{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:24:30Z","timestamp":1791908670515,"version":"4.3.4"},"reference-count":15,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,9,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND:<\/jats:title>\n                  <jats:p>Blood cultures are often obtained in children hospitalized with skin and soft tissue infections (SSTIs). Because little evidence exists to validate this practice, we examined the yield of blood cultures in the evaluation of immunocompetent children with SSTIs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>Medical records were reviewed for all children admitted between January 1, 2007 and December 31, 2009 after emergency department evaluation and diagnosis of cellulitis or abscess. We compared patients with SSTIs (n = 482) with those with complicated SSTIs (cSSTIs; n = 98). A cSSTI was defined as surgical or traumatic wound infection, need for surgical intervention, or infected ulcers or burns. The SSTI group included patients without complicating factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>None of the patients in the SSTI group had a positive blood culture. In the cSSTI group, 12.5% of blood cultures were positive. The mean length of hospital stay (LOHS) of children with SSTIs was shorter than that of those with cSSTIs (P &amp;lt; .001). In the SSTI group, obtaining a blood culture was associated with a higher mean LOHS (P = .044).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Blood cultures are not useful in evaluating immunocompetent children who are admitted to the hospital with uncomplicated SSTIs, and they are associated with a nearly 1-day increase in mean LOHS.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2013-1384","type":"journal-article","created":{"date-parts":[[2013,8,6]],"date-time":"2013-08-06T05:28:52Z","timestamp":1375766932000},"page":"454-459","source":"Crossref","is-referenced-by-count":38,"title":["Blood Cultures in the Evaluation of Uncomplicated Skin and Soft Tissue Infections"],"prefix":"10.1542","volume":"132","author":[{"given":"Jay R.","family":"Malone","sequence":"first","affiliation":[{"name":"Sections of General and Community Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah R.","family":"Durica","sequence":"additional","affiliation":[{"name":"The University of Oklahoma College of Medicine, Oklahoma City, Oklahoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Sections of General and Community Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Bogie","sequence":"additional","affiliation":[{"name":"Emergency Medicine, Department of Pediatrics, The University of Oklahoma, Oklahoma City, Oklahoma; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Naifeh","sequence":"additional","affiliation":[{"name":"Sections of General and Community Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2013,9,1]]},"reference":[{"key":"2021120902593502700_B1","first-page":"783","article-title":"Infectious disease emergencies","volume-title":"Textbook of Pediatric Emergency Medicine","author":"Fleisher","year":"2006","edition":"5th ed."},{"issue":"3","key":"2021120902593502700_B2","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/PEC.0b013e3181d1de08","article-title":"Pediatric cellulitis: success of emergency department short-course intravenous antibiotics.","volume":"26","author":"Kam","year":"2010","journal-title":"Pediatr Emerg Care"},{"issue":"3","key":"2021120902593502700_B3","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.1093\/cid\/ciq146","article-title":"Clinical practice guidelines by the Infectious Diseases Society of America for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children.","volume":"52","author":"Liu","year":"2011","journal-title":"Clin Infect Dis"},{"issue":"10","key":"2021120902593502700_B4","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1086\/497143","article-title":"Practice guidelines for the diagnosis and management of skin and soft-tissue infections [published correction appears in Clin Infect Dis. 2006;42(8):1219].","volume":"41","author":"Stevens","year":"2005","journal-title":"Clin Infect Dis"},{"issue":"4","key":"2021120902593502700_B5","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1111\/j.1440-1754.2007.01236.x","article-title":"Prospective evaluation of the management of moderate to severe cellulitis with parenteral antibiotics at a paediatric day treatment centre.","volume":"44","author":"Gouin","year":"2008","journal-title":"J Paediatr Child 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program.","volume":"128","author":"Marin","year":"2011","journal-title":"Pediatrics"},{"issue":"7","key":"2021120902593502700_B9","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1056\/NEJMoa055356","article-title":"Methicillin-resistant S. aureus infections among patients in the emergency department.","volume":"355","author":"Moran","year":"2006","journal-title":"N Engl J Med"},{"issue":"10","key":"2021120902593502700_B10","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1097\/01.pec.0000236832.23947.a0","article-title":"Evolving epidemiology of pediatric Staphylococcus aureus cutaneous infections in a Baltimore hospital.","volume":"22","author":"Chen","year":"2006","journal-title":"Pediatr Emerg Care"},{"issue":"12","key":"2021120902593502700_B11","doi-asserted-by":"crossref","first-page":"1785","DOI":"10.1086\/430312","article-title":"Three-year surveillance of community-acquired Staphylococcus aureus infections in children.","volume":"40","author":"Kaplan","year":"2005","journal-title":"Clin Infect Dis"},{"issue":"5","key":"2021120902593502700_B12","doi-asserted-by":"crossref","first-page":"309","DOI":"10.7326\/0003-4819-144-5-200603070-00005","article-title":"Emergence of community-acquired methicillin-resistant Staphylococcus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections.","volume":"144","author":"King","year":"2006","journal-title":"Ann Intern Med"},{"issue":"10","key":"2021120902593502700_B13","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1001\/archpedi.159.10.980","article-title":"Epidemic of community-acquired methicillin-resistant Staphylococcus aureus infections: a 14-year study at Driscoll Children\u2019s Hospital.","volume":"159","author":"Purcell","year":"2005","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"14","key":"2021120902593502700_B14","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1001\/archinte.168.14.1585","article-title":"National trends in ambulatory visits and antibiotic prescribing for skin and soft-tissue infections.","volume":"168","author":"Hersh","year":"2008","journal-title":"Arch Intern Med"},{"issue":"11","key":"2021120902593502700_B15","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1097\/PEC.0b013e31815a032f","article-title":"Management of cellulitis in a pediatric emergency department.","volume":"23","author":"Khangura","year":"2007","journal-title":"Pediatr Emerg 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