Dwindling Utilization of Central Venous Catheter Tip Cultures: An Analysis of Sampling Trends and Clinical Utility at 128 US Hospitals, 2009

Dwindling Utilization of Central Venous Catheter Tip Cultures: An Analysis of Sampling Trends and Clinical Utility at 128 US Hospitals, 2009–2014

Published:2019-03-18 Issue:10 Volume:69 Page:1797-1800
ISSN:1058-4838
Container-title:Clinical Infectious Diseases
language:en
Short-container-title:

Author:

Lai Yi Ling¹,Adjemian Jennifer¹²,Ricotta Emily E¹,Mathew Lauren³,O’Grady Naomi P⁴,Kadri Sameer S³^ORCID

Affiliation:

1. Epidemiology Unit, Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland

2. United States Public Health Service, Commissioned Corps, Rockville, Maryland

3. Critical Care Medicine Department, National Institutes of Health Clinical Center, Maryland

4. Internal Medicine Consult Service, National Institutes of Health Clinical Center, Bethesda, Maryland

Abstract

Abstract At 128 US hospitals, from 2009–2014, a 17% decline occurred annually in central venous catheter tips sent for culture: a 6-fold decrease from blood culture sampling trends. The positive predictive value was low (23%). Tip culture use often does not conform to recommendations and offers limited independent treatment opportunities.

Funder

National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Link

http://academic.oup.com/cid/advance-article-pdf/doi/10.1093/cid/ciz218/28605145/ciz218.pdf

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