Changes to protocol for collecting pediatric blood cultures

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Changes to protocol for collecting pediatric blood cultures

15-Sep-2015

As of Sept 1, when blood cultures are ordered on a patient aged under 16 years the following volumes of blood will be collected as a single culture set (i.e. 1 venipuncture from a single site):

0 – 12 months: 1-2 mL in a single pediatric bottle

1 – 15 years: total volume to equal approximately 1 mL per year of age

The total volume will be divided into 2 bottles when necessary, as follows

1 – 4 years: 1 pediatric bottle

5 – 8 years: 2 pediatric bottles

9 – 15 years: 1 pediatric bottle + 1 aerobic adult bottle

Pediatric blood cultures will not include anaerobic culture bottles unless specifically ordered.

If blood cultures are required from multiple sites a complete set (as above) will be drawn from each site. Blood cultures from multiple sites need to be ordered separately.

Blood cultures ordered on patients 16 years and older will continue to be drawn as per the adult protocol: 2 sets (i.e. 2 separate venipunctures or sites of collection) consisting of 1 aerobic and 1 anaerobic adult bottles each (8-10mL blood per bottle).