We are in a process of quality improvement around blood cultures in infants in particular to reduce our contamination rate. Questions were raised regarding the wisdom of drawing labs and cultures from a single needle stick/angiocath that is used for IV fluid administration and medications.
Do any of you routinely use a second needle stick and site for drawing blood cultures in pediatric (or infant) patients?
If you are using the same site, do you (or your nurses) commonly drip blood from the angiocath hub into microtainers and then attach tubing for a culture? What other process do you use? Would you then be willing to share your blood culture contamination rate?
Do you know how this is commonly practiced by any chance in your NICU (a neonatologist indicated that they use separate sites for all of their newborns)?
That oughta do it. Thanks to all y'all for the benefit of your wisdom and experience.
Best regards for a Happy New Year.
Ethan Wiener, MD, FAAP, FACEP
Division Chief, Pediatric Emergency Medicine
NYU Langone Health and Bellevue Hospital Center
Associate Professor of Emergency Medicine and Pediatrics
NYU School of Medicine
545 1St Ave, Greenberg Hall 6th Floor
New York, NY 10016
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