Blood Cultures in the Evaluation of Uncomplicated Skin and Soft Tissue Infections
Blood cultures are often obtained in children hospitalized with skin and soft tissue infections (SSTIs). Because little evidence exists to validate this practice, we examined the yield of blood cultures in the evaluation of immunocompetent children with SSTIs. Medical records were reviewed for all c...
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| Veröffentlicht in: | Pediatrics (Evanston) 2013-09, Vol.132 (3), p.454-459 |
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| creator | MALONE, Jay R DURICA, Sarah R THOMPSON, David M BOGIE, Amanda NAIFEH, Monique |
| description | Blood cultures are often obtained in children hospitalized with skin and soft tissue infections (SSTIs). Because little evidence exists to validate this practice, we examined the yield of blood cultures in the evaluation of immunocompetent children with SSTIs.
Medical records were reviewed for all children admitted between January 1, 2007 and December 31, 2009 after emergency department evaluation and diagnosis of cellulitis or abscess. We compared patients with SSTIs (n = 482) with those with complicated SSTIs (cSSTIs; n = 98). A cSSTI was defined as surgical or traumatic wound infection, need for surgical intervention, or infected ulcers or burns. The SSTI group included patients without complicating factors.
None of the patients in the SSTI group had a positive blood culture. In the cSSTI group, 12.5% of blood cultures were positive. The mean length of hospital stay (LOHS) of children with SSTIs was shorter than that of those with cSSTIs (P < .001). In the SSTI group, obtaining a blood culture was associated with a higher mean LOHS (P = .044).
Blood cultures are not useful in evaluating immunocompetent children who are admitted to the hospital with uncomplicated SSTIs, and they are associated with a nearly 1-day increase in mean LOHS. |
| doi_str_mv | 10.1542/peds.2013-1384 |
| format | Article |
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Medical records were reviewed for all children admitted between January 1, 2007 and December 31, 2009 after emergency department evaluation and diagnosis of cellulitis or abscess. We compared patients with SSTIs (n = 482) with those with complicated SSTIs (cSSTIs; n = 98). A cSSTI was defined as surgical or traumatic wound infection, need for surgical intervention, or infected ulcers or burns. The SSTI group included patients without complicating factors.
None of the patients in the SSTI group had a positive blood culture. In the cSSTI group, 12.5% of blood cultures were positive. The mean length of hospital stay (LOHS) of children with SSTIs was shorter than that of those with cSSTIs (P < .001). In the SSTI group, obtaining a blood culture was associated with a higher mean LOHS (P = .044).
Blood cultures are not useful in evaluating immunocompetent children who are admitted to the hospital with uncomplicated SSTIs, and they are associated with a nearly 1-day increase in mean LOHS.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2013-1384</identifier><identifier>PMID: 23918896</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: American Academy of Pediatrics</publisher><subject>Abscess - diagnosis ; Abscess - microbiology ; Adolescent ; Bacteremia - diagnosis ; Bacteremia - microbiology ; Bacterial diseases ; Bacterial sepsis ; Bacteriological Techniques ; Biological and medical sciences ; Blood ; Blood - microbiology ; Blood culture ; Cellulitis - diagnosis ; Cellulitis - microbiology ; Child ; Child, Preschool ; Children ; Children & youth ; Dermatology ; Diagnosis ; Diseases ; Female ; General aspects ; Hospitals, Pediatric ; Hospitals, University ; Human bacterial diseases ; Humans ; Immunocompetence ; Immunocompetent cells ; Infant ; Infectious diseases ; Infectious skin diseases ; Intervention ; Length of Stay - statistics & numerical data ; Male ; Medical sciences ; Oklahoma ; Pediatric diseases ; Pediatrics ; Retrospective Studies ; Skin - injuries ; Skin - microbiology ; Skin diseases ; Skin Diseases, Bacterial - diagnosis ; Skin Diseases, Bacterial - microbiology ; Skin involvement in other diseases. Miscellaneous. General aspects ; Soft Tissue Infections - diagnosis ; Soft Tissue Infections - microbiology ; Soft Tissue Injuries - complications ; Soft Tissue Injuries - microbiology ; Surgical Wound Infection - diagnosis ; Surgical Wound Infection - microbiology ; Tissues ; Wound Infection - diagnosis ; Wound Infection - microbiology</subject><ispartof>Pediatrics (Evanston), 2013-09, Vol.132 (3), p.454-459</ispartof><rights>2014 INIST-CNRS</rights><rights>Copyright American Academy of Pediatrics Sep 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-9c9a8c730025296eca0cd4e0b946877e2e55e1db5e6e1f51bec98f1d01d41c8d3</citedby><cites>FETCH-LOGICAL-c391t-9c9a8c730025296eca0cd4e0b946877e2e55e1db5e6e1f51bec98f1d01d41c8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27668211$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23918896$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MALONE, Jay R</creatorcontrib><creatorcontrib>DURICA, Sarah R</creatorcontrib><creatorcontrib>THOMPSON, David M</creatorcontrib><creatorcontrib>BOGIE, Amanda</creatorcontrib><creatorcontrib>NAIFEH, Monique</creatorcontrib><title>Blood Cultures in the Evaluation of Uncomplicated Skin and Soft Tissue Infections</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Blood cultures are often obtained in children hospitalized with skin and soft tissue infections (SSTIs). Because little evidence exists to validate this practice, we examined the yield of blood cultures in the evaluation of immunocompetent children with SSTIs.
