Impact of novel blood culture collection bundle to reduce blood culture contamination rates: An important continuous quality improvement indicator of laboratory medicine

Patel, Kinjal P.; Carval, Trupti; Poojary, Aruna; Poojary, Reshma Ashwin

doi:10.4103/jpsic.jpsic_25_19

Cited by 2 publications

(6 citation statements)

References 25 publications

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“…[ 3 7 ] The ED is particularly vulnerable to an increased risk of noncompliance to these preanalytical factors of BC investigation, which may be due to various reasons such as high staff turnover, increased patient load, and simultaneously managing many critically ill patients at the same time, leading to high work pressure. [ 1 3 10 ] Therefore, this study was carried out to develop a multimodal intervention and subsequently to evaluate its effectiveness to improve BC collection practices in the ED. [ 1 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 23 ] Similar to our study, there are also few other studies where higher BC contamination rates were reported in teaching hospitals, especially in EDs. [ 1 3 10 12 13 16 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 19 ] Adequate provision of the clinical team detail and the in-hospital location of the patient help in fostering effective communication between the laboratory and the clinical team. [ 10 ] When the clinical diagnosis is indicated in the requisition form, it helps the laboratory to ascertain the site-specific pathogenicity of the organisms and thereafter including appropriate site-specific antimicrobials for antimicrobial susceptibility testing. [ 6 ] Mentioning the source of collection of blood (central line or venepuncture) will guide the laboratory to differentiate between colonizers and pathogens, and also to ascertain the microbiological diagnosis of catheter-related blood stream infection.…”

Section: Discussionmentioning

confidence: 99%

“…BC was classified as contaminated if one or more of the following organisms grew: Coagulase-negative Coagulase-negative Staphylococcus (CoNS) species except S. lugdunensis , aerobic spore bearers ( Bacillus species except B. anthracis ), diphtheroids ( Corynebacterium species, except C. diphtheriae ), Micrococcus species, α-hemolytic Streptococcus , and Aerococcus species, All positive cultures not classified as contaminated were considered true-positives (pathogen). [ 5 10 ]…”

Section: Ethodsmentioning

confidence: 99%

“…[ 7 8 9 ] The preanalytical errors in BC collection result in several detrimental outcomes such as delay in identification of bacteremia and initiation of pathogen-directed therapy, ordering of more investigations resulting in increased financial burden, and increased morbidity and mortality. [ 10 11 12 ]…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department

Sastry

Shaji

Madigubba

et al. 2022

Journal of Global Infectious Diseases

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Introduction: The blood culture (BC) contamination was a significant problem in our hospital, especially in the emergency department (ED). The study, therefore, was undertaken to improve the BC collection in the ED. Methods: The study was conducted for 1 year divided into two phases of 6 months each: Preintervention phase and intervention phase (regular and phlebotomist groups). The interventions comprised implementing standard protocol for BC collection and conducting educational sessions. In preintervention and regular groups, the BCs were collected by interns and technicians, while dedicated phlebotomist did so in the phlebotomist group. Data were analyzed and interpreted for the contamination rate as well as compliance in adequate filling of the requisition form. Statistical Package for the Social Sciences (SPSS) version 22. A value of P < 0.005 was considered statistically significant, and P < 0.01 was considered statistically significant. Results: In the preintervention group, 13.7% of specimens were reported as contaminated which was reduced to 4.2% and 3.2% in the regular and phlebotomist group, respectively, after intervention. Compliance of health-care workers to various elements of BC collection protocol was also found to be significantly improved in the intervention phase compared to the preintervention phase ( P < 0.001). Conclusions: Implementation of this multimodal intervention resulted in a drastic reduction in BC contamination and improvement in compliance to BC collection protocol and filling of various parameters in the BC requisition form, thus improving the overall effectiveness of BC testing. It was also noted that the contamination rate was further reduced by implementing dedicated phlebotomist.

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Section: Discussionmentioning

confidence: 99%

“…[ 23 ] Similar to our study, there are also few other studies where higher BC contamination rates were reported in teaching hospitals, especially in EDs. [ 1 3 10 12 13 16 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Ethodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department

Sastry

Shaji

Madigubba

et al. 2022

Journal of Global Infectious Diseases

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The Impact of Performance Improvement Interventions and Phlebotomy Staff Counseling on Blood Culture Contamination Rates: Experience of Security Forces Hospital, Makkah, Saudi Arabia

Afifi

Mostafa

Hassan

et al. 2023

Egyptian Journal of Medical Microbiology

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Background: Blood culture contamination is a global problem that heeds all healthcare settings and has many negative impacts. Objectives: to compare the effectiveness of the two implemented interventions on blood culture contamination rates. Methodology: The blood culture reports of specimens received by the microbiology laboratory during the study period were grouped into 3 groups; pre-intervention group, post-intervention I group after educational lectures and practical workshops, post-intervention II group after implementation of the same intervention I together with individual counseling for staff identified as having obtained contaminated specimens. The contamination rates were evaluated and compared to the target and as regards departments and organisms. Results: After intervention I, there was a 31.56% reduction rate while after postintervention II there was a 56.8% reduction from the pre-intervention rate. The total number of contaminants showed a highly significant difference between pre-intervention and post-intervention I & between post-interventions I and II (p=0.001) and an extremely highly significant difference between pre-intervention and post-intervention II (p=0.0001). The highest rate of contamination was found in the emergency department followed by ICUs. The contaminants were coagulase-negative staphylococci (CoNS) (82.8%, 92.6%, 93.3%) micrococci (9.7%, 5.5% 6.7%), anthracoid (4.9%,1.2%, 0%) and Corynebacterium spp. (2.6%, 0.6%, 0%) in the three groups pre or post interventions respectively. Conclusion: Intervention II proved to be more effective in reducing blood culture contamination rate. So, it is recommended to continuously track the contamination rate and train the staff on the best practice together with disciplinary counseling for those who frequently withdraw contaminated blood culture specimens.

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Impact of novel blood culture collection bundle to reduce blood culture contamination rates: An important continuous quality improvement indicator of laboratory medicine

Cited by 2 publications

References 25 publications

Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department

Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department

The Impact of Performance Improvement Interventions and Phlebotomy Staff Counseling on Blood Culture Contamination Rates: Experience of Security Forces Hospital, Makkah, Saudi Arabia

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