0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Research Letter |

Blood Culture Use in the Emergency Department in Patients Hospitalized for Community-Acquired Pneumonia

Anil N. Makam, MD, MAS1; Andrew D. Auerbach, MD, MPH2; Michael A. Steinman, MD3
[+] Author Affiliations
1Division of General Internal Medicine, University of Texas Southwestern Medical Center, Dallas
2Divsion of Hospital Medicine, University of California, San Francisco
3Division of Geriatrics, San Francisco VA Medical Center and the University of California, San Francisco
JAMA Intern Med. 2014;174(5):803-806. doi:10.1001/jamainternmed.2013.13808.
Text Size: A A A
Published online

Extract

Routine blood cultures for all patients hospitalized with community-acquired pneumonia have limited utility, and false-positive results lead to inappropriate antimicrobial use and longer hospital stays.1 As a result, performance measures and practice guidelines that promoted obtaining blood cultures in all such patients were modified from 2005 through 2007 to recommend routine collection in only the sickest patients.1,2 Using a national sample of emergency department visits, we examined patterns of obtaining cultures in adults hospitalized with community-acquired pneumonia.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure.
Trends in Collecting Blood Cultures During ED Visits by Patients Subsequently Hospitalized by Condition for 2002 Through 2010

CMS indicates Centers for Medicaid & Medicare Services; ED, emergency department; JCAHO, Joint Commission on Accreditation of Healthcare Organizations; UTI, urinary tract infection. Blood culture collection data were not recorded in the 2005 and 2006 surveys. In 2002, the JCAHO and CMS announced a core measure for routine blood culture collection in the ED for all patients hospitalized with community-acquired pneumonia to benchmark the quality of care. This was subsequently revised in 2005 to focus only on intensive care unit admissions. Practice guidelines for the management of pneumonia were revised at the beginning of 2007 to recommend routine blood cultures only for patients with severe community-acquired pneumonia. aDifference in the trend lines was evaluated by testing the interaction term of year and condition in a regression model using the collection of a blood culture as the outcome variable.

Graphic Jump Location

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Community-Acquired Pneumonia

Users' Guides to the Medical Literature
Some prediction rules require, by their very nature, evidence of clinical impact as a...

brightcove.createExperiences();