Medical records were reviewed for all children admitted between January 1, 2007 and December 31, 2009 after emergency department evaluation and diagnosis of cellulitis or abscess. We compared patients with SSTIs (n = 482) with those with complicated SSTIs (cSSTIs; n = 98). A cSSTI was defined as surgical or traumatic wound infection, need for surgical intervention, or infected ulcers or burns. The SSTI group included patients without complicating factors.
None of the patients in the SSTI group had a positive blood culture. In the cSSTI group, 12.5% of blood cultures were positive. The mean length of hospital stay (LOHS) of children with SSTIs was shorter than that of those with cSSTIs (P < .001). In the SSTI group, obtaining a blood culture was associated with a higher mean LOHS (P = .044).
Blood cultures are not useful in evaluating immunocompetent children who are admitted to the hospital with uncomplicated SSTIs, and they are associated with a nearly 1-day increase in mean LOHS.</description><subject>Abscess - diagnosis</subject><subject>Abscess - microbiology</subject><subject>Adolescent</subject><subject>Bacteremia - diagnosis</subject><subject>Bacteremia - microbiology</subject><subject>Bacterial diseases</subject><subject>Bacterial sepsis</subject><subject>Bacteriological Techniques</subject><subject>Biological and medical sciences</subject><subject>Blood</subject><subject>Blood - microbiology</subject><subject>Blood culture</subject><subject>Cellulitis - diagnosis</subject><subject>Cellulitis - microbiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Dermatology</subject><subject>Diagnosis</subject><subject>Diseases</subject><subject>Female</subject><subject>General aspects</subject><subject>Hospitals, Pediatric</subject><subject>Hospitals, University</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Immunocompetence</subject><subject>Immunocompetent cells</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Infectious skin diseases</subject><subject>Intervention</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Oklahoma</subject><subject>Pediatric diseases</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Skin - injuries</subject><subject>Skin - microbiology</subject><subject>Skin diseases</subject><subject>Skin Diseases, Bacterial - diagnosis</subject><subject>Skin Diseases, Bacterial - microbiology</subject><subject>Skin involvement in other diseases. Miscellaneous. General aspects</subject><subject>Soft Tissue Infections - diagnosis</subject><subject>Soft Tissue Infections - microbiology</subject><subject>Soft Tissue Injuries - complications</subject><subject>Soft Tissue Injuries - microbiology</subject><subject>Surgical Wound Infection - diagnosis</subject><subject>Surgical Wound Infection - microbiology</subject><subject>Tissues</subject><subject>Wound Infection - diagnosis</subject><subject>Wound Infection - microbiology</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0c9rFDEUB_AgFrtWrx5lQAQvs76XHzPJsS5VC4UitueQzbypU7OTdZIR_e-bYVcLPeUdPkm-jy9jbxDWqCT_uKcurTmgqFFo-YytEIyuJW_Vc7YCEFhLAHXKXqZ0DwBStfwFO-XCoNamWbFvn0KMXbWZQ54nStUwVvkHVRe_XZhdHuJYxb66HX3c7cPgXaau-v6zIDeWIfa5uhlSmqm6HHvyi0-v2EnvQqLXx_OM3X6-uNl8ra-uv1xuzq9qXz7PtfHGad8KAK64acg78J0k2BrZ6LYlTkoRdltFDWGvcEve6B47wE6i1504Yx8O7-6n-GumlO1uSJ5CcCPFOVmU3GjZqgYKffeE3sd5Gku6ogQoQIm6qPqg7lwgO5Sdx0x_so8h0B3ZEn5zbc-FFEI3Wpji1wfvp5jSRL3dT8POTX8tgl3KsUs5dinHLuWUC2-PMebtjrr__F8bBbw_Ape8C_3kRj-kR9c2jeaI4gFziJW9</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>MALONE, Jay R</creator><creator>DURICA, Sarah R</creator><creator>THOMPSON, David M</creator><creator>BOGIE, Amanda</creator><creator>NAIFEH, Monique</creator><general>American Academy of Pediatrics</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20130901</creationdate><title>Blood Cultures in the Evaluation of Uncomplicated Skin and Soft Tissue Infections</title><author>MALONE, Jay R ; DURICA, Sarah R ; THOMPSON, David M ; BOGIE, Amanda ; NAIFEH, Monique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-9c9a8c730025296eca0cd4e0b946877e2e55e1db5e6e1f51bec98f1d01d41c8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abscess - diagnosis</topic><topic>Abscess - microbiology</topic><topic>Adolescent</topic><topic>Bacteremia - diagnosis</topic><topic>Bacteremia - microbiology</topic><topic>Bacterial diseases</topic><topic>Bacterial sepsis</topic><topic>Bacteriological Techniques</topic><topic>Biological and medical sciences</topic><topic>Blood</topic><topic>Blood - microbiology</topic><topic>Blood culture</topic><topic>Cellulitis - diagnosis</topic><topic>Cellulitis - microbiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Dermatology</topic><topic>Diagnosis</topic><topic>Diseases</topic><topic>Female</topic><topic>General