers washed their hands and wore gloves while performing the procedure, and virtually all providers obtained ≥0.5 mL of blood for the sample.

CONCLUSIONS

Given the wide variability of practices among the members of the Section, evidence-based standards are needed to guide clinical practice for this procedure.