Implementation of an initial specimen blood culture diversion device to reduce blood culture contamination: lessons learned
To the Editor Blood culture contamination (BCxC) leads to unnecessary antibiotic exposure, laboratory studies, prolonged hospital stay, and increased hospital cost.1 The likelihood of BCxC varies widely with higher rates observed in emergency departments (EDs) and intensive care units.2 The Clinical...
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| Veröffentlicht in: | Infection control and hospital epidemiology 2024-10, Vol.46 (1), p.108-109 |
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| container_issue | 1 |
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| container_title | Infection control and hospital epidemiology |
| container_volume | 46 |
| creator | Touzard Romo, Francine Auld, Dianne de Abreu, Alison Roberts, Kimberly Jackson, Gail Whitehead, Valerie O’Rourke, Emerald Has, Phinnara Mermel, Leonard A. |
| description | To the Editor Blood culture contamination (BCxC) leads to unnecessary antibiotic exposure, laboratory studies, prolonged hospital stay, and increased hospital cost.1 The likelihood of BCxC varies widely with higher rates observed in emergency departments (EDs) and intensive care units.2 The Clinical and Laboratory Standards Institute (CLSI) recently lowered the BCxC benchmark to |
| doi_str_mv | 10.1017/ice.2024.152 |
| format | Article |
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Vancomycin days of therapy (DOT) by order entry indication of “bacteremia” was analyzed using a generalized linear model (Stata/MP 18.0; College Station, TX). An independent review of blood culture collection practices by the manufacturer noted: (1) occasional blood draws from existing intravascular catheters; (2) inconsistent skin preparation; (3) placement of blood culture bottles on patient’s beds; (4) inconsistent stocking of supplies; and (5) new staff unawareness of allowing lock side channel blood flow to stop before accessing the blood culture bottles.</description><identifier>ISSN: 0899-823X</identifier><identifier>ISSN: 1559-6834</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/ice.2024.152</identifier><identifier>PMID: 39449602</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Education ; Generalized linear models ; Hospital costs ; Hospitals ; Intensive care ; Letter to the Editor ; Phlebotomy ; Quality improvement ; Teaching hospitals</subject><ispartof>Infection control and hospital epidemiology, 2024-10, Vol.46 (1), p.108-109</ispartof><rights>The Author(s), 2024. 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| source | Cambridge University Press Journals Complete |
| subjects | Education Generalized linear models Hospital costs Hospitals Intensive care Letter to the Editor Phlebotomy Quality improvement Teaching hospitals |
| title | Implementation of an initial specimen blood culture diversion device to reduce blood culture contamination: lessons learned |
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