Back to Search
Start Over
Sensitivity of differential time to positivity compared to pour plates for diagnosing catheter-related blood stream infection: An evaluation in patients with chronic intestinal failure
- Source :
- Clinical nutrition (Edinburgh, Scotland). 39(8)
- Publication Year :
- 2019
-
Abstract
- Summary Background & aims A retrospective evaluation was undertaken in intestinal failure (IF) patients with long term CVCs to evaluate differential time to positivity (DTP) against paired quantitative blood cultures (PP) for the diagnosis of CRBSI. Methods A list of patients with a diagnosis of CRBSI was obtained from the intestinal failure unit database for a five year period, 2013 to 2017. Microbiology records were reviewed to obtain further information about blood culture and pour plate examinations. Organisms and times of collection, loading and positivity were recorded. Patients with a contemporaneous set of central and peripheral PP and blood cultures were included in an analysis of the sensitivity of DTP compared to PP. Results There were 61 (45.5%) episodes in 56 patients where complete sets of central and peripheral blood cultures and PP were received. All 61 episodes had positive central blood cultures, 59 (96.7%) had positive central line PP and 17 (27.9%) had positive peripheral PP. Using PP as the gold standard, DTP sensitivity was 96.0% for 50 episodes where PP were consistent with CRBSI. Sensitivity increased to 100% for 17 episodes where there were no delays in either collection or loading of blood cultures. Conclusions This is the first evaluation to support the use of DTP as a sensitive test in diagnosing CRBSI in patients with IF and provides confidence to IF centers where pour plate cultures are not available.
- Subjects :
- 0301 basic medicine
medicine.medical_specialty
Catheterization, Central Venous
Parenteral Nutrition
Time Factors
Databases, Factual
Colony Count, Microbial
030209 endocrinology & metabolism
Bacteremia
Critical Care and Intensive Care Medicine
Sensitivity and Specificity
03 medical and health sciences
0302 clinical medicine
Intestinal failure
Internal medicine
Medicine
Central Venous Catheters
Humans
Blood culture
In patient
Time to positivity
Retrospective Studies
Central line
030109 nutrition & dietetics
Nutrition and Dietetics
medicine.diagnostic_test
business.industry
Reproducibility of Results
Gold standard (test)
Chronic intestinal failure
Catheter
Intestinal Diseases
Blood Culture
Catheter-Related Infections
Chronic Disease
business
Subjects
Details
- ISSN :
- 15321983
- Volume :
- 39
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Clinical nutrition (Edinburgh, Scotland)
- Accession number :
- edsair.doi.dedup.....8cc06294f02dc8c2ce3a2395a09f260b