Evidence map›Paper›PMID 34524647›Full record

Observational studyInfection2021

Accuracy of procalcitonin for diagnosing peripheral blood culture contamination among patients with positive blood culture for potential contaminants.

Clémence Berthezène, Nejla Aissa, Anne Elisabeth Manteaux, Jean-Louis Guéant, Abderrahim Oussalah, Alain Lozniewski

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04573894 (Diagnostic Performance of Plasma Procalcitonin in Screening for Contamination When Detecting Potential Contaminants in Blood Cultures), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04573894 completednot on this map

Diagnostic Performance of Plasma Procalcitonin in Screening for Contamination When Detecting Potential Contaminants in Blood Cultures

TypeobservationalSponsorCentral Hospital, Nancy, FranceRan2020 to 2020Enrolled147ConditionsBlood Culture Contamination, Bacteremia, ContaminationArmsProcalcitonin dosage
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Clémence BerthezèneDepartment of Microbiology, University Hospital of Nancy, F-54000, Vandoeuvre-lès-Nancy, France.
Nejla AissaDepartment of Microbiology, University Hospital of Nancy, F-54000, Vandoeuvre-lès-Nancy, France.
Anne Elisabeth ManteauxDepartment of Microbiology, University Hospital of Nancy, F-54000, Vandoeuvre-lès-Nancy, France.
Jean-Louis GuéantDepartment of Molecular Medicine, Division of Biochemistry, Molecular Biology, and Nutrition, University Hospital of Nancy, F-54000, Vandoeuvre-lès-Nancy, France.
Abderrahim OussalahDepartment of Molecular Medicine, Division of Biochemistry, Molecular Biology, and Nutrition, University Hospital of Nancy, F-54000, Vandoeuvre-lès-Nancy, France. abderrahim.oussalah@univ-lorraine.fr.ORCID http://orcid.org/0000-0002-9731-4529
Alain LozniewskiDepartment of Microbiology, University Hospital of Nancy, F-54000, Vandoeuvre-lès-Nancy, France. a.lozniewski@chru-nancy.fr.
Centre Hospitalier Régional et Universitaire de Nancy · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBlood culture contamination is still a frequently observed event and may lead to unnecessary antibiotic prescriptions and additional hazards and costs. However, in patients hospitalized in tertiary care, true bacteremias for pathogens that are classically considered as contaminants can be observed. We assessed the diagnostic accuracy of procalcitonin for differentiating blood culture contamination from bacteremia in patients with positive blood cultures for potential contaminants.

methodsWe carried out a retrospective, cross-sectional, observational study on consecutive patients hospitalized between January 2016 and May 2019 at the University Hospital of Nancy and who had a positive peripheral blood culture for a pathogen classically considered as a potential contaminant.

resultsDuring the study period, 156 patients were screened, and 154 were retained in the analysis. Among the variables that were significantly associated with a diagnosis of blood culture contamination in univariate analyses, four were maintained in multivariate logistic regression analysis: a number of positive blood culture bottles ≤ 2 (OR 23.76; 95% CI 1.94-291.12; P = 0.01), procalcitonin < 0.1 ng/mL (OR 14.88; 95% CI 1.62-136.47; P = 0.02), non-infection-related admission (OR 13.00; 95% CI 2.17-77.73; P = 0.005), and a percentage of positive blood culture bottles ≤ 25% (OR 12.15; 95% CI 2.02-73.15; P = 0.006).

conclusionsThese data provide new evidence on the usefulness of plasma procalcitonin as a reliable diagnostic biomarker in the diagnostic algorithm of peripheral blood culture contamination among patients hospitalized in tertiary care. CLINICAL TRIAL: ClinicalTrials.gov #NCT04573894.

Indexed as

BacteremiaBlood CultureCross-Sectional StudiesHumansProcalcitoninRetrospective StudiesProcalcitoninBiomarkerBlood culture contaminationPatients hospitalized in tertiary careProcalcitonin

Identifiers

PMID34524647
OpenAlexW3200857141

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.