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Jose Delp RN BSN
Blood Cultures

Are there references for not using existing central venous catheters as  the soul source of blood culture sampling? I know we use them in conjucntion with peripheral cultures when trying to determine if a blood stream infection is CRBSI or not.

Jose

kathykokotis
blood cultures

The answer is yes and no

If you are reporting the surveillance definition of CLA-BSI which is central line associated bloodstream infection you do not draw from the central line of any kind and do two PIV cultures of the bloodstream.  This is a surveillance definition.

If you are looking to see if the catheter is implicated such as in CR-BSI for treatment purposes.  One would do a culture from the catheter and possibly a PIV depending on the laboratory methodolgy utillzed. 

the answer than is yes or no depending on what you were trying to accomplish

Marcia Ryder has a very nice on line article on the differences as well as the IDSA (Infectious Disease Society of America)

Hope that helps

Kathy Kokotis

 

 

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