Improvement of blood culture contamination rate, blood volume, and true positive rate after introducing a dedicated phlebotomy team

The introduction of dedicated phlebotomy teams certified for blood collection has been reported to be highly cost-effective by reducing contamination rates. However, data on their effects on blood volume and true positive rate are limited. Therefore, we investigated the effect of replacing interns w...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2019-02, Vol.38 (2), p.325-330
Hauptverfasser: Bae, Moonsuk, In Kim, Hae, Park, Joung Ha, Ryu, Byung-Han, Chang, Jeonghyun, Sung, Heungsup, Jung, Jiwon, Kim, Min Jae, Kim, Sung-Han, Lee, Sang-Oh, Choi, Sang-Ho, Kim, Yang Soo, Woo, Jun Hee, Kim, Mi-Na, Chong, Yong Pil
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 330
container_issue 2
container_start_page 325
container_title European journal of clinical microbiology & infectious diseases
container_volume 38
creator Bae, Moonsuk
In Kim, Hae
Park, Joung Ha
Ryu, Byung-Han
Chang, Jeonghyun
Sung, Heungsup
Jung, Jiwon
Kim, Min Jae
Kim, Sung-Han
Lee, Sang-Oh
Choi, Sang-Ho
Kim, Yang Soo
Woo, Jun Hee
Kim, Mi-Na
Chong, Yong Pil
description The introduction of dedicated phlebotomy teams certified for blood collection has been reported to be highly cost-effective by reducing contamination rates. However, data on their effects on blood volume and true positive rate are limited. Therefore, we investigated the effect of replacing interns with a phlebotomy team on blood culture results. We performed a 24-month retrospective, quasi-experimental study before and after the introduction of a phlebotomy team dedicated to collecting blood cultures in a 2700-bed tertiary-care hospital. The microbiology laboratory database was used to identify adult patients with positive blood culture results. During the study period, there were no changes in blood collection method, blood culture tubes, and the application of antiseptic measures. Blood volume was measured by the BACTEC™ FX system based on red blood cell metabolism. A total of 162,207 blood cultures from 23,563 patients were analyzed, comprising 78,673 blood cultures during the intern period and 83,534 during the phlebotomy team period. Blood volume increased from a mean of 2.1 ml in the intern period to a mean of 5.6 ml in the phlebotomy team period ( p  
doi_str_mv 10.1007/s10096-018-3430-4
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2155164859</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2155164859</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a572b64e4155c0b7ae7884312c0e76f14edc38044b8d811219cf303e1ec2627e3</originalsourceid><addsrcrecordid>eNp1kU1rFTEUhoMo9tr6A9xIwI0Lx-ZrJjPLUqoWCm50HTLJmTZlktzm40LX_ePmeq8VBDcJ4Tzvm4QHoXeUfKaEyPPc1mnoCB07LjjpxAu0oYL3neCSv0QbMnHRTZLxE_Qm53vSMqOUr9EJJz0fGCUb9HTttynuwEMoOC54XmO02NS11ATYxFC0d0EXFwNOusCnI7GLa_XtpIPFJVXA25hdcTv4TWG9FEjYhZKircaFW6yxBetMG1q8vVthjiX6R1xA-zP0atFrhrfH_RT9_HL14_Jbd_P96_XlxU1nuGSl071k8yBA0L43ZJYa5DgKTpkhIIeFCrCGj0SIebQjpYxOZuGEAwXDBiaBn6KPh97244cKuSjvsoF11QFizYq1YjqIsZ8a-uEf9D7WFNrr9hTtxTSJPUUPlEkx5wSL2ibndXpUlKi9IXUwpJohtTekRMu8PzbX2YN9TvxR0gB2AHIbhVtIf6_-f-svlj-ciA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2151549949</pqid></control><display><type>article</type><title>Improvement of blood culture contamination rate, blood volume, and true positive rate after introducing a dedicated phlebotomy team</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Bae, Moonsuk ; In Kim, Hae ; Park, Joung Ha ; Ryu, Byung-Han ; Chang, Jeonghyun ; Sung, Heungsup ; Jung, Jiwon ; Kim, Min Jae ; Kim, Sung-Han ; Lee, Sang-Oh ; Choi, Sang-Ho ; Kim, Yang Soo ; Woo, Jun Hee ; Kim, Mi-Na ; Chong, Yong Pil</creator><creatorcontrib>Bae, Moonsuk ; In Kim, Hae ; Park, Joung Ha ; Ryu, Byung-Han ; Chang, Jeonghyun ; Sung, Heungsup ; Jung, Jiwon ; Kim, Min Jae ; Kim, Sung-Han ; Lee, Sang-Oh ; Choi, Sang-Ho ; Kim, Yang Soo ; Woo, Jun Hee ; Kim, Mi-Na ; Chong, Yong