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About:
Bacteremia and Blood Culture Utilization during COVID-19 Surge in New York City
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
covidontheweb.inria.fr
associated with source
document(s)
Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Bacteremia and Blood Culture Utilization during COVID-19 Surge in New York City
Creator
Whittier, Susan
Satlin, Michael
Sobieszczyk, Magdalena
Westblade, Lars
Green, Daniel
Aaron, Justin
Choi, Justin
Connelly, Charles
Dietz, Donald
Greendyke, William
Liu, Dakai
Russell, Sarah
Sepulveda, Jorge
Zucker, Jason
Source
Medline; PMC
abstract
A surge of patients with coronavirus disease 2019 (COVID-19) presenting to New York City hospitals in March 2020 led to a sharp increase in blood culture utilization, which overwhelmed the capacity of automated blood culture instruments. We sought to evaluate the utilization and diagnostic yield of blood cultures during the COVID-19 pandemic to determine prevalence and common etiologies of bacteremia and to inform a diagnostic approach to relieve blood culture overutilization. We performed a retrospective cohort analysis of 88,201 blood cultures from 28,011 patients at a multicenter network of hospitals within New York City to evaluate order volume, positivity rate, time to positivity, and etiologies of positive cultures in COVID-19. Ordering volume increased by 34.8% in the second half of March 2020 compared to the level in the first half of the month. The rate of bacteremia was significantly lower among COVID-19 patients (3.8%) than among COVID-19-negative patients (8.0%) and those not tested (7.1%) (P < 0.001). COVID-19 patients had a high proportion of organisms reflective of commensal skin microbiota, which, when excluded, reduced the bacteremia rate to 1.6%. More than 98% of all positive cultures were detected within 4 days of incubation. Bloodstream infections are very rare for COVID-19 patients, which supports the judicious use of blood cultures in the absence of compelling evidence for bacterial coinfection. Clear communication with ordering providers is necessary to prevent overutilization of blood cultures during patient surges, and laboratories should consider shortening the incubation period from 5 days to 4 days, if necessary, to free additional capacity.
has issue date
2020-07-23
(
xsd:dateTime
)
bibo:doi
10.1128/jcm.00875-20
bibo:pmid
32404482
has license
no-cc
sha1sum (hex)
0e8cfa5c3267e1c80ccd6897fc117f0147c007bf
schema:url
https://doi.org/10.1128/jcm.00875-20
resource representing a document's title
Bacteremia and Blood Culture Utilization during COVID-19 Surge in New York City
has PubMed Central identifier
PMC7383550
has PubMed identifier
32404482
schema:publication
J Clin Microbiol
resource representing a document's body
covid:0e8cfa5c3267e1c80ccd6897fc117f0147c007bf#body_text
is
schema:about
of
named entity 'volume'
named entity 'bacteremia'
named entity 'automated'
named entity 'COVID-19'
named entity 'COVID-19'
named entity 'positive'
named entity 'patients'
named entity 'blood culture'
named entity 'skin microbiota'
named entity 'multicenter'
named entity 'Bloodstream'
named entity 'New York City'
named entity 'FREE'
named entity 'EVIDENCE FOR'
named entity 'NECESSARY'
named entity 'TO INFORM'
named entity 'COVID-19 PANDEMIC'
named entity 'ORDER'
named entity 'DIAGNOSTIC'
named entity 'ABSENCE OF'
named entity 'VERY RARE'
named entity 'EXCLUDED'
named entity 'days'
named entity 'compared'
named entity 'high'
named entity 'overutilization'
named entity 'incubation'
named entity 'positivity'
named entity 'blood culture'
named entity 'performed'
named entity 'shortening'
named entity 'order'
named entity 'New York City'
named entity 'prevent'
named entity 'coinfection'
named entity 'COVID-19'
named entity 'bacteremia'
named entity 'blood culture'
named entity 'retrospective cohort'
named entity 'etiologies'
named entity 'COVID'
named entity 'COVID'
named entity 'New York City'
named entity 'Bacteremia'
named entity 'pandemic'
named entity 'RT-PCR'
named entity 'COVID-19'
named entity 'ANOVA'
named entity 'blood cultures'
named entity 'Columbia University Irving Medical Center'
named entity 'RT-PCR'
named entity 'blood cultures'
named entity 'SARS-CoV-2'
named entity 'Becton, Dickinson'
named entity 'blood cultures'
named entity 'blood cultures'
named entity 'blood cultures'
named entity 'respiratory syncytial virus'
named entity 'Cutibacterium acnes'
named entity 'blood cultures'
named entity 'incubation period'
named entity 'blood cultures'
named entity 'March 2020'
named entity 'blood cultures'
named entity 'blood cultures'
named entity 'New York City'
named entity 'blood cultures'
named entity 'ggplot2'
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