Reducing the blood culture contamination rate in a pediatric emergency department and subsequent cost savings

Pediatrics

Volumn 131, Issue 1, 2013, Pages

  Hall, Randon T ^a   Domenico, Henry J ^b   Self, Wesley H ^b   Hain, Paul D ^c  

^a MONROE CARELL JR CHILDREN S HOSPITAL AT VANDERBILT   (United States)

^b VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

^c UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

Author keywords

Blood culture contamination; Coagulase negative staphylococcus; Pediatric emergency department

Indexed keywords

ALPHA HEMOLYTIC STREPTOCOCCUS; ARTICLE; AXENIC CULTURE; BACTERIUM CONTAMINATION; BLOOD CULTURE; BLOOD SAMPLING; CHILD; COAGULASE NEGATIVE STAPHYLOCOCCUS; CONTROLLED STUDY; CORYNEBACTERIUM DIPHTHERIAE; COST CONTROL; EDUCATIONAL MODEL; EMERGENCY WARD; HOSPITAL CHARGE; HUMAN; INFANT; INFORMATION DISSEMINATION; INTRAVENOUS CATHETER; MICROCOCCUS; NURSING STAFF; PRESCHOOL CHILD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK REDUCTION; STANDARDIZATION;

BLOOD SPECIMEN COLLECTION; CATHETERIZATION, PERIPHERAL; CHILD; CHILD, PRESCHOOL; COST SAVINGS; EMERGENCY MEDICAL SERVICES; EMERGENCY SERVICE, HOSPITAL; EQUIPMENT CONTAMINATION; FEMALE; HUMANS; INFANT; MALE; RETROSPECTIVE STUDIES;

EID: 84872862664     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2012-1030     Document Type: Article

References (14)

1. Strand CL, Wajsbort RR, Sturmann K. Effect of iodophor vs iodine tincture skin preparation on blood culture contamination rate. JAMA. 1993;269(8):1004-1006
2. Schifman RB, Strand CL, Meier FA, Howanitz PJ. Blood culture contamination: A College of American Pathologists Q-Probes study involving 640 institutions and 497134 specimens from adult patients. Arch Pathol Lab Med. 1998;122(3):216-221
3. Hall KK, Lyman JA. Updated review of blood culture contamination. Clin Microbiol Rev. 2006;19(4):788-802
4. Bekeris LG, Tworek JA, Walsh MK, Valenstein PN. Trends in blood culture contamination: A College of American Pathologists Q-Tracks study of 356 institutions. Arch Pathol Lab Med. 2005;129(10):1222-1225
5. Weddle G, Jackson MA, Selvarangan R. Reducing blood culture contamination in a pediatric emergency department. Pediatr Emerg Care. 2011;27(3):179-181
6. Gander RM, Byrd L, DeCrescenzo M, Hirany S, Bowen M, Baughman J. Impact of blood cultures drawn by phlebotomy on contamination rates and health care costs in a hospital emergency department. J Clin Microbiol. 2009;47(4):1021-1024
7. Pavlovsky M, Press J, Peled N, Yagupsky P. Blood culture contamination in pediatric patients: Young children and young doctors. Pediatr Infect Dis J. 2006;25(7):611-614
8. Weinbaum FI, Lavie S, Danek M, Sixsmith D, Heinrich GF, Mills SS. Doing it right the first time: Quality improvement and the contaminant blood culture. J Clin Microbiol. 1997;35(3):563-565
9. Norberg A, Christopher NC, Ramundo ML, Bower JR, Berman SA. Contamination rates of blood cultures obtained by dedicated phlebotomy vs intravenous catheter. JAMA. 2003;289(6):726-729
10. Bates DW, Goldman L, Lee TH. Contaminant blood cultures and resource utilization. The true consequences of false-positive results. JAMA. 1991;265(3):365-369
11. Alahmadi YM, Aldeyab MA, McElnay JC, et al. Clinical and economic impact of contaminated blood cultures within the hospital setting. J Hosp Infect. 2011;77(3):233-236
12. Waltzman ML, Harper M. Financial and clinical impact of false-positive blood culture results. Clin Infect Dis. 2001;33(3):296-299
13. Schifman RB, Bachner P, Howanitz PJ. Blood culture quality improvement: A College of American Pathologists Q-Probes study involving 909 institutions and 289 572 blood culture sets. Arch Pathol Lab Med. 1996;120 (11):999-1002
14. R Development Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2011. Available at: Www.R-project.org. Accessed October 11, 2012