Blood Culture

Why Do a Blood Culture?

During some illnesses, certain infection-causing bacteria and fungi can invade the bloodstream and spread into other parts of the body, away from the original infection site. Their presence in the blood usually means that a child has a serious infection. Such infections usually cause a more rapid heart rate, high fever, and an increase in the white blood cell count.

A blood culture can reveal a number of infections or problems, such as endocarditis, a severe and potentially life-threatening problem that occurs when bacteria in the bloodstream stick to the heart valves.

A blood culture might also detect the organism causing other infections like osteomyelitis, a bone infection often caused by Staphylococcus aureus, and cellulitis, a skin infection that involves areas of tissue just below the skin's surface.

How Is a Blood Culture Done?

The blood culture is done with a simple blood draw performed after the skin is cleansed with an alcohol pad and a special antibacterial solution. This careful skin sterilization is important because it prevents contamination of the blood that's being drawn. It kills bacteria that may be on the surface of the skin so that they don't appear in the blood culture and interfere with identification of the germ causing the infection.

Sometimes it seems like a lot of blood is drawn for the test, but it's important that enough be drawn for the culture to be accurate. This may be less than a teaspoon (5 milliliters) in babies and 1–2 teaspoons (5–10 milliliters) in older children, depending on their size. The amount of blood drawn is tiny compared with the amount of blood in the body, and it's quickly replenished (within 24–48 hours).

After the blood is sent to the lab, results usually are available in 1–2 days. If you have any questions about the test, be sure to speak with your doctor.

Reviewed by: Yamini Durani, MD
Date reviewed: May 2012