January 19, 2023
2 minutes to learn
Blood tradition contamination was considerably lowered when phlebotomy scientists used a major pattern diverter gadget on sufferers versus utilizing conventional venipuncture, in response to a latest research.
“This research was motivated by the truth that a lot 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, advised Helio.
“I used to be additionally conscious that sufferers with contaminated blood cultures could obtain extra antibiotics, that are related to different downstream issues, reminiscent of: Clostridium difficile “An infection, decreased kidney operate, extra infections, longer stays, and so on,” Tompkins mentioned.
For that reason, Tompkins and colleagues examined an preliminary pattern conversion gadget (ISDD) referred to 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 gadget on inpatients and ED BCC, CLABSI and ratios Normal infections (SIRs) and administration of antibiotics.
In line with the research, 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.
Total, 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 fee of two.3%, whereas phlebotomy utilizing ISDD (n = 11,202) had a fee of 0% BCC. RNs, who drew a complete of seven,411 blood cultures, had a 0.8% BCC fee.
In line with the research, 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 attainable to remove BCC” and “get to zero” when ISDD is used efficiently, in step with a lately up to date Medical and Laboratory Requirements Institute advice, to cut back BCC to lower than a 1% fee.
Lucy S. Tompkins, MP, Ph.D
“Gadgets such because the Steripath that lure 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 mentioned.
“Moreover it, Decrease blood tradition contamination CLABSI can result in decreased SIRs. It’s a crucial measure of high quality. She mentioned avoiding blood tradition contamination is a critically necessary effort for affected person security and high quality.