Identification of the main contributors to blood culture contamination at a tertiary care academic medical center

Blood culture contamination poses an issue to all hospital systems worldwide because of the associated costs of extended length of stays, unnecessary antibiotic therapy, and additional laboratory testing that are preventable with proper handling and collection techniques. In our study, multiple unit...

Full description

Saved in:
Bibliographic Details
Published in:Infection prevention in practice 2022-09, Vol.4 (3), p.100219-100219, Article 100219
Main Authors: Sacchetti, Brianna, Travis, Justin, Steed, Lisa L., Webb, Ginny
Format: Article
Language:English
Subjects:
Blood culture
Contamination
Nursing
Original
Phlebotomy
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c478t-adbd9f53fde97ce2cd17228aa9a2dd1ded4524a171b47f024248168c5dff802f3
container_end_page 100219
container_issue 3
container_start_page 100219
container_title Infection prevention in practice
container_volume 4
creator Sacchetti, Brianna
Travis, Justin
Steed, Lisa L.
Webb, Ginny
description Blood culture contamination poses an issue to all hospital systems worldwide because of the associated costs of extended length of stays, unnecessary antibiotic therapy, and additional laboratory testing that are preventable with proper handling and collection techniques. In our study, multiple units, staff, and collection methods were compared to determine the primary culprits of contamination from a tertiary care academic medical center, which includes a pediatric hospital and both adult and pediatric emergency departments. Over 33 months, 2,083 out of 88,322 total blood cultures collected were contaminated, with an overall contamination rate of 2.4%. A moderate positive correlation was found between the monthly total number of cultures and monthly contamination rate (r = 0.411 P < .01). The most notable factors associated with contamination were found to be phlebotomy teams (2.7%) (P < .01), peripheral draws (2.3%) (P
doi_str_mv 10.1016/j.infpip.2022.100219
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_c81678f2a2f94f35b95ff4568710f237</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2590088922000208</els_id><doaj_id>oai_doaj_org_article_c81678f2a2f94f35b95ff4568710f237</doaj_id><sourcerecordid>2675985356</sourcerecordid><originalsourceid>FETCH-LOGICAL-c478t-adbd9f53fde97ce2cd17228aa9a2dd1ded4524a171b47f024248168c5dff802f3</originalsourceid><addsrcrecordid>eNp9UU1v1DAQjRCIVqX_ACEfuexiO05sX5BQRWGlSr3A2ZrY49arJN7aTiX-Pd6mlPbSk62Z9zEzr2k-MrpllPVf9tsw-0M4bDnlvJYoZ_pNc8o7TTdUKf322f-kOc95TytGakGpfN-ctF2vudLitLnbOZxL8MFCCXEm0ZNyi2SCMBMb55LCsJSYMimRDGOMjthlLEvChy5MYV55UAiQgqkESH-IhQoACw6nYMmErsqPxFYnTB-adx7GjOeP71nz-_L7r4ufm6vrH7uLb1cbK6QqG3CD075rvUMtLXLrmORcAWjgzjGHTnRcAJNsENJTLrhQrFe2c94ryn171uxWXRdhbw4pTHUyEyGYh0JMNwbquHZEYytTKs-Bey182w268150vZKMet7KqvV11TosQ93muEiC8YXoy84cbs1NvDeaKaF6UQU-PwqkeLdgLmYK2eI4woxxyYb3stOqq7lUqFihNsWcE_onG0bNMXyzN2v45hi-WcOvtE_PR3wi_Yv6_w5Yj34fMJlsA862hpPQlnqV8LrDX-4yxOQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2675985356</pqid></control><display><type>article</type><title>Identification of the main contributors to blood culture contamination at a tertiary care academic medical center</title><source>PubMed Central (Open access)</source><source>ScienceDirect®</source><creator>Sacchetti, Brianna ; Travis, Justin ; Steed, Lisa L. ; Webb, Ginny</creator><creatorcontrib>Sacchetti, Brianna ; Travis, Justin ; Steed, Lisa L. ; Webb, Ginny</creatorcontrib><description><![CDATA[Blood culture contamination poses an issue to all hospital systems worldwide because of the associated costs of extended length of stays, unnecessary antibiotic therapy, and additional laboratory testing that are preventable with proper handling and collection techniques. In our study, multiple units, staff, and collection methods were compared to determine the primary culprits of contamination from a tertiary care academic medical center, which includes a pediatric hospital and both adult and pediatric emergency departments. Over 33 months, 2,083 out of 88,322 total blood cultures collected were contaminated, with an overall contamination rate of 2.4%. A moderate positive correlation was found between the monthly total number of cultures and monthly contamination rate (r = 0.411 P < .01). The most notable factors associated with contamination were found to be phlebotomy teams (2.7%) (P < .01), peripheral draws (2.3%) (P <.01), adult emergency departments (2.6%) (P < .01), and pediatric intensive care units (2.7%) (P < .01). A positive correlation was present between the number of hospital beds per unit and unit contamination rates (r = 0.429 P < .01). Our results were used to make recommendations for decreasing the rate of blood culture contamination in this institution, which includes acknowledgement of an overwhelmed staff and mandatory periodic training on acceptable aseptic technique and contamination awareness. Understanding the factors contributing to blood culture contamination can aid efforts to reduce contamination rates.]]