Sorry Rakay, Visible Bacteria in a CBC? I assume the white count was up. If all blood cultures are negative both peripheral and line draws then you may be talking about a contaminant. TPN is notorious for growing bacteria and certainly is a risk factor for infection. The patient may have a virus, esp with the glandular swelling.
Nancy Moureau, BSN, CRNI PICC Excellence, Inc [EMAIL PROTECTED] 1-888-714-1951 ---------- Original Message ---------------------------------- From: "Rakay Dance" <[EMAIL PROTECTED]> Date: Thu, 10 Aug 2006 12:41:33 -0600 >Hi, I am looking for some expert opinions. We had a PICC line in place >8 weeks. Pt is receiving TPN for extreme hyperemesis gravadarium. On >weekly labs Monday the lab noted visiable bacteria in the CBC. On >Tuesday PICC was pulled and repeat CBC and Blood cultures PIV were >drawn. No bacteria noted on this sample. Blood Cultures remain >negative after 48 hours. Is this likely a line infection or something >else. The tip was not cultured. Pt is now hospitalized and continues >to spike fevers and is on IVAB. Infection remains unknown. Pt's WBC >was 2.7 when admitted to hospital. Pt has very large swollen glands in >neck, headache and stiff neck. No spinal has been done. I would love >your opinion's-line infected or no?? RaKay > > >
