{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:46:09Z","timestamp":1782816369298,"version":"3.54.5"},"reference-count":53,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T00:00:00Z","timestamp":1782604800000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Blood cultures (BCs) are used in emergency departments (EDs) to investigate and manage suspected sepsis; however, their inappropriate use contributes to low\u2010value care, providing limited clinical benefit while causing avoidable harm. Despite recommendations for more selective testing, low\u2010value blood culture (LVBC) use persists, and there remains uncertainty on the definition, drivers, and impact of LVBCs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To map the existing literature on LVBCs in adult ED patients, including definitions of LVBCs, associated clinical contexts, contributing factors, consequences and related gaps in knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Six databases were searched from inception to June 30, 2025. Studies involving adult populations and addressing LVBC use in EDs were included. Data were charted independently by two reviewers. Risk of bias was assessed using JBI critical appraisal tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1453 records screened, 18 studies were included in this scoping review. None defined LVBCs, although five themes characterising LVBCs emerged: limited impact on patient management, non\u2010adherence to guidelines, failure to meet predictive tool thresholds, protocol\u2010driven ordering, and BCs deemed unnecessary by clinicians. Reported prevalence of LVBCs ranged from 19% to 69%. The most referenced LVBC driver was pressure to comply with quality measures. Reported consequences of LVBCs included unnecessary treatment, investigation and prolonged stay due to false positive results. Patient\u2010centred outcomes were rarely reported, and formal economic evaluations were lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LVBCs are prevalent among adult ED patients yet inconsistently defined. Addressing the issue will require standardised criteria, interventions targeting root causes, and research focused on patient\u2010centred and economic consequences to optimise BC ordering practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70299","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T02:10:24Z","timestamp":1782699024000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low\u2010Value Blood Culture Use in Adult Emergency Department Patients: A Scoping Review"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3988-1828","authenticated-orcid":false,"given":"Amy","family":"Weber","sequence":"first","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Upeksha","family":"Galappaththie","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph V.","family":"Moxon","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay","family":"Gangathimmaiah","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Townsville University Hospital  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja14.01664"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(16)32586\u20107"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.13836"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2016.07.003"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2021.111"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1128\/cmr.00009\u201019"},{"key":"e_1_2_10_8_1","unstructured":"Australasian College for Emergency Medicine \u201cRecommendations: Do Not Order Blood Cultures in Patients Who Are Not Systemically Septic Have a Clear Source of Infection and in Whom a Direct Specimen for Culture Is Obtainable \u201dChoosing Wisely Australia accessed August 15 2025 https:\/\/www.choosingwisely.org.au\/recommendations\/acem3."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idh.2018.10.003"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2018.224"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2541"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jacamr\/dlaf043"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1991.03460030071031"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1128\/cmr.00062\u201005"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.02162\u201008"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1086\/660096"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.7326\/m18\u20100850m30178033"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-24-09"},{"key":"e_1_2_10_19_1","unstructured":"\u201cEndNote. 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