Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention

被引：22

作者：

Alahmadi, Y. M. ^{[1
,2
]}

McElnay, J. C. ^{[1
]}

Kearney, M. P. ^{[3
]}

Aldeyab, M. A. ^{[1
,4
]}

Magee, F. A. ^{[4
]}

Hanley, J. ^{[5
]}

Bailie, R. ^{[5
]}

Donaldson, W. ^{[5
]}

Johnston, K. ^{[5
]}

Kinoulty, S. ^{[5
]}

Doherty, A. ^{[5
]}

Tate, A. ^{[6
]}

Scott, M. G. ^{[4
]}

机构：

[1] Queens Univ Belfast, Sch Pharm, Clin & Practice Res Grp, Belfast, Antrim, North Ireland

[2] King Fahad Hosp, Madinah, Saudi Arabia

[3] Northern Hlth & Social Care Trust, Dept Microbiol, Ballymena, North Ireland

[4] Northern Hlth & Social Care Trust, Pharm & Med Management Ctr, Antrim, Antrim, North Ireland

[5] Northern Hlth & Social Care Trust, Antrim Hosp, Intens Care Unit, Antrim, Antrim, North Ireland

[6] Iskus Hlth Ltd, Dublin, Ireland

来源：

EPIDEMIOLOGY AND INFECTION | 2015年 / 143卷 / 09期

关键词：

Adequate clinical practice; blood culture; false positives; educational intervention; CLINICAL-SIGNIFICANCE; REDUCTION; RATES; CATHETER; QUALITY;

D O I：

10.1017/S0950268814003008

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Blood culture contamination (BCC) has been associated with unnecessary antibiotic use, additional laboratory tests and increased length of hospital stay thus incurring significant extra hospital costs. We set out to assess the impact of a staff educational intervention programme on decreasing intensive care unit (ICU) BCC rates to <3% (American Society for Microbiology standard). BCC rates during the pre-intervention period (January 2006-May 2011) were compared with the intervention period (June 2011-December 2012) using run chart and regression analysis. Monthly ICU BCC rates during the intervention period were reduced to a mean of 3.7%, compared to 9.5% during the baseline period (P < 0.001) with an estimated potential annual cost savings of about (sic)250 100. The approach used was simple in design, flexible in delivery and efficient in outcomes, and may encourage its translation into clinical practice in different healthcare settings.

引用

页码：1964 / 1971

页数：8

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