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We use our initial draw (what normally may be discarded) from the central line as the blood culture sample. This is what our in house microbiologist recommends and we also cite this study below. It is a small study but has encouraging results.
Winokur, E. J., Pai, D., Rutledge, D. N., Vogel, K., Al-Majid, S., Marshall, C., &
Sheikewitz, P. (2014). Blood culture accuracy: Discards from central venous catheters
in pediatric oncology patients in the emergency department. Journal of Emergency
Nursing: JEN : Official Publication of the Emergency Department Nurses Association,
40(4), 323. doi:10.1016/j.jen.2013.04.007
Let me know if you have any other questions!
—————————— Caroline Anderson, CPHON,MSN,RN Education Cook Children’s Medical Center Fort Worth, TX United States —————————— ——————————————- Original Message: Sent: 06-16-2019 05:30 PM From: Nicole Lennox Subject: Blood Culture Policies
Hi Erin, We use the initial discard for both lumens for our cultures, if it is an initial spike we do both aerobic and anaerobic from the first discard and half the discard for both bottles, and use the subsequent withdraw for other tests.
—————————— Nicole Lennox Nurse Educator Cancer Centre for Children The Sydney Children’s Network Westmead Campus Sydney, NSW Australia ——————————
What is the policy in place at your facility for drawing blood cultures? Specifically, are you using initial waste (discard) as part of your blood culture sample or do you use the subsequent draw for the sample?
—————————— Erin Rentch BSN, CPHON, RN CHOC Children’s Hospital Orange, CA United States ——————————