aspects</topic><topic>Hospitals, Pediatric</topic><topic>Hospitals, University</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Immunocompetence</topic><topic>Immunocompetent cells</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Infectious skin diseases</topic><topic>Intervention</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Oklahoma</topic><topic>Pediatric diseases</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Skin - injuries</topic><topic>Skin - microbiology</topic><topic>Skin diseases</topic><topic>Skin Diseases, Bacterial - diagnosis</topic><topic>Skin Diseases, Bacterial - microbiology</topic><topic>Skin involvement in other diseases. Miscellaneous. General aspects</topic><topic>Soft Tissue Infections - diagnosis</topic><topic>Soft Tissue Infections - microbiology</topic><topic>Soft Tissue Injuries - complications</topic><topic>Soft Tissue Injuries - microbiology</topic><topic>Surgical Wound Infection - diagnosis</topic><topic>Surgical Wound Infection - microbiology</topic><topic>Tissues</topic><topic>Wound Infection - diagnosis</topic><topic>Wound Infection - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MALONE, Jay R</creatorcontrib><creatorcontrib>DURICA, Sarah R</creatorcontrib><creatorcontrib>THOMPSON, David M</creatorcontrib><creatorcontrib>BOGIE, Amanda</creatorcontrib><creatorcontrib>NAIFEH, Monique</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MALONE, Jay R</au><au>DURICA, Sarah R</au><au>THOMPSON, David M</au><au>BOGIE, Amanda</au><au>NAIFEH, Monique</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blood Cultures in the Evaluation of Uncomplicated Skin and Soft Tissue Infections</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>132</volume><issue>3</issue><spage>454</spage><epage>459</epage><pages>454-459</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Blood cultures are often obtained in children hospitalized with skin and soft tissue infections (SSTIs). Because little evidence exists to validate this practice, we examined the yield of blood cultures in the evaluation of immunocompetent children with SSTIs.
Medical records were reviewed for all children admitted between January 1, 2007 and December 31, 2009 after emergency department evaluation and diagnosis of cellulitis or abscess. We compared patients with SSTIs (n = 482) with those with complicated SSTIs (cSSTIs; n = 98). A cSSTI was defined as surgical or traumatic wound infection, need for surgical intervention, or infected ulcers or burns. The SSTI group included patients without complicating factors.
None of the patients in the SSTI group had a positive blood culture. In the cSSTI group, 12.5% of blood cultures were positive. The mean length of hospital stay (LOHS) of children with SSTIs was shorter than that of those with cSSTIs (P < .001). In the SSTI group, obtaining a blood culture was associated with a higher mean LOHS (P = .044).
Blood cultures are not useful in evaluating immunocompetent children who are admitted to the hospital with uncomplicated SSTIs, and they are associated with a nearly 1-day increase in mean LOHS.</abstract><cop>Elk Grove Village, IL</cop><pub>American Academy of Pediatrics</pub><pmid>23918896</pmid><doi>10.1542/peds.2013-1384</doi><tpages>6</tpages></addata></record> |
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| ispartof | Pediatrics (Evanston), 2013-09, Vol.132 (3), p.454-459 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Abscess - diagnosis Abscess - microbiology Adolescent Bacteremia - diagnosis Bacteremia - microbiology Bacterial diseases Bacterial sepsis Bacteriological Techniques Biological and medical sciences Blood Blood - microbiology Blood culture Cellulitis - diagnosis Cellulitis - microbiology Child Child, Preschool Children Children & youth Dermatology Diagnosis Diseases Female General aspects Hospitals, Pediatric Hospitals, University Human bacterial diseases Humans Immunocompetence Immunocompetent cells Infant Infectious diseases Infectious skin diseases Intervention Length of Stay - statistics & numerical data Male Medical sciences Oklahoma Pediatric diseases Pediatrics Retrospective Studies Skin - injuries Skin - microbiology Skin diseases Skin Diseases, Bacterial - diagnosis Skin Diseases, Bacterial - microbiology Skin involvement in other diseases. Miscellaneous. General aspects Soft Tissue Infections - diagnosis Soft Tissue Infections - microbiology Soft Tissue Injuries - complications Soft Tissue Injuries - microbiology Surgical Wound Infection - diagnosis Surgical Wound Infection - microbiology Tissues Wound Infection - diagnosis Wound Infection - microbiology |
| title | Blood Cultures in the Evaluation of Uncomplicated Skin and Soft Tissue Infections |
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