Review of clinical trials of skin antiseptic agents used to reduce blood culture contamination

被引:25
作者
Malani, Anurag
Trimble, Kim
Parekh, Vikas
Chenoweth, Carol
Kaufman, Samuel
Saint, Sanjay
机构
[1] Vet Affairs Ann Arbor Healthcare Syst, Ann Arbor, MI 48105 USA
[2] Univ Michigan, Sch Med, Div Infect Dis, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Sch Med, Hlth Serv Res & Dev Serv, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Sch Med, Dept Internal Med, Ann Arbor, MI 48109 USA
关键词
D O I
10.1086/518456
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
False-positive blood culture results may lead to prolonged hospitalization, inappropriate antibiotic administration, and increased healthcare costs. We conducted a review of the literature to assess the effect of skin antiseptic agents on the rate of false-positive blood culture results. We found no clear evidence to suggest which antiseptic should be used to prevent false-positive results. Studies suggest, however, a possible benefit from the use of prepackaged skin antiseptic kits and alcohol-containing antiseptics.
引用
收藏
页码:892 / 895
页数:4
相关论文
共 14 条
[1]   CONTAMINANT BLOOD CULTURES AND RESOURCE UTILIZATION - THE TRUE CONSEQUENCES OF FALSE-POSITIVE RESULTS [J].
BATES, DW ;
GOLDMAN, L ;
LEE, TH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 265 (03) :365-369
[2]   Comparison of four antiseptic preparations for skin in the prevention of contamination of percutaneously drawn blood cultures: a randomized trial [J].
Calfee, DP ;
Farr, BM .
JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (05) :1660-1665
[3]   EVALUATION OF SKIN ANTISEPSIS PRIOR TO BLOOD CULTURE IN NEONATES [J].
CHAMPAGNE, S ;
FUSSELL, S ;
SCHEIFELE, D .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 1984, 5 (10) :489-491
[4]  
KING TC, 1963, SURG GYNECOL OBSTET, V116, P361
[5]  
LEE S, 1967, AM J CLIN PATHOL, V47, P646
[6]   A randomized trial of povidone-iodine compared with iodine tincture for venipuncture site disinfection: Effects on rates of blood culture contamination [J].
Little, JR ;
Murray, PR ;
Traynor, PS ;
Spitznagel, E .
AMERICAN JOURNAL OF MEDICINE, 1999, 107 (02) :119-125
[7]   Chlorhexidine compared with povidone-iodine as skin preparation before blood culture - A randomized, controlled trial [J].
Mimoz, O ;
Karim, A ;
Mercat, A ;
Cosseron, M ;
Falissard, B ;
Parker, F ;
Richard, C ;
Samii, K ;
Nordmann, P .
ANNALS OF INTERNAL MEDICINE, 1999, 131 (11) :834-837
[8]   CONTAMINATION OF BLOOD CULTURES DURING VENIPUNCTURE - FACT OR MYTH [J].
SHAHAR, E ;
WOHLGOTTESMAN, BS ;
SHENKMAN, L .
POSTGRADUATE MEDICAL JOURNAL, 1990, 66 (782) :1053-1058
[9]   EFFECT OF LODOPHOR VS IODINE TINCTURE SKIN PREPARATION ON BLOOD CULTURE CONTAMINATION RATE [J].
STRAND, CL ;
WAJSBORT, RR ;
STURMANN, K .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 269 (08) :1004-1006
[10]  
Surdulescu S, 1998, Clin Perform Qual Health Care, V6, P60