#50 Blood Cultures: Mind the Gap Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 2 October 2019

⏱️ 20 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Go deeper into the world of blood cultures! Time stamps * 04:10 Review of Choosing Wisely Guidelines * 05:55 What are estimated incidences of positive blood cultures? * 06:17 Which clinical signs or patient history is more likely to have positive blood cultures? * 09:48 What is the estimated incidence of false positive blood cultures? * 11:01 What infections more likely to have bacteremia? * 13:50 How do positive blood cultures impact patient outcomes and the use of resources? Show notes, transcript, and references (https://www.coreimpodcast.com/2019/10/02/blood-cultures/) Tags: Infectious disease, CoreIM, pyelonephritis, cellulitis, community acquired pneumonia Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

Click on a timestamp to play from that location

0:00.0	Laments of a clinical clerk.
0:03.0	Of all my consultants most easy to please is the fellow who comes from infectious disease.
0:08.0	His wants are so simple, his needs are so few, just gather some sputum blood cultures times two.
0:13.0	Exray the patient from goggle to zatch,
0:15.0	examine the urine both catch and clean catch.
0:17.5	It takes but a moment to do an LP.
0:19.5	Swab wound throat and cervix yank out the IV.
0:23.0	When all of the data are at least collected, the last culture-plated, the last slide inspected.
0:27.9	The attending arrives to review and recap, while intern and student enjoy a brief nap. He broods with the air of a scribe with papyrus and gives his opinion,
0:36.4	most likely a virus.
0:37.7	Don't bother to fix it, can't treat it, can't cure it.
0:40.5	Though super infections may later obscure it.
0:43.0	Should there be recurrence of fever or pain,
0:46.0	go back to square one and start over again.
0:48.0	J.B. Frank, 1978 New England Journal of Medicine. Hey Steve, what's up, Janine?
0:55.0	So I saw a patient in clinic the other day that was feeling kind of lousy and reporting that they had a fever and maybe some ragers.
1:02.0	He said, Doctor, I've got chills. Were they multiplying?
1:06.0	Well I was thinking the funny thing, the actual funny thing is that if that patient were
1:10.6	admitted to the hospital, I'd probably do a full workup, right?
1:14.0	I guess so.
1:16.0	Play along.
1:17.0	What would you do, patient with a fever?
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Core IM Team, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Core IM Team and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.