Impact of Time to Report Positive Hemoculture on Mortality in Surgical Critically Ill Patients with Septicemia
Wacharasint, P.; Angsusakun, C.; Jongstapongpun, P.
Journal of the Medical Association of Thailand 99 Suppl. 6: S219-S225
2016
ISSN/ISBN: 0125-2208 PMID: 29906383 Document Number: 17359
In patients receiving inappropriate empirical antimicrobial agents, delaying of time to report positive hemoculture (TRH) may cause delay switching from inappropriate antimicrobial agents to appropriate antimicrobial agents, and thus may increase mortality. We hypothesized that the patients with septicemia from different types of pathogens may have differ duration of TRH, and duration of TRH may had an impact on hospital mortality. We performed observational study on the patients who were reported to have bacteremia or fungemia There were 9, 32, and 7 patients for whom growth of GP bacteria (18.8%), GN bacteria (66.7%), and fungus Patients with fungemia had significantly longer TRH than patients with GP and GN bacteremia. TRH was found