January 19, 2023
2 minutes to learn
Blood tradition contamination was considerably lowered when phlebotomy scientists used a major pattern diverter machine on sufferers versus utilizing conventional venipuncture, in line with a latest examine.
“This examine was motivated by the truth that lots of our sufferers who had central line related bloodstream infections (CLABSIs) appeared to have contaminated blood cultures, as outlined within the article,” Lucy S. Tompkins, MD, PhDMD, a hospital epidemiologist and medical director of the Division of An infection Prevention and Management at Stanford Hospital, instructed Helio.
“I used to be additionally conscious that sufferers with contaminated blood cultures could obtain extra antibiotics, that are related to different downstream problems, similar to: Clostridium difficile “An infection, decreased kidney perform, further infections, longer stays, and so on,” Tompkins stated.
Because of this, Tompkins and colleagues examined an preliminary pattern conversion machine (ISDD) known as Steripath on inpatients and hospitalized ED sufferers – together with a lot of sufferers in intensive care items the place blood tradition contamination (BCC) seems to happen ceaselessly – to evaluate the impact of the machine on inpatients and ED BCC, CLABSI and ratios Normal infections (SIRs) and administration of antibiotics.
In line with the examine, phlebotomists used conventional venipuncture with or with out ISDD, whereas registered nurses (RNs) used conventional venipuncture. BCC occasions have been noticed and in contrast between the 2 teams between March 17, 2019, and January 21, 2020.
General, 24% of the blood cultures taken have been from sufferers within the intensive care unit. Phlebotomy utilizing standard venipuncture (n = 4,759) had a BCC charge of two.3%, whereas phlebotomy utilizing ISDD (n = 11,202) had a charge of 0% BCC. RNs, who drew a complete of seven,411 blood cultures, had a 0.8% BCC charge.
In line with the examine, the CLABSI SIR decreased from 1.103 in 2017 and 0.658 in 2018 to 0.439 in 2019.
Primarily based on these findings, the authors write that “it’s doable to remove BCC” and “get to zero” when ISDD is used efficiently, consistent with a lately up to date Scientific and Laboratory Requirements Institute advice, to cut back BCC to lower than a 1% charge.
Lucy S. Tompkins, MP, Ph.D
“Gadgets such because the Steripath that entice major blood containing contaminated micro organism from the pores and skin and subcutaneously in a separate chamber can scale back blood tradition contamination charges to very low and even non-existent ranges,” Tompkins stated.
“Moreover it, Reduce blood tradition contamination CLABSI can result in decreased SIRs. It’s a essential measure of high quality. She stated avoiding blood tradition contamination is a critically necessary effort for affected person security and high quality.