DO NOT perform blood cultures for surveillance in the absence of signs and symptoms of sepsis BOTTLE PREPARATION Disinfect the rubber stopper of each bottle with 70 alcohol Do ID: 1014940
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1. WEEK 5URINE CULTURESBLOOD CULTURESDO NOT perform blood cultures for “surveillance” in the absence of signs and symptoms of sepsisBOTTLE PREPARATION: Disinfect the rubber stopper of each bottle with 70% alcohol Do not use iodine as this can disintegrate the rubber stopperSKIN PREPARATION: Scrub the site with a CHG-alcohol skin prep for 30 seconds REMEMBER: A sterile probe cover and sterile gloves must ALWAYS be used when obtaining blood cultures via ultrasoundInappropriately ordered urine cultures in adults can lead to over diagnosis and over treatment of asymptomatic bacteriuria as UTIGENERAL RECOMMENDATIONS FOR ORDERING URINE CULTURESUrinalysis with reflex is preferred over urine culture alone for most patients (absence of pyuria makes UTI unlikely)Order a “Urinalysis” ALONE and NOT a Urinalysis with Reflex Urine Culture if UTI is not suspectedRemove or change indwelling urinary catheter if in place >14 days BEFORE obtaining urine specimen for culturePeripherally drawn blood cultures are preferredDo not collect cultures from central linesWhen obtaining >1 set, the draw from the second site requires separate hand hygiene procedure and new suppliesAdequate blood volumes are important for optimal specimen collection Patient weight to blood volume collected:<1-3 kg - 0.5 ml<4-6 kg - 1 ml7-10 kg - 2 ml11-21 kg - 4 ml>22 kg - 8-10 mlAlways collect from sampling port, NOT the drainage bagCollecting from bag will yield inaccurate test results