In drawing blood cultures from a central line to evaluate for CLABSI, do you advise drawing separate blood cultures from each port in case of dual or triple lumen line?

Topics: Infectious Disease • Infection Prevention and Control

If yes, what is the rationale for doing that?

Answer from: at Community Practice

You don't need to use the central line to draw those cultures. Using the line to draw blood can in it by itself pose risk of introducing a microorganisms. NHSN CLABSi definition does not call for blood culture to be done from a line.

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at University of Louisville
What about differential time to positivity?

Answer from: at Community Practice

Although drawing blood culture from a central line is not recommended in general, the old IDSA guideline in 2009 mentioned "If a blood sample cannot be drawn from a peripheral vein, it is recommended that â©¾2 blood samples should be drawn through different catheter lumens (B-III)....

Comments

at University of Louisville
I agree with most of what you said. The only concl...

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