Pil</creatorcontrib><description>The introduction of dedicated phlebotomy teams certified for blood collection has been reported to be highly cost-effective by reducing contamination rates. However, data on their effects on blood volume and true positive rate are limited. Therefore, we investigated the effect of replacing interns with a phlebotomy team on blood culture results. We performed a 24-month retrospective, quasi-experimental study before and after the introduction of a phlebotomy team dedicated to collecting blood cultures in a 2700-bed tertiary-care hospital. The microbiology laboratory database was used to identify adult patients with positive blood culture results. During the study period, there were no changes in blood collection method, blood culture tubes, and the application of antiseptic measures. Blood volume was measured by the BACTEC™ FX system based on red blood cell metabolism. A total of 162,207 blood cultures from 23,563 patients were analyzed, comprising 78,673 blood cultures during the intern period and 83,534 during the phlebotomy team period. Blood volume increased from a mean of 2.1 ml in the intern period to a mean of 5.6 ml in the phlebotomy team period ( p  &lt; 0.001). Introduction of the phlebotomy team also reduced contamination rate (0.27% vs. 0.45%, p  &lt; 0.001) and led to a higher true positive rate (5.87% vs. 5.01%, p  &lt; 0.05). The increased true positive rate associated with the phlebotomy team involved both gram-positive and gram-negative bacteria. The introduction of a dedicated phlebotomy team can increase blood volumes, reduce blood culture contamination rate, and increase true positive rate.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-018-3430-4</identifier><identifier>PMID: 30536210</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject><![CDATA[Adult ; Bacteremia - diagnosis ; Bacteria ; Biomedical and Life Sciences ; Biomedicine ; Blood ; Blood culture ; Blood Culture - standards ; Blood Culture - statistics & numerical data ; Blood Specimen Collection - standards ; Blood Specimen Collection - statistics & numerical data ; Blood Volume ; Cell culture ; Collection ; Contamination ; Data processing ; Diagnostic Errors - prevention & control ; Diagnostic Errors - statistics & numerical data ; Erythrocytes ; Gram-negative bacteria ; Hospitals, Teaching ; Humans ; Internal Medicine ; Medical Laboratory Personnel - standards ; Medical Laboratory Personnel - statistics & numerical data ; Medical Microbiology ; Metabolism ; Microbiology ; Original Article ; Patients ; Phlebotomy ; Phlebotomy - standards ; Phlebotomy - statistics & numerical data ; Quality Improvement ; Retrospective Studies ; Tubes]]></subject><ispartof>European journal of clinical microbiology &amp; infectious diseases, 2019-02, Vol.38 (2), p.325-330</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>European Journal of Clinical Microbiology &amp; Infectious Diseases is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a572b64e4155c0b7ae7884312c0e76f14edc38044b8d811219cf303e1ec2627e3</citedby><cites>FETCH-LOGICAL-c372t-a572b64e4155c0b7ae7884312c0e76f14edc38044b8d811219cf303e1ec2627e3</cites><orcidid>0000-0003-1672-3185</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10096-018-3430-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10096-018-3430-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30536210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bae, Moonsuk</creatorcontrib><creatorcontrib>In Kim, Hae</creatorcontrib><creatorcontrib>Park, Joung Ha</creatorcontrib><creatorcontrib>Ryu, Byung-Han</creatorcontrib><creatorcontrib>Chang, Jeonghyun</creatorcontrib><creatorcontrib>Sung, Heungsup</creatorcontrib><creatorcontrib>Jung, Jiwon</creatorcontrib><creatorcontrib>Kim, Min Jae</creatorcontrib><creatorcontrib>Kim, Sung-Han</creatorcontrib><creatorcontrib>Lee, Sang-Oh</creatorcontrib><creatorcontrib>Choi, Sang-Ho</creatorcontrib><creatorcontrib>Kim, Yang