Tran Christine Anh-Thu, Zschaebitz Jenna Verena, Spaeder Michael Campbell
University of Virginia School of Medicine, Charlottesville, Virginia, United States.
Division of Pediatric Critical Care, Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia, United States.
J Pediatr Intensive Care. 2019 Sep;8(3):144-147. doi: 10.1055/s-0038-1676993. Epub 2019 Jan 3.
Blood culture acquisition is integral in the assessment of patients with sepsis, though there exists a lack of clarity relating to clinical states that warrant acquisition. We investigated the clinical status of critically ill children in the timeframe proximate to acquisition of blood cultures. The associated rates of systemic inflammatory response syndrome (72%) and sepsis (57%) with blood culture acquisition were relatively low suggesting a potential overutilization of blood cultures. Efforts are needed to improve decision making at the time that acquisition of blood cultures is under consideration and promote percutaneous blood draws over indwelling lines.
血培养采集在脓毒症患者评估中不可或缺，尽管对于哪些临床状态需要进行血培养采集仍不明确。我们调查了危重症儿童在采集血培养前后时间段的临床状况。血培养采集时全身炎症反应综合征（72%）和脓毒症（57%）的相关发生率相对较低，这表明血培养可能存在过度使用的情况。需要努力改善在考虑进行血培养采集时的决策，并推广经皮采血而非通过留置导管采血。
