Efectividad de un programa formativo para disminuir los hemocultivos contaminados

Dios, Begoña de; Maura, Yolanda Lladò; Val-Pérez, José Vicente; Rupert, Juana M. Arévalo; Castillo-Domingo, Luisa; Fernández, Victoria; Pérez-Seco, María Cruz; Blanco, Alberto; Borges-Sa, Marcío

doi:10.1016/j.enfcli.2013.10.004

Cited by 10 publications

(5 citation statements)

References 13 publications

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“…Si bien la técnica de extracción de los HC está bien estandarizada y protocolizada [2,3,6], todavía hay importantes controversias en relación a las indicaciones de cuándo hacerlo [1,13,17]. Comparadas con el resto de pruebas habituales que se realizan en los SU, requieren un mayor tiempo para su obtención, una buena técnica para evitar contaminaciones y carecen de utilidad diagnóstica definitiva inmediata [2,3].…”

Section: Discussionunclassified

“…La rentabilidad diagnóstica de los HC obtenidos en los SU es muy variable (2-20%) [3], mientras que los considerados "HC contaminantes", aunque sería deseable que fuesen menos del 3% [2,3], en realidad pueden alcanzar tasas muy superiores [6,7]. Además, los HC con aislamiento significativo de los pacientes que son dados de alta (la llamada bacteriemia oculta) suponen del 3-5% de los extraídos en el SU [3,8].…”

Section: Introductionunclassified

“…La incidencia de bacteriemia comunitaria ha aumentado hasta 1-2/1.000 atenciones en los SU y a 6-10 episodios/1.000 ingresos hospitalarios desde dicho servicio [3,12]. La etiología se debe a bacterias grampositivas en un 30-35%, gramnegativas en un 65-70% y anaerobios sobre el 1% [3,6,7,12]. Esta proporción puede cambiar, si la incidencia de HC contaminantes fuera excesiva, a favor de las grampositivas [7].…”

Section: Introductionunclassified

“…En relación a las bacteriemias verdaderas (BV) o significativas, en cuanto al foco, la infección del tracto urinario con el 45-55% y el foco respiratorio (10-25%) son los más frecuentes. Mientras que la bacteriemia con foco desconocido se sitúa alrededor del 10% en el SU [3,6,7,12]. De forma global, las bacterias aisladas con mayor frecuencia son Escherichia coli, Staphylococcus aureus y Streptococcus pneumoniae [3,7,12].…”

Section: Introductionunclassified

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Predictive factors of bacteraemia in the patients seen in emergency departments due to infections

Iqbal‐Mirza¹,

Estévez-González²,

Ávila³

et al. 2020

Rev Esp Quimioter

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Objectives. The aim of the study was to analyze predictive factors of bacteraemia in patients seen in the emergency department (ED) for an episode of infectious disease. Patients and methods. Observational, retrospective and descriptive analytical study of all blood cultures extracted in an ED in adult patients (≥ 18 years) seen in ED due to infectious disease from 1-1-2019 to 1-7-2019. The follow-up was carried out during 30 days. Thirty-eight variables for predicting bacteraemia were assessed. They covered epidemiological, comorbidity, functional, clinical and analytical factors. Univariate and multivariate logistic regression analysis was performed. Results. A total of 1,425 blood cultures were finally enrolled in the study. Of those were considered true bacteremia 179 (12.6 %) and as negative blood cultures 1,246 (87.4 %). Amongst negatives, 1,130 (79.3%) without growth and 116 (8.1%) as contaminants blood cultures. Five variables were significantly associated with true bacteraemia: serum procalcitonin (PCT)

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Section: Discussionunclassified

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Predictive factors of bacteraemia in the patients seen in emergency departments due to infections

Iqbal‐Mirza¹,

Estévez-González²,

Ávila³

et al. 2020

Rev Esp Quimioter

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“…The same took place with an educational program proposed by Spanish researchers (26) , who conducted pre-post test technique to assess knowledge and who also monitored contaminated BC. The intervention was based on in-person sessions that exposed professionals to important aspects that help reduce BC contamination.…”

Section: Discussionmentioning

confidence: 99%

Efectividad de un programa de formación online en una unidad de enfermería: extracción de hemocultivos

Zaragoza-García

Pérez-García

Orellana

et al. 2019

Rev. esc. enferm. USP

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RESUMEN Objetivo: Evaluar la eficacia de una plataforma formativa en línea de procedimientos en una planta de medicina interna para disminuir los hemocultivos contaminados. Método: Estudio cuasi-experimental con grupos paralelos. La muestra la componen enfermeras de medicina interna de un hospital terciario, con las que se lleva a cabo un programa de formación en línea en relación a la técnica extracción de hemocultivos. Se evalúan conocimientos pre y post intervención sobre la técnica. Además, se estudian los resultados de los hemocultivos 6 meses antes y 3 después de la intervención, analizando los contaminados. Resultados: Participan un total de 48 enfermeras. El conocimiento de la técnica antes de la intervención es homogéneo en ambos grupos, mejorando significativamente con la formación en línea (p=0.0001). El análisis de hemocultivos extraídos previos a la formación muestran niveles de contaminación por encima del estándar internacional, disminuyendo en el grupo intervención hasta el 3% después del programa de aprendizaje. Conclusión: La intervención educativa mediante una plataforma digital se muestra válida para la adquisición de conocimientos y su translación a la práctica clínica.

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A multi-pronged approach to improve blood culture diagnostics in different clinical departments: a single-centre experience

Neser,

Jung,

Halfmann

et al. 2023

Infection

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Purpose Blood culture (BC) diagnostics are influenced by many factors. We performed a targeted interdisciplinary analysis to analyse effects of various measures on BC diagnostics performance. Methods A diagnostic stewardship initiative was conducted at two intervention and two control wards in a German tertiary level hospital. The initiative comprised staff training on the correct indications and sampling for BC, implementation of information cards, labels to identify the collection site, regular BC bottle feedback including the number of bottles, filling volumes and identified pathogens; and the use of a specific sampling device (BD Vacutainer®). Before and after the interventions, two three-month measurement periods were performed, as well as a one-month follow-up period to assess the sustainability of the conducted measures. Results In total, 9362 BC bottles from 787 patients were included in the analysis. The number of BCs obtained from peripheral venous puncture could be increased at both intervention wards (44.0 vs. 22.2%, 58.3 vs. 34.4%), while arterial sampling could be reduced (30.6 vs. 4.9%). A total of 134 staff members were fully trained. The intervention led to a considerable increase in BC knowledge (from 62.4 to 79.8% correct answers) with differences between the individual professional groups. Relevant reduced contamination rates could be detected at both intervention wards. Conclusions As knowledge on the correct BC sampling and strategies to reduce contamination varies considerably between clinical departments and healthcare professionals, a targeted training should be adapted to the specific needs of the individual professional groups. An additional filling device is not necessary.

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Efectividad de un programa formativo para disminuir los hemocultivos contaminados

Cited by 10 publications

References 13 publications

Predictive factors of bacteraemia in the patients seen in emergency departments due to infections

Predictive factors of bacteraemia in the patients seen in emergency departments due to infections

Efectividad de un programa de formación online en una unidad de enfermería: extracción de hemocultivos

A multi-pronged approach to improve blood culture diagnostics in different clinical departments: a single-centre experience

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