Cargando…
Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department
INTRODUCTION: The blood culture (BC) contamination was a significant problem in our hospital, especially in the emergency department (ED). The study, therefore, was undertaken to improve the BC collection in the ED. METHODS: The study was conducted for 1 year divided into two phases of 6 months each...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8996457/ https://www.ncbi.nlm.nih.gov/pubmed/35418732 http://dx.doi.org/10.4103/jgid.jgid_138_21 |
_version_ | 1784684493720780800 |
---|---|
author | Shaji, Rosemary Madigubba, Haritha Priyadarshi, Ketan Anandh, P Nathan, Balamurugan Vivekanandan, M Sastry, Apurba Sankar |
author_facet | Shaji, Rosemary Madigubba, Haritha Priyadarshi, Ketan Anandh, P Nathan, Balamurugan Vivekanandan, M Sastry, Apurba Sankar |
author_sort | Shaji, Rosemary |
collection | PubMed |
description | INTRODUCTION: The blood culture (BC) contamination was a significant problem in our hospital, especially in the emergency department (ED). The study, therefore, was undertaken to improve the BC collection in the ED. METHODS: The study was conducted for 1 year divided into two phases of 6 months each: Preintervention phase and intervention phase (regular and phlebotomist groups). The interventions comprised implementing standard protocol for BC collection and conducting educational sessions. In preintervention and regular groups, the BCs were collected by interns and technicians, while dedicated phlebotomist did so in the phlebotomist group. Data were analyzed and interpreted for the contamination rate as well as compliance in adequate filling of the requisition form. Statistical Package for the Social Sciences (SPSS) version 22. A value of P < 0.005 was considered statistically significant, and P < 0.01 was considered statistically significant. RESULTS: In the preintervention group, 13.7% of specimens were reported as contaminated which was reduced to 4.2% and 3.2% in the regular and phlebotomist group, respectively, after intervention. Compliance of health-care workers to various elements of BC collection protocol was also found to be significantly improved in the intervention phase compared to the preintervention phase (P < 0.001). CONCLUSIONS: Implementation of this multimodal intervention resulted in a drastic reduction in BC contamination and improvement in compliance to BC collection protocol and filling of various parameters in the BC requisition form, thus improving the overall effectiveness of BC testing. It was also noted that the contamination rate was further reduced by implementing dedicated phlebotomist. |
format | Online Article Text |
id | pubmed-8996457 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-89964572022-04-12 Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department Shaji, Rosemary Madigubba, Haritha Priyadarshi, Ketan Anandh, P Nathan, Balamurugan Vivekanandan, M Sastry, Apurba Sankar J Glob Infect Dis Original Article INTRODUCTION: The blood culture (BC) contamination was a significant problem in our hospital, especially in the emergency department (ED). The study, therefore, was undertaken to improve the BC collection in the ED. METHODS: The study was conducted for 1 year divided into two phases of 6 months each: Preintervention phase and intervention phase (regular and phlebotomist groups). The interventions comprised implementing standard protocol for BC collection and conducting educational sessions. In preintervention and regular groups, the BCs were collected by interns and technicians, while dedicated phlebotomist did so in the phlebotomist group. Data were analyzed and interpreted for the contamination rate as well as compliance in adequate filling of the requisition form. Statistical Package for the Social Sciences (SPSS) version 22. A value of P < 0.005 was considered statistically significant, and P < 0.01 was considered statistically significant. RESULTS: In the preintervention group, 13.7% of specimens were reported as contaminated which was reduced to 4.2% and 3.2% in the regular and phlebotomist group, respectively, after intervention. Compliance of health-care workers to various elements of BC collection protocol was also found to be significantly improved in the intervention phase compared to the preintervention phase (P < 0.001). CONCLUSIONS: Implementation of this multimodal intervention resulted in a drastic reduction in BC contamination and improvement in compliance to BC collection protocol and filling of various parameters in the BC requisition form, thus improving the overall effectiveness of BC testing. It was also noted that the contamination rate was further reduced by implementing dedicated phlebotomist. Wolters Kluwer - Medknow 2022-02-28 /pmc/articles/PMC8996457/ /pubmed/35418732 http://dx.doi.org/10.4103/jgid.jgid_138_21 Text en Copyright: © 2022 Journal of Global Infectious Diseases https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Shaji, Rosemary Madigubba, Haritha Priyadarshi, Ketan Anandh, P Nathan, Balamurugan Vivekanandan, M Sastry, Apurba Sankar Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department |
title | Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department |
title_full | Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department |
title_fullStr | Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department |
title_full_unstemmed | Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department |
title_short | Effectiveness of Multimodal Intervention to Improve Blood Culture Collection in the Emergency Department |
title_sort | effectiveness of multimodal intervention to improve blood culture collection in the emergency department |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8996457/ https://www.ncbi.nlm.nih.gov/pubmed/35418732 http://dx.doi.org/10.4103/jgid.jgid_138_21 |
work_keys_str_mv | AT shajirosemary effectivenessofmultimodalinterventiontoimprovebloodculturecollectionintheemergencydepartment AT madigubbaharitha effectivenessofmultimodalinterventiontoimprovebloodculturecollectionintheemergencydepartment AT priyadarshiketan effectivenessofmultimodalinterventiontoimprovebloodculturecollectionintheemergencydepartment AT anandhp effectivenessofmultimodalinterventiontoimprovebloodculturecollectionintheemergencydepartment AT nathanbalamurugan effectivenessofmultimodalinterventiontoimprovebloodculturecollectionintheemergencydepartment AT vivekanandanm effectivenessofmultimodalinterventiontoimprovebloodculturecollectionintheemergencydepartment AT sastryapurbasankar effectivenessofmultimodalinterventiontoimprovebloodculturecollectionintheemergencydepartment |