Soo</creatorcontrib><creatorcontrib>Woo, Jun Hee</creatorcontrib><creatorcontrib>Kim, Mi-Na</creatorcontrib><creatorcontrib>Chong, Yong Pil</creatorcontrib><title>Improvement of blood culture contamination rate, blood volume, and true positive rate after introducing a dedicated phlebotomy team</title><title>European journal of clinical microbiology &amp; infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>The introduction of dedicated phlebotomy teams certified for blood collection has been reported to be highly cost-effective by reducing contamination rates. However, data on their effects on blood volume and true positive rate are limited. Therefore, we investigated the effect of replacing interns with a phlebotomy team on blood culture results. We performed a 24-month retrospective, quasi-experimental study before and after the introduction of a phlebotomy team dedicated to collecting blood cultures in a 2700-bed tertiary-care hospital. The microbiology laboratory database was used to identify adult patients with positive blood culture results. During the study period, there were no changes in blood collection method, blood culture tubes, and the application of antiseptic measures. Blood volume was measured by the BACTEC™ FX system based on red blood cell metabolism. A total of 162,207 blood cultures from 23,563 patients were analyzed, comprising 78,673 blood cultures during the intern period and 83,534 during the phlebotomy team period. Blood volume increased from a mean of 2.1 ml in the intern period to a mean of 5.6 ml in the phlebotomy team period ( p  &lt; 0.001). Introduction of the phlebotomy team also reduced contamination rate (0.27% vs. 0.45%, p  &lt; 0.001) and led to a higher true positive rate (5.87% vs. 5.01%, p  &lt; 0.05). The increased true positive rate associated with the phlebotomy team involved both gram-positive and gram-negative bacteria. The introduction of a dedicated phlebotomy team can increase blood volumes, reduce blood culture contamination rate, and increase true positive rate.</description><subject>Adult</subject><subject>Bacteremia - diagnosis</subject><subject>Bacteria</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Blood</subject><subject>Blood culture</subject><subject>Blood Culture - standards</subject><subject>Blood Culture - statistics &amp; numerical data</subject><subject>Blood Specimen Collection - standards</subject><subject>Blood Specimen Collection - statistics &amp; numerical data</subject><subject>Blood Volume</subject><subject>Cell culture</subject><subject>Collection</subject><subject>Contamination</subject><subject>Data processing</subject><subject>Diagnostic Errors - prevention &amp; control</subject><subject>Diagnostic Errors - statistics &amp; numerical data</subject><subject>Erythrocytes</subject><subject>Gram-negative bacteria</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Medical Laboratory Personnel - standards</subject><subject>Medical Laboratory Personnel - statistics &amp; numerical data</subject><subject>Medical Microbiology</subject><subject>Metabolism</subject><subject>Microbiology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Phlebotomy</subject><subject>Phlebotomy - standards</subject><subject>Phlebotomy - statistics &amp; numerical data</subject><subject>Quality Improvement</subject><subject>Retrospective Studies</subject><subject>Tubes</subject><issn>0934-9723</issn><issn>1435-4373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1rFTEUhoMo9tr6A9xIwI0Lx-ZrJjPLUqoWCm50HTLJmTZlktzm40LX_ePmeq8VBDcJ4Tzvm4QHoXeUfKaEyPPc1mnoCB07LjjpxAu0oYL3neCSv0QbMnHRTZLxE_Qm53vSMqOUr9EJJz0fGCUb9HTttynuwEMoOC54XmO02NS11ATYxFC0d0EXFwNOusCnI7GLa_XtpIPFJVXA25hdcTv4TWG9FEjYhZKircaFW6yxBetMG1q8vVthjiX6R1xA-zP0atFrhrfH_RT9_HL14_Jbd_P96_XlxU1nuGSl071k8yBA0L43ZJYa5DgKTpkhIIeFCrCGj0SIebQjpYxOZuGEAwXDBiaBn6KPh97244cKuSjvsoF11QFizYq1YjqIsZ8a-uEf9D7WFNrr9hTtxTSJPUUPlEkx5wSL2ibndXpUlKi9IXUwpJohtTekRMu8PzbX2YN9TvxR0gB2AHIbhVtIf6_-f-svlj-ciA</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Bae, Moonsuk</creator><creator>In