BLOOD CULTURES -IS IT EFFICACIOUS TO DO MORE THAN ONE SET INITIALLY IN ADULTS AT CWM HOSPITAL

Kumar, Amitesh (2009) BLOOD CULTURES -IS IT EFFICACIOUS TO DO MORE THAN ONE SET INITIALLY IN ADULTS AT CWM HOSPITAL. Other thesis, Fiji National University.

Abstract

OBJECTIVES
1. To determine the efficacy of doing more than one set of blood culture in adults when encountered initially at CWM Hospital.
2. To search literature and justify doing more than one set of blood cultures in adults.

STUDY DESIGN
Retrospective study

SETIING
Study is based at CWM Hospital covering a period of two months from 30/01/09 till 30/03/09.

BACKGROUND
No microbiological test is more important to clinician than blood culture. Although only 5 to 15% of blood cultures drawn in febrile patients are positive. The American College of Chest Physicians
(ACCP) and Society of Critical Care Medicine (SCCM) convened a consensus panel in 1992 to define SIRS, sepsis, severe sepsis and septic shock. The last three are clinical diagnoses and do not require a positive blood culture. The incidence of positive blood cultures increased along continuum from 17% of patients with sepsis to 69% with septic shock

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