Respiratory Culture Organism Isolation and Test Characteristics
in Children with Tracheostomies with and without Acute Respiratory
Infection
Rebecca Steuart, MD, MS1,2, Guillermo Beltran Ale,
MD3,4, Abigail Woolums, BS5, Nicole
Xia, BS1, Dan Benscoter, DO, MS5,6,
Christopher J Russell, MD, MS7,8, Samir S. Shah, MD,
MSCE5,9,10, Joanna Thomson, MD,
MPH5,9,11
Affiliations :
1Section of Special Needs, Department of Pediatrics,
Medical College of Wisconsin, Milwaukee, Wisconsin.
2Complex Care Program, Children’s Wisconsin,
Milwaukee, Wisconsin.
3Department of Pediatrics, Heersink School of
Medicine, University of Alabama at Birmingham.
4Division of Pediatric Pulmonary and Sleep Medicine,
Children’s of Alabama, Birmingham, Alabama.
5Department of Pediatrics, University of Cincinnati
College of Medicine; Cincinnati, Ohio.
6Division of Pulmonary Medicine, Cincinnati Children’s
Hospital Medical Center, Cincinnati, Ohio.
7Division of Hospital Medicine, Children’s Hospital of
Los Angeles, Los Angeles, California.
8Department of Pediatrics, Keck School of Medicine,
University of Southern California. 9Divisions of
Hospital Medicine, 10Infectious Diseases, and11James M Anderson Center for Health Systems
Excellence, Cincinnati Children’s Hospital Medical Center, Cincinnati,
Ohio.
Corresponding Author : Rebecca Steuart, MD MS, Section of
Special Needs, Medical College of Wisconsin, 9200 W. Wisconsin Ave,
Milwaukee, WI 53226.
E-mail: rsteuart@mcw.edu.
Phone: 414-266-2899. Fax: 414-266-2926. @RebeccaSteuart
Co-Authors Emails :
GJBeltranAle@uabmc.edu;
WoolumAE@mail.uc.edu;
NXia@mcw.edu;
Dan.Benscoter@cchmc.org;
CRussell@chla.usc.edu;
Samir.Shah@cchmc.org;
Joanna.Thomson@cchmc.org
This article includes original research. This study was
approved by the Cincinnati Children’s Hospital Medical Center
Institutional Review Board as exempt research.
This article does not include images of people .
Financial Disclosure : The authors have no financial
relationships relevant to this article to disclose.
Funding Sources : Dr.
Thomson was supported by the Agency for Healthcare Research and Quality
under award number K08HS025138.
Potential Conflicts of Interest : The authors have no conflicts
of interest relevant to this article to disclose.
Key Words : Respiratory Culture, Tracheostomy, Acute Respiratory
Infection
Abbreviations : ARI, acute respiratory infection; bARI,
bacterial acute respiratory infection; BAL, bronchoalveolar lavage; BPD,
bronchopulmonary dysplasia; CLDI, chronic lung disease of infancy; CCC,
complex chronic condition; CCHMC, Cincinnati Children’s Hospital Medical
Center; CI, confidence interval; ICD-9, International Classification of
Diseases, Ninth Revision; ICD-10, International Classification of
Diseases, Tenth Revision; NPV, negative predictive value; OR, odds
ratio, aOR, adjusted odds ratio; PPV, positive predictive value; +LR,
positive likelihood ratio; -LR, negative likelihood ratio; TA,
tracheostomy aspirate.
Word Count: 3500