Kim, Hae</creator><creator>Park, Joung Ha</creator><creator>Ryu, Byung-Han</creator><creator>Chang, Jeonghyun</creator><creator>Sung, Heungsup</creator><creator>Jung, Jiwon</creator><creator>Kim, Min Jae</creator><creator>Kim, Sung-Han</creator><creator>Lee, Sang-Oh</creator><creator>Choi, Sang-Ho</creator><creator>Kim, Yang Soo</creator><creator>Woo, Jun Hee</creator><creator>Kim, Mi-Na</creator><creator>Chong, Yong Pil</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1672-3185</orcidid></search><sort><creationdate>20190201</creationdate><title>Improvement of blood culture contamination rate, blood volume, and true positive rate after introducing a dedicated phlebotomy team</title><author>Bae, Moonsuk ; In Kim, Hae ; Park, Joung Ha ; Ryu, Byung-Han ; Chang, Jeonghyun ; Sung, Heungsup ; Jung, Jiwon ; Kim, Min Jae ; Kim, Sung-Han ; Lee, Sang-Oh ; Choi, Sang-Ho ; Kim, Yang Soo ; Woo, Jun Hee ; Kim, Mi-Na ; Chong, Yong Pil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a572b64e4155c0b7ae7884312c0e76f14edc38044b8d811219cf303e1ec2627e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Bacteremia - diagnosis</topic><topic>Bacteria</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Blood</topic><topic>Blood culture</topic><topic>Blood Culture - standards</topic><topic>Blood Culture - statistics &amp; numerical data</topic><topic>Blood Specimen Collection - standards</topic><topic>Blood Specimen Collection - statistics &amp; numerical data</topic><topic>Blood Volume</topic><topic>Cell culture</topic><topic>Collection</topic><topic>Contamination</topic><topic>Data processing</topic><topic>Diagnostic Errors - prevention &amp; control</topic><topic>Diagnostic Errors - statistics &amp; numerical data</topic><topic>Erythrocytes</topic><topic>Gram-negative bacteria</topic><topic>Hospitals, Teaching</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Medical Laboratory Personnel - standards</topic><topic>Medical Laboratory Personnel - statistics &amp; numerical data</topic><topic>Medical Microbiology</topic><topic>Metabolism</topic><topic>Microbiology</topic><topic>Original Article</topic><topic>Patients</topic><topic>Phlebotomy</topic><topic>Phlebotomy - standards</topic><topic>Phlebotomy - statistics &amp; numerical data</topic><topic>Quality Improvement</topic><topic>Retrospective Studies</topic><topic>Tubes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bae, Moonsuk</creatorcontrib><creatorcontrib>In Kim, Hae</creatorcontrib><creatorcontrib>Park, Joung Ha</creatorcontrib><creatorcontrib>Ryu, Byung-Han</creatorcontrib><creatorcontrib>Chang, Jeonghyun</creatorcontrib><creatorcontrib>Sung, Heungsup</creatorcontrib><creatorcontrib>Jung, Jiwon</creatorcontrib><creatorcontrib>Kim, Min Jae</creatorcontrib><creatorcontrib>Kim, Sung-Han</creatorcontrib><creatorcontrib>Lee, Sang-Oh</creatorcontrib><creatorcontrib>Choi, Sang-Ho</creatorcontrib><creatorcontrib>Kim, Yang Soo</creatorcontrib><creatorcontrib>Woo, Jun Hee</creatorcontrib><creatorcontrib>Kim, Mi-Na</creatorcontrib><creatorcontrib>Chong, Yong Pil</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of clinical microbiology &amp; infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bae, Moonsuk</au><au>In Kim, Hae</au><au>Park, Joung Ha</au><au>Ryu, Byung-Han</au><au>Chang, Jeonghyun</au><au>Sung, Heungsup</au><au>Jung, Jiwon</au><au>Kim, Min Jae</au><au>Kim, Sung-Han</au><au>Lee, Sang-Oh</au><au>Choi, Sang-Ho</au><au>Kim, Yang Soo</au><au>Woo, Jun Hee</au><au>Kim, Mi-Na</au><au>Chong, Yong Pil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improvement of blood culture contamination rate, blood volume, and true positive rate after introducing a dedicated phlebotomy team</atitle><jtitle>European journal of clinical microbiology &amp; infectious diseases</jtitle><stitle>Eur J Clin Microbiol Infect