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Here, we present a unique case study of a critically ill infant with contradictory blood culture results from PUBS and direct infant sampling. A negative admission direct sample blood culture result compared with a positive admission PUBS blood culture result suggests that infection may have been missed in the direct infant sample. Relevant placental embryology and circulation is also described, as well as the benefits of PUBS for neonatal admission labs (with focus on the blood culture), challenges associated with PUBS practice, and strategies for implementation of PUBS.<\/jats:p>","DOI":"10.1891\/0730-0832.36.3.152","type":"journal-article","created":{"date-parts":[[2017,5,12]],"date-time":"2017-05-12T03:25:53Z","timestamp":1494559553000},"page":"152-159","source":"Crossref","is-referenced-by-count":6,"title":["Use of Placental\/Umbilical Blood Sampling for Neonatal Admission Blood Cultures: Benefits, Challenges, and Strategies for Implementation"],"prefix":"10.1891","volume":"36","author":[{"given":"Shannon P.","family":"Moore","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Desi M.","family":"Newberry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy J.","family":"Jnah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2017,1,1]]},"reference":[{"key":"2019091815351077000_36.3.152.1","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/j.clp.2015.04.017","article-title":"Umbilical cord blood\u2014an untapped resource: strategies to decrease early red blood cell transfusions and improve neonatal outcomes","volume":"42","year":"2015","journal-title":"Clin Perinatol"},{"key":"2019091815351077000_36.3.152.2","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2012.127"},{"key":"2019091815351077000_36.3.152.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2010.02827.x"},{"key":"2019091815351077000_36.3.152.4","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2012.04.003"},{"key":"2019091815351077000_36.3.152.5","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1159\/000365135","article-title":"Evidence-based advances in transfusion practice in neonatal intensive care units","volume":"106","year":"2014","journal-title":"Neonatology"},{"key":"2019091815351077000_36.3.152.6","unstructured":"Callahan L . Fetal and placental development and functioning. In: Mattson S , Smith J , eds. Core Curriculum for Maternal-Newborn Nursing. 5th ed. 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