Research ExplorerPublicationsStool cultures at the ICU: get rid of it!

Stool cultures at the ICU: get rid of it!

Standard

Stool cultures at the ICU: get rid of it! / Manthey, Carolin F; Dranova, Darja; Christner, Martin; Berneking, Laura; Kluge, Stefan; Lohse, Ansgar W; Fuhrmann, Valentin.

In: ANN INTENSIVE CARE, Vol. 8, No. 1, 18.01.2018, p. 10.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Manthey, CF, Dranova, D, Christner, M, Berneking, L, Kluge, S, Lohse, AW & Fuhrmann, V 2018, 'Stool cultures at the ICU: get rid of it!', ANN INTENSIVE CARE, vol. 8, no. 1, pp. 10. https://doi.org/10.1186/s13613-018-0358-x

APA

Manthey, C. F., Dranova, D., Christner, M., Berneking, L., Kluge, S., Lohse, A. W., & Fuhrmann, V. (2018). Stool cultures at the ICU: get rid of it! ANN INTENSIVE CARE, 8(1), 10. https://doi.org/10.1186/s13613-018-0358-x

Vancouver

Manthey CF, Dranova D, Christner M, Berneking L, Kluge S, Lohse AW et al. Stool cultures at the ICU: get rid of it! ANN INTENSIVE CARE. 2018 Jan 18;8(1):10. https://doi.org/10.1186/s13613-018-0358-x

Bibtex

@article{63c52198f4e440b099a635deb18823d4,
title = "Stool cultures at the ICU: get rid of it!",
abstract = "BACKGROUND: Stool cultures for Campylobacter, Salmonella and Shigella and/or Yersinia spp. are frequently ordered in critically ill patients with diarrhea. The aim of this study is to analyze the diagnostic yield in a large cohort of critically ill patients. Therefore, we performed a cohort study at the Department of Intensive Care Medicine of a University Hospital (11 ICUs).RESULTS: From all patients who were admitted to the ICU between 2010 and 2015, stool cultures were taken from 2.189/36.477 (6%) patients due to diarrhea. Results of all stool cultures tested for Campylobacter, Salmonella and Shigella and/or Yersinia spp. were analyzed. Overall, 5.747 tests were performed; only six were positive (0.1%). In four of these, Campylobacter spp. were detected; diarrhea started within 48 h after ICU admission. Two patients with Salmonella spp. detection were chronic shedders. On the contrary, testing for Clostridium difficile via GDH- and toxin A/B-EIA yielded positive results in 179/2209 (8.1%) tests and revealed 144/2.189 (6.6%) patients with clinically relevant C. difficile infection.CONCLUSIONS: Stool testing for enteric pathogens other than C. difficile should be avoided in ICU patients and is only reasonable when diarrhea commenced less than 48 h after hospital admission.",
keywords = "Journal Article",
author = "Manthey, {Carolin F} and Darja Dranova and Martin Christner and Laura Berneking and Stefan Kluge and Lohse, {Ansgar W} and Valentin Fuhrmann",
year = "2018",
month = jan,
day = "18",
doi = "10.1186/s13613-018-0358-x",
language = "English",
volume = "8",
pages = "10",
journal = "ANN INTENSIVE CARE",
issn = "2110-5820",
publisher = "Springer-Verlag GmbH and Co. KG",
number = "1",

}

RIS

TY - JOUR

T1 - Stool cultures at the ICU: get rid of it!

AU - Manthey, Carolin F

AU - Dranova, Darja

AU - Christner, Martin

AU - Berneking, Laura

AU - Kluge, Stefan

AU - Lohse, Ansgar W

AU - Fuhrmann, Valentin

PY - 2018/1/18

Y1 - 2018/1/18

N2 - BACKGROUND: Stool cultures for Campylobacter, Salmonella and Shigella and/or Yersinia spp. are frequently ordered in critically ill patients with diarrhea. The aim of this study is to analyze the diagnostic yield in a large cohort of critically ill patients. Therefore, we performed a cohort study at the Department of Intensive Care Medicine of a University Hospital (11 ICUs).RESULTS: From all patients who were admitted to the ICU between 2010 and 2015, stool cultures were taken from 2.189/36.477 (6%) patients due to diarrhea. Results of all stool cultures tested for Campylobacter, Salmonella and Shigella and/or Yersinia spp. were analyzed. Overall, 5.747 tests were performed; only six were positive (0.1%). In four of these, Campylobacter spp. were detected; diarrhea started within 48 h after ICU admission. Two patients with Salmonella spp. detection were chronic shedders. On the contrary, testing for Clostridium difficile via GDH- and toxin A/B-EIA yielded positive results in 179/2209 (8.1%) tests and revealed 144/2.189 (6.6%) patients with clinically relevant C. difficile infection.CONCLUSIONS: Stool testing for enteric pathogens other than C. difficile should be avoided in ICU patients and is only reasonable when diarrhea commenced less than 48 h after hospital admission.

AB - BACKGROUND: Stool cultures for Campylobacter, Salmonella and Shigella and/or Yersinia spp. are frequently ordered in critically ill patients with diarrhea. The aim of this study is to analyze the diagnostic yield in a large cohort of critically ill patients. Therefore, we performed a cohort study at the Department of Intensive Care Medicine of a University Hospital (11 ICUs).RESULTS: From all patients who were admitted to the ICU between 2010 and 2015, stool cultures were taken from 2.189/36.477 (6%) patients due to diarrhea. Results of all stool cultures tested for Campylobacter, Salmonella and Shigella and/or Yersinia spp. were analyzed. Overall, 5.747 tests were performed; only six were positive (0.1%). In four of these, Campylobacter spp. were detected; diarrhea started within 48 h after ICU admission. Two patients with Salmonella spp. detection were chronic shedders. On the contrary, testing for Clostridium difficile via GDH- and toxin A/B-EIA yielded positive results in 179/2209 (8.1%) tests and revealed 144/2.189 (6.6%) patients with clinically relevant C. difficile infection.CONCLUSIONS: Stool testing for enteric pathogens other than C. difficile should be avoided in ICU patients and is only reasonable when diarrhea commenced less than 48 h after hospital admission.

KW - Journal Article

U2 - 10.1186/s13613-018-0358-x

DO - 10.1186/s13613-018-0358-x

M3 - SCORING: Journal article

C2 - 29349705

VL - 8

SP - 10

JO - ANN INTENSIVE CARE

JF - ANN INTENSIVE CARE

SN - 2110-5820

IS - 1

ER -