></description><identifier>ISSN: 2590-0889</identifier><identifier>EISSN: 2590-0889</identifier><identifier>DOI: 10.1016/j.infpip.2022.100219</identifier><identifier>PMID: 35692894</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Blood culture ; Contamination ; Nursing ; Original ; Phlebotomy</subject><ispartof>Infection prevention in practice, 2022-09, Vol.4 (3), p.100219-100219, Article 100219</ispartof><rights>2022 The Authors</rights><rights>2022 The Authors.</rights><rights>2022 The Authors 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c478t-adbd9f53fde97ce2cd17228aa9a2dd1ded4524a171b47f024248168c5dff802f3</cites><orcidid>0000-0001-5764-3216 ; 0000-0003-3319-6516</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9184864/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2590088922000208$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,27924,27925,45780,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35692894$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sacchetti, Brianna</creatorcontrib><creatorcontrib>Travis, Justin</creatorcontrib><creatorcontrib>Steed, Lisa L.</creatorcontrib><creatorcontrib>Webb, Ginny</creatorcontrib><title>Identification of the main contributors to blood culture contamination at a tertiary care academic medical center</title><title>Infection prevention in practice</title><addtitle>Infect Prev Pract</addtitle><description><![CDATA[Blood culture contamination poses an issue to all hospital systems worldwide because of the associated costs of extended length of stays, unnecessary antibiotic therapy, and additional laboratory testing that are preventable with proper handling and collection techniques. In our study, multiple units, staff, and collection methods were compared to determine the primary culprits of contamination from a tertiary care academic medical center, which includes a pediatric hospital and both adult and pediatric emergency departments. Over 33 months, 2,083 out of 88,322 total blood cultures collected were contaminated, with an overall contamination rate of 2.4%. A moderate positive correlation was found between the monthly total number of cultures and monthly contamination rate (r = 0.411 P < .01). The most notable factors associated with contamination were found to be phlebotomy teams (2.7%) (P < .01), peripheral draws (2.3%) (P <.01), adult emergency departments (2.6%) (P < .01), and pediatric intensive care units (2.7%) (P < .01). A positive correlation was present between the number of hospital beds per unit and unit contamination rates (r = 0.429 P < .01). Our results were used to make recommendations for decreasing the rate of blood culture contamination in this institution, which includes acknowledgement of an overwhelmed staff and mandatory periodic training on acceptable aseptic technique and contamination awareness. Understanding the factors contributing to blood culture contamination can aid efforts to reduce contamination rates.]]></description><subject>Blood culture</subject><subject>Contamination</subject><subject>Nursing</subject><subject>Original</subject><subject>Phlebotomy</subject><issn>2590-0889</issn><issn>2590-0889</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9UU1v1DAQjRCIVqX_ACEfuexiO05sX5BQRWGlSr3A2ZrY49arJN7aTiX-Pd6mlPbSk62Z9zEzr2k-MrpllPVf9tsw-0M4bDnlvJYoZ_pNc8o7TTdUKf322f-kOc95TytGakGpfN-ctF2vudLitLnbOZxL8MFCCXEm0ZNyi2SCMBMb55LCsJSYMimRDGOMjthlLEvChy5MYV55UAiQgqkESH-IhQoACw6nYMmErsqPxFYnTB-adx7GjOeP71nz-_L7r4ufm6vrH7uLb1cbK6QqG3CD075rvUMtLXLrmORcAWjgzjGHTnRcAJNsENJTLrhQrFe2c94ryn171uxWXRdhbw4pTHUyEyGYh0JMNwbquHZEYytTKs-Bey182w268150vZKMet7KqvV11TosQ93muEiC8YXoy84cbs1NvDeaKaF6UQU-PwqkeLdgLmYK2eI4woxxyYb3stOqq7lUqFihNsWcE_onG0bNMXyzN2v45hi-WcOvtE_PR3wi_Yv6_w5Yj34fMJlsA862hpPQlnqV8LrDX-4yxOQ</recordid><startdate>20220901</startdate><enddate>20220901</enddate><creator>Sacchetti, Brianna</creator><creator>Travis, Justin</creator><creator>Steed, Lisa L.