Literature DB >> 16244343

Simple measures to reduce the rate of contamination of blood cultures in Accident and Emergency.

M Madeo1, T Jackson, C Williams.   

Abstract

OBJECTIVES: To reduce the contamination rate of blood cultures taken in the Accident and Emergency (A&E) department.
METHODS: The standard blood culture sampling kit was supplemented with an instruction sheet on the optimal method for drawing blood cultures and a large 62% ethyl alcohol impregnated wipe.
RESULTS: There was a statistically significant reduction in the number of contaminants (p = 0.03).
CONCLUSIONS: Simple measures to encourage skin disinfection and appropriate sampling technique will reduce the incidence of contamination of blood cultures in the A&E department.

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Year:  2005        PMID: 16244343      PMCID: PMC1726605          DOI: 10.1136/emj.2005.003079

Source DB:  PubMed          Journal:  Emerg Med J        ISSN: 1472-0205            Impact factor:   2.740


  9 in total

Review 1.  Current blood culture methods and systems: clinical concepts, technology, and interpretation of results.

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Journal:  Clin Infect Dis       Date:  1996-07       Impact factor: 9.079

2.  Chlorhexidine compared with povidone-iodine as skin preparation before blood culture. A randomized, controlled trial.

Authors:  O Mimoz; A Karim; A Mercat; M Cosseron; B Falissard; F Parker; C Richard; K Samii; P Nordmann
Journal:  Ann Intern Med       Date:  1999-12-07       Impact factor: 25.391

3.  Comparison of four antiseptic preparations for skin in the prevention of contamination of percutaneously drawn blood cultures: a randomized trial.

Authors:  David P Calfee; Barry M Farr
Journal:  J Clin Microbiol       Date:  2002-05       Impact factor: 5.948

4.  Clinical and epidemiologic significance of coagulase-negative staphylococci bacteremia in a tertiary care university Israeli hospital.

Authors:  R Finkelstein; R Fusman; I Oren; I Kassis; N Hashman
Journal:  Am J Infect Control       Date:  2002-02       Impact factor: 2.918

5.  Blood culture contamination: a College of American Pathologists Q-Probes study involving 640 institutions and 497134 specimens from adult patients.

Authors:  R B Schifman; C L Strand; F A Meier; P J Howanitz
Journal:  Arch Pathol Lab Med       Date:  1998-03       Impact factor: 5.534

6.  Blood cultures in adult patients released from an urban emergency department: a 15-month experience.

Authors:  K M Sturmann; J Bopp; D Molinari; S Akhtar; J Murphy
Journal:  Acad Emerg Med       Date:  1996-08       Impact factor: 3.451

7.  Skin antisepsis kits containing alcohol and chlorhexidine gluconate or tincture of iodine are associated with low rates of blood culture contamination.

Authors:  Barbara W Trautner; Jill E Clarridge; Rabih O Darouiche
Journal:  Infect Control Hosp Epidemiol       Date:  2002-07       Impact factor: 3.254

8.  Clinical impact of blood cultures taken in the emergency department.

Authors:  A M Kelly
Journal:  J Accid Emerg Med       Date:  1998-07

Review 9.  Changing etiology of nosocomial bacteremia and fungemia and other hospital-acquired infections.

Authors:  J E McGowan
Journal:  Rev Infect Dis       Date:  1985 Jul-Aug
  9 in total
  8 in total

1.  Cost analysis of strategies to reduce blood culture contamination in the emergency department: sterile collection kits and phlebotomy teams.

Authors:  Wesley H Self; Thomas R Talbot; Barbara R Paul; Sean P Collins; Michael J Ward
Journal:  Infect Control Hosp Epidemiol       Date:  2014-06-20       Impact factor: 3.254

2.  The effect of a quality improvement programme reducing blood culture contamination on the detection of bloodstream infection in an emergency department.

Authors:  Paul Robertson; Andrew Russell; Donald J Inverarity
Journal:  J Infect Prev       Date:  2014-12-10

Review 3.  Practical Guidance for Clinical Microbiology Laboratories: A Comprehensive Update on the Problem of Blood Culture Contamination and a Discussion of Methods for Addressing the Problem

Authors:  Gary V Doern; Karen C Carroll; Daniel J Diekema; Kevin W Garey; Mark E Rupp; Melvin P Weinstein; Daniel J Sexton
Journal:  Clin Microbiol Rev       Date:  2019-10-30       Impact factor: 26.132

4.  Impact of blood cultures drawn by phlebotomy on contamination rates and health care costs in a hospital emergency department.

Authors:  Rita M Gander; Linda Byrd; Michael DeCrescenzo; Shaina Hirany; Michelle Bowen; Judy Baughman
Journal:  J Clin Microbiol       Date:  2009-01-26       Impact factor: 5.948

5.  Reducing blood culture contamination in the emergency department: an interrupted time series quality improvement study.

Authors:  Wesley H Self; Theodore Speroff; Carlos G Grijalva; Candace D McNaughton; Jacki Ashburn; Dandan Liu; Patrick G Arbogast; Stephan Russ; Alan B Storrow; Thomas R Talbot
Journal:  Acad Emerg Med       Date:  2013-01       Impact factor: 3.451

6.  Correlation between mass and volume of collected blood with positivity of blood cultures.

Authors:  Lariessa Neves; Alexandre Rodrigues Marra; Thiago Zinsly Sampaio Camargo; Maura Cristina dos Santos; Flávia Zulin; Patrícia Candido da Silva; Natália Ariede de Moura; Elivane da Silva Victor; Jacyr Pasternak; Oscar Fernando Pavão dos Santos; Michael B Edmond; Marines Dalla Valle Martino
Journal:  BMC Res Notes       Date:  2015-08-28

7.  Decreasing Blood Culture Contaminants in a Pediatric Emergency Department: An Interrupted Time Series Analysis.

Authors:  Paul C Mullan; Sara Scott; James M Chamberlain; Jeanne Pettinichi; Katura Palacious; Anastasia Weber; Asha S Payne; Gia M Badolato; Kathleen Brown
Journal:  Pediatr Qual Saf       Date:  2018-09-19

8.  Factors Associated with Blood Culture Contamination in the Emergency Department: Critical Illness, End-Stage Renal Disease, and Old Age.

Authors:  Chih-Jan Chang; Chi-Jung Wu; Hsiang-Chin Hsu; Chiu-Hui Wu; Fang-Ying Shih; Shou-Wen Wang; Yi-Hui Wu; Chia-Ming Chang; Yi-Fang Tu; Chih-Hsien Chi; Hsin-I Shih
Journal:  PLoS One       Date:  2015-10-08       Impact factor: 3.240

  8 in total

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