Blood volume collected for cultures in infants with suspected neonatal sepsis

Authors

Maria S. Rueda, Division of Pediatric Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USA. mruedaaltez@uabmc.edu.
Lamia Soghier, Division of Neonatology, Children's National Hospital, Washington, DC, USA.
Joseph Campos, Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Burak Bahar, Division of Laboratory Medicine, Children's National Hospital, Washington, DC, USA.
James E. Bost, Division of Biostatistics and Study Methodology, Children's National Hospital, Washington, DC, USA.
Jiaxiang Gai, Division of Biostatistics and Study Methodology, Children's National Hospital, Washington, DC, USA.
Rana F. Hamdy, Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Document Type

Journal Article

Publication Date

9-28-2024

Journal

Journal of perinatology : official journal of the California Perinatal Association

DOI

10.1038/s41372-024-02120-0

Abstract

OBJECTIVES: To evaluate blood culture sample volumes, identify factors linked to insufficient samples, and compare volumes among neonates treated for culture-negative-sepsis, sepsis-rule-outs, and bloodstream infections (BSI). METHODS: Observational cohort of blood cultures collected during NICU stay. Association of age, weight, gender, source, and collection time with lower-than-recommended volumes was determined by logistic regression. Blood culture inocula of patients with culture-negative-sepsis, sepsis rule-out, and BSI were compared using ANOVA. RESULTS: 742 blood cultures were obtained from 292 neonates. Median inoculum was 1 mL (IQR:0.6-1.4), and 259 bottles (35%) had inocula <0.9 mL. Night shift sample collection was associated with lower-than-recommended volumes (p = 0.006). No difference in sample volumes was observed between culture-negative-sepsis, sepsis-rule-outs, and BSI (p = 0.5). CONCLUSIONS: Median NICU blood culture volumes align with recommendations. Night shift collections correlate with lower volumes. Sample volumes don't differ in patients with culture-negative-sepsis, BSI, and sepsis-rule-out, and should not be a justification for longer duration of antibiotics.

APA Citation

Rueda, Maria S.; Soghier, Lamia; Campos, Joseph; Bahar, Burak; Bost, James E.; Gai, Jiaxiang; and Hamdy, Rana F., "Blood volume collected for cultures in infants with suspected neonatal sepsis" (2024). GW Authored Works. Paper 5573.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/5573

Department

Pediatrics