08/01/26

Blood culture practices in pediatric intensive care units to inform a diagnostic stewardship intervention.

Kim, Sarah D; Dieterly, Hope; Milstone, Aaron; Bonafide, Christopher; Elhaissouni, Nora; Woods-Hill, Charlotte; and the BrighT STAR LIBRA authorship group. Hosp Pediatr.

Summary

Diagnostic excellence includes obtaining the right tests for the right patients while avoiding unnecessary testing. This multisite, observational audit examined 1,068 blood cultures across nine pediatric intensive care units. Only 6% were positive, and more than half were obtained despite a documented alternative source of symptoms. Findings support standardized thresholds and diagnostic stewardship to reduce potentially low-value blood cultures.
Kim SD, Dieterly H, Milstone A, et al. Blood culture practices in pediatric intensive care units to inform a diagnostic stewardship intervention. Hosp Pediatr. 2026;16(8):e632-e637.