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Improving Early Antibiotic Administration For Treatment Of Sepsis At Children’S Hospital Of Richmond At Vcu: 2012-2019, Hannah Miller Md, Ashlie Tseng Md, Perry Taylor Pharmd, Matthew Schefft Do Msha, Sheila Pedigo Pharmd Bcpps, Tracy Lowerre Bsn Ms, Jose Munoz Md, Mark Astoria Md, Jonathan Silverman Md Mph Jan 2020

Improving Early Antibiotic Administration For Treatment Of Sepsis At Children’S Hospital Of Richmond At Vcu: 2012-2019, Hannah Miller Md, Ashlie Tseng Md, Perry Taylor Pharmd, Matthew Schefft Do Msha, Sheila Pedigo Pharmd Bcpps, Tracy Lowerre Bsn Ms, Jose Munoz Md, Mark Astoria Md, Jonathan Silverman Md Mph

Graduate Medical Education (GME) Resident and Fellow Research Day Posters

Background: The Surviving Sepsis Campaign recommends initiating IV antibiotic administration within one hour of recognition of severe sepsis. Several studies have shown that prompt blood culture collection, administration of broad-spectrum antibiotics, and fluid resuscitation following recognition improves child survival.

Objective: Our goal was to evaluate effectiveness of sepsis initiatives and institutional changes in the timing of early antibiotic administration at Children’s Hospital of Richmond at VCU.

Methods: We formed a Pediatric Sepsis Committee with representatives from each unit in 2013. In 2016, the committee began tracking time from the order of a first stat dose IV antibiotic to administration as …


Correlation Between Mass And Volume Of Collected Blood With Positivity Of Blood Cultures, Lariessa Neves, Alexandre Rodrigues Marra, Thiago Zinsly Sampaio Camargo, Maura Cristina Dos Santos, Flávia Zulin, Patrícia Candido Da Silva, Natália Ariede De Moura, Elivane Da Silva Victor, Jacyr Pasternak, Oscar Fernando Pavão Dos Santos, Michael B. Edmond, Marines Dalla Valle Martino Jan 2015

Correlation Between Mass And Volume Of Collected Blood With Positivity Of Blood Cultures, Lariessa Neves, Alexandre Rodrigues Marra, Thiago Zinsly Sampaio Camargo, Maura Cristina Dos Santos, Flávia Zulin, Patrícia Candido Da Silva, Natália Ariede De Moura, Elivane Da Silva Victor, Jacyr Pasternak, Oscar Fernando Pavão Dos Santos, Michael B. Edmond, Marines Dalla Valle Martino

Internal Medicine Publications

Background

The collection of blood cultures is an extremely important method in the management of patients with suspected infection. Microbiology laboratories should monitor blood culture collection.

Methods

Over an 8-month period we developed a prospective, observational study in an adult Intensive Care Unit (ICU). We correlated the mass contained in the blood vials with blood culture positivity and we also verified the relationship between the mass of blood and blood volume collected for the diagnosis of bloodstream infection (BSI), as well as we explored factors predicting positive blood cultures.

Results

We evaluated 345 patients with sepsis, severe sepsis or septic …