Thank-you. This was a manual count. The Pt was diagnosed Friday with viral pneumonia. Blood cultures remained negative. Dr. pulled PICC before we were able to culture the tip or draw a culture through it. He now says the infection probably had nothing to do with the line. Can you have a central line infection and not be septic? RaKay
-----Original Message----- From: Nancy Moureau [mailto:[EMAIL PROTECTED] Sent: Friday, August 11, 2006 11:09 AM To: 'Lynn Hadaway'; [EMAIL PROTECTED]; [EMAIL PROTECTED]; Rakay Dance Subject: RE: Central Line Infection Rakay did clarify. I do remember from my school days doing manual CBCs, but I thought that was very rare these days. With a manual vs computer cell count you could see bacterial cells but no colony count to verify contaminant vs infection. Nancy -----Original Message----- From: "Lynn Hadaway" <[EMAIL PROTECTED]> To: "[EMAIL PROTECTED]" <[EMAIL PROTECTED]>; "[EMAIL PROTECTED]" <[EMAIL PROTECTED]>; "Rakay Dance" <[EMAIL PROTECTED]> Sent: 8/10/06 4:35 PM Subject: Re: Central Line Infection 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
