An interactive approach to reducing blood culture contamination

Larkin, Susan; Baker, Nicky; Anderson, Richard W.; Ward, Susan A.; Forde, Samantha

doi:10.1016/j.jhin.2010.06.001

Cited by 10 publications

(4 citation statements)

References 3 publications

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“…Rates in the preintervention period for these trials ranged from 1.82%-6.4%, whereas rates in the postintervention period decreased in reported rates of 1.01%-2.6%. 97,137,140,[145][146][147] Hospitals should ensure that the program includes documented competencies for phlebotomists and clinicians drawing blood for culture.…”

Section: Education and Feedbackmentioning

confidence: 99%

Multidisciplinary team review of best practices for collection and handling of blood cultures to determine effective interventions for increasing the yield of true-positive bacteremias, reducing contamination, and eliminating false-positive central line–associated bloodstream infections

Garcia

Spitzer

Beaudry

et al. 2015

American Journal of Infection Control

113

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Section: Education and Feedbackmentioning

confidence: 99%

Multidisciplinary team review of best practices for collection and handling of blood cultures to determine effective interventions for increasing the yield of true-positive bacteremias, reducing contamination, and eliminating false-positive central line–associated bloodstream infections

Garcia

Spitzer

Beaudry

et al. 2015

American Journal of Infection Control

113

View full text Add to dashboard Cite

“…Moreover, the educational intervention focused on improving staff knowledge regarding the proper techniques for taking blood culture samples without changing hospital guidelines or patient services. Other previous studies, in combination with educational interventions, have sought to change guidelines for phlebotomy practice [12], introduce new disinfectants [8], or adopted new blood culture kits [5].…”

Section: Discussionmentioning

confidence: 99%

“…It is a particular challenge to reduce BCC in an ICU as previous studies have demonstrated that BCC rates are generally higher in such units compared to general wards, due to the high workload of staff, high severity and urgency of illness, and poor vascular condition of patients [9, 21, 22]. Therefore, only a few studies have attempted to decrease BCC rates in adult ICUs through educational interventions [8, 12, 23]. The run chart approach was used in the present study to determine the effect of the educational intervention as it is considered to be of value for application in healthcare quality development [24].…”

Section: Discussionmentioning

confidence: 99%

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Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention

et al. 2014

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Blood culture contamination (BCC) has been associated with unnecessary antibiotic use, additional laboratory tests and increased length of hospital stay thus incurring significant extra hospital costs. We set out to assess the impact of a staff educational intervention programme on decreasing intensive care unit (ICU) BCC rates to <3% (American Society for Microbiology standard). BCC rates during the pre-intervention period (January 2006-May 2011) were compared with the intervention period (June 2011-December 2012) using run chart and regression analysis. Monthly ICU BCC rates during the intervention period were reduced to a mean of 3.7%, compared to 9.5% during the baseline period (P < 0.001) with an estimated potential annual cost savings of about £250,100. The approach used was simple in design, flexible in delivery and efficient in outcomes, and may encourage its translation into clinical practice in different healthcare settings.

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In vitro antimicrobial activity of colistin in combination with rifampicin against carbapenem-resistant Acinetobacter baumannii

Kongsanae

Naenna

Dhiraputra

et al. 2012

International Journal of Infectious Diseases

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intermediate strains of MRSA. Suscpetibility pattern has also been studied to formulate an effective, inexpensive and easily administered empirical therapy for GISA and hGISA. Methods: Three hundred and Forty seven MRSA isolated from the clinical specimens of Allied hospitals of AMC/NUST and PAEC General Hospital, Pakistan were subjected to the determination of Vancomycin minimum inhibitory concentration (MIC) and isolates having vancomycin MIC ≥ 1g/ml were subjected to determination of Glycopeptide resistance detection (GRD) using Etest. Susceptibility pattern of all the isolates were recorded using Kirby baur disc diffusion method and MIC for linezolid, daptomycin, chloramphenicol, minocycline and tigecycline using E-strips. MIC 50 and MIC 90 were calculated Results: All isolates were sensitive to vancomycin but 197 isolates showed higher MICs and 6 turned out to be heterogenous Glycopeptide intermediate (h GISA) strains. All the isolated organisms were highly susceptible to linezolid (98.3%), daptomycin (100%), chloramphenicol (96%), minocycline (95.7%) and tigecycline (94.8%). Conclusion: Significant number of isolates having MIC of vancomycin equal to or more than 1 ug/ml have been isolated and these can turn out to be GISA/h GISA. Vancomycin Susceptibility breakpoints as indicated by CLSI should be reevaluated because that doesn't cover GISA/h GISA isolates. This study suggests that linezolid, chloramphenicol, minocycline, daptomycin and tigecycline have high in vitro efficacy for MRSA infections. Prescribing antibiotics other than glycopeptides for MRSA infections will minimize the chances of emergence of GISA. Good hospital infection control measures prove to be the main stay against these infections because antibiotics can never be an effective alternative to good medical practice.

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An interactive approach to reducing blood culture contamination

Cited by 10 publications

References 3 publications

Multidisciplinary team review of best practices for collection and handling of blood cultures to determine effective interventions for increasing the yield of true-positive bacteremias, reducing contamination, and eliminating false-positive central line–associated bloodstream infections

Multidisciplinary team review of best practices for collection and handling of blood cultures to determine effective interventions for increasing the yield of true-positive bacteremias, reducing contamination, and eliminating false-positive central line–associated bloodstream infections

Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention

In vitro antimicrobial activity of colistin in combination with rifampicin against carbapenem-resistant Acinetobacter baumannii

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