Blood Culture contaminants in a paediatric population : retrospective study from a tertiary hospital in Oman
العناوين الأخرى
ملوثات عزلات الدم المزروعة عند الأطفال : دراسة استعادية من مستشفى ثالثي في عمان
المؤلفون المشاركون
al-Mulla Abd, Sharif W.
Abd al-Rahim, Rana
al-Muharrmi, Zakariyya
Abdwani, Rim
al-Najjari, Muhammad A.
Mani, Renjith
المصدر
Sultan Qaboos University Medical Journal
العدد
المجلد 17، العدد 2 (30 مايو/أيار 2017)، ص ص. 202-208، 7ص.
الناشر
جامعة السلطان قابوس كلية الطب و العلوم الصحية
تاريخ النشر
2017-05-30
دولة النشر
سلطنة عمان
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Most children presenting with febrile illness require a blood culture to determine the causative organism as well as its sensitivity to antibiotics.
However, false-positive results lead to unnecessary hospitalisations, prescriptions and tests.
This study aimed to evaluate the impact of false-positive blood cultures among a paediatric population at a tertiary hospital in Oman.
Methods: This retrospective study included all 225 children <13 years old with positive blood cultures who presented to the Sultan Qaboos University Hospital, Muscat, Oman, between July 2011 and December 2013.
Blood cultures were reviewed to determine whether they were true-positive or contaminated.
Results: A total of 344 positive blood cultures were recorded during the study period, of which 185 (53.8%) were true-positive and 159 (46.2%) were contaminated.
Most true-positive isolates (26.5%) were coagulase-negative Staphylococcus spp.
(CONS) followed by Escherichia coli (9.7%), while the majority of contaminated isolates were CONS (67.9%) followed by Streptococcus spp.
(6.9%).
Children with contaminated cultures were significantly younger (P <0.001) while those with true-positive cultures required significantly more frequent hospital admissions, longer hospital stays and more frequent antibiotic prescriptions (P <0.001 each). Chronic illness and mortality was significantly more frequent among those with true-positive cultures (P <0.001 and 0.04, respectively).
While white blood cell and absolute neutrophil counts were significantly higher in truepositive cultures (P <0.001 each), there was no significant difference in C-reactive protein (CRP) level (P = 0.791). Conclusion: In this population, CRP level was not an adequate marker to differentiate between true- and falsepositive cultures.
A dedicated well-trained phlebotomy team for paediatric patients is essential.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Najjari, Muhammad A.& al-Mulla Abd, Sharif W.& al-Muharrmi, Zakariyya& Mani, Renjith& Abd al-Rahim, Rana& Abdwani, Rim. 2017. Blood Culture contaminants in a paediatric population : retrospective study from a tertiary hospital in Oman. Sultan Qaboos University Medical Journal،Vol. 17, no. 2, pp.202-208.
https://search.emarefa.net/detail/BIM-791816
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Muharrmi, Zakariyya…[et al.]. Blood Culture contaminants in a paediatric population : retrospective study from a tertiary hospital in Oman. Sultan Qaboos University Medical Journal Vol. 17, no. 2 (May. 2017), pp.202-208.
https://search.emarefa.net/detail/BIM-791816
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Najjari, Muhammad A.& al-Mulla Abd, Sharif W.& al-Muharrmi, Zakariyya& Mani, Renjith& Abd al-Rahim, Rana& Abdwani, Rim. Blood Culture contaminants in a paediatric population : retrospective study from a tertiary hospital in Oman. Sultan Qaboos University Medical Journal. 2017. Vol. 17, no. 2, pp.202-208.
https://search.emarefa.net/detail/BIM-791816
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 207-208
رقم السجل
BIM-791816
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر