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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...

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Autores principales: Shaji, Rosemary, Madigubba, Haritha, Priyadarshi, Ketan, Anandh, P, Nathan, Balamurugan, Vivekanandan, M, Sastry, Apurba Sankar
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
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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.
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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
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