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Clean the skin: Reducing blood culture contamination in the emergency department

OBJECTIVE: To determine whether blood culture contamination (BCC) rates could be decreased in the ED by an educational programme. METHODS: Educational intervention focusing on a 1‐min venepuncture cleaning time and providing a larger chlorhexidine alcohol swab. BCC rates were examined retrospectivel...

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Detalles Bibliográficos
Autores principales: McNab, Lincoln, Varndell, Wayne, Vecellio, Elia, Chiew, Angela L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wiley Publishing Asia Pty Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9828130/
https://www.ncbi.nlm.nih.gov/pubmed/36176210
http://dx.doi.org/10.1111/1742-6723.14092
Descripción
Sumario:OBJECTIVE: To determine whether blood culture contamination (BCC) rates could be decreased in the ED by an educational programme. METHODS: Educational intervention focusing on a 1‐min venepuncture cleaning time and providing a larger chlorhexidine alcohol swab. BCC rates were examined retrospectively 12‐month pre‐, and 9‐month post‐intervention. RESULTS: Six thousand nine hundred and fifty‐three blood cultures were collected over the study period. The BCC rate was 2.4% pre‐intervention versus 1.8% post‐intervention, with no significant difference in BCC rates (Z‐score = 1.862, P = 0.063). CONCLUSION: This educational intervention focusing on skin clean time did not significantly decrease BCC rates in a setting of an already low (<3%) BCC rate.