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Decreased Pseudomonas aeruginosa detection in children after separation of pediatric from adult cystic fibrosis clinics: A single center experience
Author(s) -
Barnes Laura A.,
Gaillard Philippe R.,
Menk Jeremiah S.,
Wey Andrew R.,
Regelmann Warren E.,
Demirel Nadir
Publication year - 2018
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.24177
Subject(s) - cystic fibrosis , medicine , pseudomonas aeruginosa , newborn screening , pediatrics , tobramycin , odds ratio , cohort , retrospective cohort study , bacteria , genetics , biology
Background The impact of separating the adult from pediatric patients on Pseudomonas aeruginosa ( P. aeriginosa ) detection in the respiratory cultures of patients was examined at the University of Minnesota CF Center. Methods This study was a retrospective review using data recorded in the University of Minnesota CF Database between 1995 and 2010. Respiratory culture results obtained during routine University of Minnesota Cystic Fibrosis (CF) Center. CF clinic encounters of two cohorts of pediatric and adult CF patients (pre‐ and post‐separation) were analyzed for presence of P. aeruginosa . Results The odds of a pediatric patient having P. aeruginosa were significantly less if the first culture was obtained after separation of pediatric and adult clinics. Being diagnosed by newborn screening or introduction of inhaled tobramycin did not affect this outcome. This reduction in P. aeruginosa was not detected in the adult cohort. Conclusions Separation of pediatric and adult CF clinics has contributed to decrease in P. aeruginosa detection in pediatric patients.