id author title date pages extension mime words sentences flesch summary cache txt cord-330626-0aidit63 Sepulveda, Jorge Bacteremia and Blood Culture Utilization during COVID-19 Surge in New York City 2020-07-23 .txt text/plain 2695 125 47 A surge of patients with coronavirus disease 2019 (COVID-19) presenting to New York City hospitals in March 2020 led to a sharp increase in blood culture utilization, which overwhelmed the capacity of automated blood culture instruments. We performed a retrospective cohort analysis of 88,201 blood cultures from 28,011 patients at a multicenter network of hospitals within New York City to evaluate order volume, positivity rate, time to positivity, and etiologies of positive cultures in COVID-19. Clear communication with ordering providers is necessary to prevent overutilization of blood cultures during patient surges, and laboratories should consider shortening the incubation period from 5 days to 4 days, if necessary, to free additional capacity. Frequent ordering of blood cultures for patients with COVID-19 may overwhelm a laboratory's capacity to perform and process these tests, which may negatively impact the overall benefit of testing for the entire medical center. ./cache/cord-330626-0aidit63.txt ./txt/cord-330626-0aidit63.txt