Cargando…

Optimierung der mikrobiellen Diagnostik durch Einführung einer Standard Operating Procedure „Blutkulturen“ in der zentralen Notaufnahme

INTRODUCTION: The emergency department (ED) is the main port of entry for patients with infectious diseases, the place where a number of diagnostic procedures are performed and treatment is often initiated. The aim of this retrospective study was to estimate the influence of the establishment and in...

Descripción completa

Detalles Bibliográficos
Autores principales: Orth, H. M., Al Agha, S., Kempe, M., Mackenzie, C., Michael, M., Bernhard, M., Jensen, B. -E. O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8566390/
https://www.ncbi.nlm.nih.gov/pubmed/33006639
http://dx.doi.org/10.1007/s00063-020-00729-5
_version_ 1784594000573890560
author Orth, H. M.
Al Agha, S.
Kempe, M.
Mackenzie, C.
Michael, M.
Bernhard, M.
Jensen, B. -E. O.
author_facet Orth, H. M.
Al Agha, S.
Kempe, M.
Mackenzie, C.
Michael, M.
Bernhard, M.
Jensen, B. -E. O.
author_sort Orth, H. M.
collection PubMed
description INTRODUCTION: The emergency department (ED) is the main port of entry for patients with infectious diseases, the place where a number of diagnostic procedures are performed and treatment is often initiated. The aim of this retrospective study was to estimate the influence of the establishment and introduction of a blood culture standard operating procedure (BC-SOP) and of the subsequent training of microbial diagnostics in an ED. METHODS: In a before and after study over a study period of 3 months each (November 2017–January 2018 and November 2018–January 2019), the number of blood cultures taken, the rate of blood cultures per 1000 patients, the number of positive blood cultures and the frequency of typical skin pathogens were evaluated. In the interim time between the two study periods, a BC-SOP was developed in collaboration with the hospital’s antibiotic stewardship team and subsequently introduced with staff training in the ED. The study was approved by the local ethics committee of the medical faculty of the Heinrich Heine University (2019-392-RetroDEuA). RESULTS: In total 92% of the nursing personnel and 93% of the medical personnel received training. The total number of blood cultures increased from 1757 to 2872 (64% increase) and the rate of blood cultures per 1000 patients from 287 to 481 (68% increase). The number of positive blood cultures decreased from 18.6% to 13.7% (p < 0.05). Typical skin pathogens were found in 34.4% and 26.4% of the cases, respectively (p < 0.05). CONCLUSION: The development, introduction and training of a BC-SOP in the ED can make a relevant contribution to the microbial diagnostics and increase the quantity as well as the quality.
format Online
Article
Text
id pubmed-8566390
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Springer Medizin
record_format MEDLINE/PubMed
spelling pubmed-85663902021-11-15 Optimierung der mikrobiellen Diagnostik durch Einführung einer Standard Operating Procedure „Blutkulturen“ in der zentralen Notaufnahme Orth, H. M. Al Agha, S. Kempe, M. Mackenzie, C. Michael, M. Bernhard, M. Jensen, B. -E. O. Med Klin Intensivmed Notfmed Originalien INTRODUCTION: The emergency department (ED) is the main port of entry for patients with infectious diseases, the place where a number of diagnostic procedures are performed and treatment is often initiated. The aim of this retrospective study was to estimate the influence of the establishment and introduction of a blood culture standard operating procedure (BC-SOP) and of the subsequent training of microbial diagnostics in an ED. METHODS: In a before and after study over a study period of 3 months each (November 2017–January 2018 and November 2018–January 2019), the number of blood cultures taken, the rate of blood cultures per 1000 patients, the number of positive blood cultures and the frequency of typical skin pathogens were evaluated. In the interim time between the two study periods, a BC-SOP was developed in collaboration with the hospital’s antibiotic stewardship team and subsequently introduced with staff training in the ED. The study was approved by the local ethics committee of the medical faculty of the Heinrich Heine University (2019-392-RetroDEuA). RESULTS: In total 92% of the nursing personnel and 93% of the medical personnel received training. The total number of blood cultures increased from 1757 to 2872 (64% increase) and the rate of blood cultures per 1000 patients from 287 to 481 (68% increase). The number of positive blood cultures decreased from 18.6% to 13.7% (p < 0.05). Typical skin pathogens were found in 34.4% and 26.4% of the cases, respectively (p < 0.05). CONCLUSION: The development, introduction and training of a BC-SOP in the ED can make a relevant contribution to the microbial diagnostics and increase the quantity as well as the quality. Springer Medizin 2020-10-02 2021 /pmc/articles/PMC8566390/ /pubmed/33006639 http://dx.doi.org/10.1007/s00063-020-00729-5 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open Access. Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Originalien
Orth, H. M.
Al Agha, S.
Kempe, M.
Mackenzie, C.
Michael, M.
Bernhard, M.
Jensen, B. -E. O.
Optimierung der mikrobiellen Diagnostik durch Einführung einer Standard Operating Procedure „Blutkulturen“ in der zentralen Notaufnahme
title Optimierung der mikrobiellen Diagnostik durch Einführung einer Standard Operating Procedure „Blutkulturen“ in der zentralen Notaufnahme
title_full Optimierung der mikrobiellen Diagnostik durch Einführung einer Standard Operating Procedure „Blutkulturen“ in der zentralen Notaufnahme
title_fullStr Optimierung der mikrobiellen Diagnostik durch Einführung einer Standard Operating Procedure „Blutkulturen“ in der zentralen Notaufnahme
title_full_unstemmed Optimierung der mikrobiellen Diagnostik durch Einführung einer Standard Operating Procedure „Blutkulturen“ in der zentralen Notaufnahme
title_short Optimierung der mikrobiellen Diagnostik durch Einführung einer Standard Operating Procedure „Blutkulturen“ in der zentralen Notaufnahme
title_sort optimierung der mikrobiellen diagnostik durch einführung einer standard operating procedure „blutkulturen“ in der zentralen notaufnahme
topic Originalien
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8566390/
https://www.ncbi.nlm.nih.gov/pubmed/33006639
http://dx.doi.org/10.1007/s00063-020-00729-5
work_keys_str_mv AT orthhm optimierungdermikrobiellendiagnostikdurcheinfuhrungeinerstandardoperatingprocedureblutkultureninderzentralennotaufnahme
AT alaghas optimierungdermikrobiellendiagnostikdurcheinfuhrungeinerstandardoperatingprocedureblutkultureninderzentralennotaufnahme
AT kempem optimierungdermikrobiellendiagnostikdurcheinfuhrungeinerstandardoperatingprocedureblutkultureninderzentralennotaufnahme
AT mackenziec optimierungdermikrobiellendiagnostikdurcheinfuhrungeinerstandardoperatingprocedureblutkultureninderzentralennotaufnahme
AT michaelm optimierungdermikrobiellendiagnostikdurcheinfuhrungeinerstandardoperatingprocedureblutkultureninderzentralennotaufnahme
AT bernhardm optimierungdermikrobiellendiagnostikdurcheinfuhrungeinerstandardoperatingprocedureblutkultureninderzentralennotaufnahme
AT jensenbeo optimierungdermikrobiellendiagnostikdurcheinfuhrungeinerstandardoperatingprocedureblutkultureninderzentralennotaufnahme