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Understanding reasons clinicians obtained endotracheal aspirate cultures and impact on patient management to inform diagnostic stewardship initiatives

Published online by Cambridge University Press:  09 December 2019

Anna C. Sick-Samuels*
Affiliation:
Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
James C. Fackler
Affiliation:
Department of Anesthesia and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland
Sean M. Berenholtz
Affiliation:
Department of Anesthesia and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore, Maryland Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Aaron M. Milstone
Affiliation:
Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
*
Author for correspondence: Anna Sick-Samuels, E-mail: [email protected]

Abstract

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Type
Research Brief
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved.

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Footnotes

PREVIOUS PRESENTATION: Portions of these results were presented in a poster abstract at IDWeek 2018 on October 6, 2018, San Francisco, California.

References

Willson, DF, Hoot, M, Khemani, R, et al.Pediatric ventilator-associated infections: the Ventilator-Associated INfection Study. Pediatr Crit Care Med 2017;18(1):e24e34.CrossRefGoogle ScholarPubMed
Grohskopf, LA, Sinkowitz-Cochran, RL, Garrett, DO, et al.A national point-prevalence survey of pediatric intensive care unit-acquired infections in the United States. J Pediatr 2002;140:432438.CrossRefGoogle ScholarPubMed
Durairaj, L, Mohamad, Z, Launspach, JL, et al.Patterns and density of early tracheal colonization in intensive care unit patients. J Crit Care 2009;24:114121.CrossRefGoogle ScholarPubMed
Willson, DF, Conaway, M, Kelly, R, Hendley, JO.The lack of specificity of tracheal aspirates in the diagnosis of pulmonary infection in intubated children. Pediatr Crit Care Med 2014;15:299305.CrossRefGoogle Scholar
Venkatachalam, V, Hendley, JO, Willson, DF.The diagnostic dilemma of ventilator-associated pneumonia in critically ill children. Pediatr Crit Care Med 2011;12:286296.CrossRefGoogle ScholarPubMed
Willson, DF, Kirby, A, Kicker, JS.Respiratory secretion analyses in the evaluation of ventilator-associated pneumonia: a survey of current practice in pediatric critical care. Pediatr Crit Care Med 2014;15:715719.CrossRefGoogle ScholarPubMed
Gauvin, F, Dassa, C, Chaibou, M, Proulx, F, Farrell, CA, Lacroix, J.Ventilator-associated pneumonia in intubated children: comparison of different diagnostic methods. Pediatr Crit Care Med 2003;4:437443.CrossRefGoogle ScholarPubMed
Craven, DE, Chroneou, A, Zias, N, Hjalmarson, KI.Ventilator-associated tracheobronchitis: the impact of targeted antibiotic therapy on patient outcomes. Chest 2009;135:521528.CrossRefGoogle ScholarPubMed
Morgan, DJ, Croft, LD, Deloney, V, et al.Choosing wisely in healthcare epidemiology and antimicrobial stewardship. Infect Control Hosp Epidemiol 2016;37:755760.CrossRefGoogle ScholarPubMed
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Sick-Samuels et al. supplementary material

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