I also wondered about their ability to see visible bacteria. Maybe
Rakay can provide some additional information about what the lab saw.
Lynn
At 3:08 PM -0400 8/10/06, Nancy Moureau wrote:
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
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
