Evidence map›Paper›PMID 39365070›Full record

ArticleJournal of clinical microbiology2024

Persistent bloodstream infection in children: examining the role for repeat blood cultures.

Christine M Puthawala, Richard S Feinn, José Rivera-Viñas, Hanna Lee, Thomas S Murray, David R Peaper

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Factors associated with persistent bloodstream infection in the Neonatal Intensive Care Unit.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. Article
  3. 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.

Christine M PuthawalaDepartment of Pediatrics, Section Critical Care, Yale University School of Medicine, New Haven, Connecticut, USA.
Richard S FeinnFrank H. Netter School of Medicine, Department of Medical Sciences, Quinnipiac University, Hamden, Connecticut, USA.
José Rivera-ViñasInfection Prevention Department, Yale New Haven Health, New Haven, Connecticut, USA.
Hanna LeeDepartment of Pediatrics, Section Infectious Diseases & Global Health, Yale University School of Medicine, New Haven, Connecticut, USA.
Thomas S MurrayInfection Prevention Department, Yale New Haven Health, New Haven, Connecticut, USA.ORCID 0000-0002-6829-7213
David R PeaperDepartment of Laboratory Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-9952-5012

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Repeat blood cultures are common in children after an initial positive culture. However, in contrast to adults, there are little data to help guide clinicians when a repeat culture is necessary to assess for persistent bacteremia. This study identifies factors associated with persistent bloodstream infections (BSI) in children to inform diagnostic stewardship. This cross-sectional study of children less than 18 years with at least one positive blood culture over a 5-year period utilized a generalized linear equation model to predict patient and microbial factors associated with persistent BSI defined as a positive blood culture with the same organism >48 hours after the index culture. Four hundred and five patients had 502 positive blood cultures yielding 556 organisms. Sixty-seven (13.2%) cultures were persistently positive. Anaerobic organisms (0/37) and IMPORTANCE: We identify factors associated with bloodstream infection persistence in children. Our findings can help guide blood culture stewardship efforts in pediatric patients, especially in light of blood culture supply shortages.

Indexed as

BacteremiaBlood CultureAdolescentBacteriaChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleRisk Factorsblood cultureblood stream infectionpediatrics

Identifiers

PMID39365070
PMCPMC11559050

What OpenQuestion holds

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Registered trials

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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.