Role of routine blood cultures in detecting unapparent infections during continuous renal replacement therapy

Blanc, Laurence; Lesur, Olivier; Valiquette, Louis; St-Pierre, Claude

doi:10.1007/s00134-006-0352-x

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…However, surveillance blood culture practices for ECMO patients are variable despite these existing specific recommendations: for example, four of 14 Bright STAR sites initially reported routine surveillance blood cultures for ECMO patients. Prior literature suggests variability in practice regarding surveillance blood cultures for ECMO or CRRT patients (28–30). Our consensus recommendations represent an opportunity to better standardize practices across institutions.…”

Section: Discussionmentioning

confidence: 99%

Consensus Recommendations for Blood Culture Use in Critically Ill Children Using a Modified Delphi Approach*

Woods-Hill

Koontz

Voskertchian

et al. 2021

Pediatric Critical Care Medicine

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Blood cultures are fundamental in evaluating for sepsis, but excessive cultures can lead to false-positive results and unnecessary antibiotics. Our objective was to create consensus recommendations focusing on when to safely avoid blood cultures in PICU patients. DESIGN:A panel of 29 multidisciplinary experts engaged in a two-part modified Delphi process. Round 1 consisted of a literature summary and an electronic survey sent to invited participants. In the survey, participants rated a series of recommendations about when to avoid blood cultures on five-point Likert scale. Consensus was achieved for the recommendation(s) if 75% of respondents chose a score of 4 or 5, and these were included in the final recommendations. Any recommendations that did not meet these a priori criteria for consensus were discussed during the in-person expert panel review (Round 2). Round 2 was facilitated by an independent expert in consensus methodology. After a review of the survey results, comments from round 1, and group discussion, the panelists voted on these recommendations in real-time. SETTING: Experts' institutions; in-person discussion in Baltimore, MD. SUBJECTS:Experts in pediatric critical care, infectious diseases, nephrology, oncology, and laboratory medicine. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS:Of the 27 original recommendations, 18 met criteria for achieving consensus in Round 1; some were modified for clarity or condensed from multiple into single recommendations during Round 2. The remaining nine recommendations were discussed and modified until consensus was achieved during Round 2, which had 26 real-time voting participants. The final document contains 19 recommendations. CONCLUSIONS:Using a modified Delphi process, we created consensus recommendations on when to avoid blood cultures and prevent overuse in the PICU. These recommendations are a critical step in disseminating diagnostic stewardship on a wider scale in critically ill children.

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Section: Discussionmentioning

confidence: 99%

Consensus Recommendations for Blood Culture Use in Critically Ill Children Using a Modified Delphi Approach*

Woods-Hill

Koontz

Voskertchian

et al. 2021

Pediatric Critical Care Medicine

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Guidelines for evaluation of new fever in critically ill adult patients: 2008 update from the American College of Critical Care Medicine and the Infectious Diseases Society of America

O’Grady

Barie

Bartlett

et al. 2008

Critical Care Medicine

545

476

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The panel concluded that, because fever can have many infectious and noninfectious etiologies, a new fever in a patient in the intensive care unit should trigger a careful clinical assessment rather than automatic orders for laboratory and radiologic tests. A cost-conscious approach to obtaining cultures and imaging studies should be undertaken if indicated after a clinical evaluation. The goal of such an approach is to determine, in a directed manner, whether infection is present so that additional testing can be avoided and therapeutic decisions can be made.

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Role of blood cultures during continuous renalreplacement theraphy in septic patients

Naharro

Cuesta-Montero

Domingo-Chiva

et al. 2015

ICMx

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Role of routine blood cultures in detecting unapparent infections during continuous renal replacement therapy

Cited by 3 publications

References 18 publications

Consensus Recommendations for Blood Culture Use in Critically Ill Children Using a Modified Delphi Approach*

Consensus Recommendations for Blood Culture Use in Critically Ill Children Using a Modified Delphi Approach*

Guidelines for evaluation of new fever in critically ill adult patients: 2008 update from the American College of Critical Care Medicine and the Infectious Diseases Society of America

Role of blood cultures during continuous renalreplacement theraphy in septic patients

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