Dis</stitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>38</volume><issue>2</issue><spage>325</spage><epage>330</epage><pages>325-330</pages><issn>0934-9723</issn><eissn>1435-4373</eissn><abstract>The introduction of dedicated phlebotomy teams certified for blood collection has been reported to be highly cost-effective by reducing contamination rates. However, data on their effects on blood volume and true positive rate are limited. Therefore, we investigated the effect of replacing interns with a phlebotomy team on blood culture results. We performed a 24-month retrospective, quasi-experimental study before and after the introduction of a phlebotomy team dedicated to collecting blood cultures in a 2700-bed tertiary-care hospital. The microbiology laboratory database was used to identify adult patients with positive blood culture results. During the study period, there were no changes in blood collection method, blood culture tubes, and the application of antiseptic measures. Blood volume was measured by the BACTEC™ FX system based on red blood cell metabolism. A total of 162,207 blood cultures from 23,563 patients were analyzed, comprising 78,673 blood cultures during the intern period and 83,534 during the phlebotomy team period. Blood volume increased from a mean of 2.1 ml in the intern period to a mean of 5.6 ml in the phlebotomy team period ( p  &lt; 0.001). Introduction of the phlebotomy team also reduced contamination rate (0.27% vs. 0.45%, p  &lt; 0.001) and led to a higher true positive rate (5.87% vs. 5.01%, p  &lt; 0.05). The increased true positive rate associated with the phlebotomy team involved both gram-positive and gram-negative bacteria. The introduction of a dedicated phlebotomy team can increase blood volumes, reduce blood culture contamination rate, and increase true positive rate.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30536210</pmid><doi>10.1007/s10096-018-3430-4</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1672-3185</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 0934-9723
ispartof European journal of clinical microbiology & infectious diseases, 2019-02, Vol.38 (2), p.325-330
issn 0934-9723
1435-4373
language eng
recordid cdi_proquest_miscellaneous_2155164859
source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Adult
Bacteremia - diagnosis
Bacteria
Biomedical and Life Sciences
Biomedicine
Blood
Blood culture
Blood Culture - standards
Blood Culture - statistics & numerical data
Blood Specimen Collection - standards
Blood Specimen Collection - statistics & numerical data
Blood Volume
Cell culture
Collection
Contamination
Data processing
Diagnostic Errors - prevention & control
Diagnostic Errors - statistics & numerical data
Erythrocytes
Gram-negative bacteria
Hospitals, Teaching
Humans
Internal Medicine
Medical Laboratory Personnel - standards
Medical Laboratory Personnel - statistics & numerical data
Medical Microbiology
Metabolism
Microbiology
Original Article
Patients
Phlebotomy
Phlebotomy - standards
Phlebotomy - statistics & numerical data
Quality Improvement
Retrospective Studies
Tubes
title Improvement of blood culture contamination rate, blood volume, and true positive rate after introducing a dedicated phlebotomy team
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T20%3A14%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Improvement%20of%20blood%20culture%20contamination%20rate,%20blood%20volume,%20and%20true%20positive%20rate%20after%20introducing%20a%20dedicated%20phlebotomy%20team&rft.jtitle=European%20journal%20of%20clinical%20microbiology%20&%20infectious%20diseases&rft.au=Bae,%20Moonsuk&rft.date=2019-02-01&rft.volume=38&rft.issue=2&rft.spage=325&rft.epage=330&rft.pages=325-330&rft.issn=0934-9723&rft.eissn=1435-4373&rft_id=info:doi/10.1007/s10096-018-3430-4&rft_dat=%3Cproquest_cross%3E2155164859%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2151549949&rft_id=info:pmid/30536210&rfr_iscdi=true