</creator><creator>Webb, Ginny</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5764-3216</orcidid><orcidid>https://orcid.org/0000-0003-3319-6516</orcidid></search><sort><creationdate>20220901</creationdate><title>Identification of the main contributors to blood culture contamination at a tertiary care academic medical center</title><author>Sacchetti, Brianna ; Travis, Justin ; Steed, Lisa L. ; Webb, Ginny</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-adbd9f53fde97ce2cd17228aa9a2dd1ded4524a171b47f024248168c5dff802f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Blood culture</topic><topic>Contamination</topic><topic>Nursing</topic><topic>Original</topic><topic>Phlebotomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sacchetti, Brianna</creatorcontrib><creatorcontrib>Travis, Justin</creatorcontrib><creatorcontrib>Steed, Lisa L.</creatorcontrib><creatorcontrib>Webb, Ginny</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Infection prevention in practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sacchetti, Brianna</au><au>Travis, Justin</au><au>Steed, Lisa L.</au><au>Webb, Ginny</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identification of the main contributors to blood culture contamination at a tertiary care academic medical center</atitle><jtitle>Infection prevention in practice</jtitle><addtitle>Infect Prev Pract</addtitle><date>2022-09-01</date><risdate>2022</risdate><volume>4</volume><issue>3</issue><spage>100219</spage><epage>100219</epage><pages>100219-100219</pages><artnum>100219</artnum><issn>2590-0889</issn><eissn>2590-0889</eissn><abstract><![CDATA[Blood culture contamination poses an issue to all hospital systems worldwide because of the associated costs of extended length of stays, unnecessary antibiotic therapy, and additional laboratory testing that are preventable with proper handling and collection techniques. In our study, multiple units, staff, and collection methods were compared to determine the primary culprits of contamination from a tertiary care academic medical center, which includes a pediatric hospital and both adult and pediatric emergency departments. Over 33 months, 2,083 out of 88,322 total blood cultures collected were contaminated, with an overall contamination rate of 2.4%. A moderate positive correlation was found between the monthly total number of cultures and monthly contamination rate (r = 0.411 P < .01). The most notable factors associated with contamination were found to be phlebotomy teams (2.7%) (P < .01), peripheral draws (2.3%) (P <.01), adult emergency departments (2.6%) (P < .01), and pediatric intensive care units (2.7%) (P < .01). A positive correlation was present between the number of hospital beds per unit and unit contamination rates (r = 0.429 P < .01). Our results were used to make recommendations for decreasing the rate of blood culture contamination in this institution, which includes acknowledgement of an overwhelmed staff and mandatory periodic training on acceptable aseptic technique and contamination awareness. Understanding the factors contributing to blood culture contamination can aid efforts to reduce contamination rates.]]></abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>35692894</pmid><doi>10.1016/j.infpip.2022.100219</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-5764-3216</orcidid><orcidid>https://orcid.org/0000-0003-3319-6516</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2590-0889
ispartof Infection prevention in practice, 2022-09, Vol.4 (3), p.100219-100219, Article 100219
issn 2590-0889
2590-0889
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_c81678f2a2f94f35b95ff4568710f237
source PubMed Central (Open access); ScienceDirect®
subjects Blood culture
Contamination
Nursing
Original
Phlebotomy
title Identification of the main contributors to blood culture contamination at a tertiary care academic medical center
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T12%3A20%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Identification%20of%20the%20main%20contributors%20to%20blood%20culture%20contamination%20at%20a%20tertiary%20care%20academic%20medical%20center&rft.jtitle=Infection%20prevention%20in%20practice&rft.au=Sacchetti,%20Brianna&rft.date=2022-09-01&rft.volume=4&rft.issue=3&rft.spage=100219&rft.epage=100219&rft.pages=100219-100219&rft.artnum=100219&rft.issn=2590-0889&rft.eissn=2590-0889&rft_id=info:doi/10.1016/j.infpip.2022.100219&rft_dat=%3Cproquest_doaj_%3E2675985356%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c478t-adbd9f53fde97ce2cd17228aa9a2dd1ded4524a171b47f024248168c5dff802f3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2675985356&rft_id=info:pmid/35692894&rfr_iscdi=true