Stenotrophomonas maltophilia Pseudobacteraemia in a Pediatric Hospital Associated with Contaminated Citrated Tubes: Importance of Appropriate Blood Collection Kontamine Sitratlı Tüplerle İlişkili Stenotrophomonas maltophilia Psödobakteriyemisi: Uygun Kan Almanın Önemi


Erat T., Yahşi A., Tural Kara T., ÖZDEMİR H., Aysev A. D., ÇİFTCİ E., ...More

Cocuk Enfeksiyon Dergisi, vol.16, no.4, 2022 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 16 Issue: 4
  • Publication Date: 2022
  • Doi Number: 10.5578/ced.20229606
  • Journal Name: Cocuk Enfeksiyon Dergisi
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
  • Keywords: Blood culture, pediatrics, pseudobacteraemia, Stenotro-phomonas maltophilia
  • Ankara University Affiliated: Yes

Abstract

Objective: Pseudobacteraemia is the occurence of false positive blood culture and might lead to initiate unnecessary therapies and healthcare resources. In this report, Stenotrophomonas maltophilia-associated pseu-dobacteraemia is defined as a result of contamination of the syringe tip with the citrated coagulation tubes without blood culture cultivation. Material and Methods: S. maltophilia was isolated from blood cultures of 14 patients within two months in our hospital, Türkiye. Identification of the S. maltophilia species was performed using conventional methods (Bactec 9240-Becton Dickinson). Results: We suspected pseudobacteraemia because of some patients had no clinic, laboratory findings for sepsis. Blood cultures were taken during hospitalization due to the fact that the patients were hospitalized in the intensive care unit or patients at risk of bacteremia such as hema-tology and oncology, and clinical deterioration such as fever and/or their own clinical disease activation. Environmental culture samples were taken to find the source of pseudobacteraemia. S. maltophilia did not grow in any of them. Since there was no growth in environmental cultures, other blood tests taken simultaneously with the blood culture were qu-estioned and cultures were taken from the test tubes. S. maltophilia with the same antibiogram as trimethoprim sulfamethoxazole resistant fluo-roquinolone susceptible was isolated from blood culture growths in all citrated coagulation tubes. Conclusion: In this study, it is aimed to emphasize the importance of the steps that should be applied while taking blood culture.