부산대학교 도서관

Aim:This study aimed to investigate the factors affecting bacteremia and contamination in patients admitted to the pediatric emergency room.Materials and Methods:This retrospective study focused on patients 1 month to 18 years of age who underwent blood culture tests at the University of Health Sciences Turkey, İzmir Tepecik Training and Research Hospital from 2013 to 2017. We performed a history and physical examination and noted the presence of fever, pediatric assessment triangle findings on admission, laboratory characteristics, and outcomes associated with true bacteremia and contamination. Patients with no growth in blood culture were excluded from the study. Statistical analysis consisted of the χ2 test, Mann-Whitney U test, receiver operating characteristic analysis, calculations of sensitivity and specificity, and the multivariable logistic regression model.Results:Blood culture growth was detected in 514 (12.2%) of 4,200 culture samples assessed during the study period. A total of 449 patients were included in the study. Culture results of 165 patients (36.7%) were defined as indicative of true bacteremia and those of 284 patients (63.2%) as contamination. Patients with true bacteremia were more likely to have fever (81.4% vs. 64.5%, p