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Patient visits were included in the study if blood cultures were ordered in the ED.
Biological analyses (complete blood count, liver enzymes, urine culture, stool culture, blood cultures) were ordered.
Blood cultures were ordered as a part of standard departmental clinical care and unconnected with any of the investigative team.
Blood cultures were ordered by the treating physicians and may have missed septic or febrile patients at risk for bacteremia.
First, we found that the independent risk of death in hospital increased significantly whenever blood cultures were ordered, even when those blood cultures did not grow a microorganism.
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Repeat blood culture was ordered in all cases where Coagulase negative staphylococcus (CNS) was isolated.
If anaerobic tissue and fluid cultures were ordered, an additional sheep blood and a CDC anaerobic sheep blood agar plate were also inoculated.
In clinical microbiology laboratories the quantitatively dominating tests, performed on e.g. urine, blood and swab cultures, are ordered to identify the microorganism causing infection.
The control strategy will consist of routine management, with the exception that physicians are requested to provide a probability estimate for the presence of bacterial infection whenever a diagnostic work up (blood cultures or tracheal aspirate culture) is ordered.
Blood cultures are rarely ordered by general practitioners and were not considered in this study.
Blood cultures are typically ordered when physicians suspect the possibility of a bloodstream infection.
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