Antimicrobial Use Guidelines (AMUG) version 21 - UW Health

BLOOD CULTURE FOR FILAMENTOUS FUNGIe.g., Histoplasma capsulatum, Blastomyces dermatitidis, Coccidioides immitis,Fusarium species, Malassezia furfur• Requires review by Infectious Diseases or Director of Clinical Microbiology• Draw one 10 mL Isolator tube from eachCULTURE-NEGATIVE ENDOCARDITIS• The HACEK protocol is no longer required• For patients suspected of having bloodstream infection with unusual organismssuch as Brucella, Bartonella, Borrelia, Campylobacter, Chlamydia, Coxiella,Ehrlichia/Anaplasma, Helicobacter, Legionella, Leptospira or Mycoplasma,the Director of Clinical Microbiology should be consulted regarding the use ofspecial media or other methods of detection.ONGOING MONITORS• Single blood cultures• Volume of blood collected• Surveillance cultures• >4 blood cultures in 48 hr• Continued culturing after 2 successive days• Test of cure cultures• Contamination rate*Special Peds: This designation is intended for pediatric patients whose recordedweights may not be accurate because of fluid overload, i.e., BMT, solid organ transplants,dialysis patients and ICU patients. Use ideal body weight or dry weight when calculatingblood culture volumes as appropriate.CONTACT INFORMATIONDirector of Clinical Microbiology – Dr. Carol Spiegel 5569 (pager) 263-4445 (office)Manager of Microbiology – Patti Anderson 261-1314 (office)Clinical Microbiology Laboratory – 263-8710Medical Director of Laboratories – Dr. Teresa Darcy 9642 (pager) 265-2095 (office)UW HOSPITAL & CLINICSANDAMERICAN FAMILYCHILDREN’S HOSPITAL600 Highland AvenueMadison, WI 53792-0001BEST PRACTICES FOR BLOODCULTURING*Carol A. Spiegel, Ph.D.Director, Clinical MicrobiologyDavid Andes, M.D.Head, Infectious DiseasesMarch 2009*Best Practices for Blood Culturing islocated on U-Connect within the "ClinicalGuidelines" Worklist in the U-ConnectWorkroom. Select the "MicrobiologyTesting Guidelines" link, and then select"Best Practices for Blood Culturing."