Reducing false-positive peripheral blood cultures in a pediatric emergency department

Journal of Emergency Nursing

Volumn 39, Issue 5, 2013, Pages 440-446

  Marini, Michelle A ^a   Truog, Amy W ^a  

^a BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

Contaminated blood culture; Emergency department; Pediatric

Indexed keywords

ARTICLE; BLOOD SAMPLING; CHILD; CLINICAL COMPETENCE; CONTAMINATED BLOOD CULTURE; EDUCATION; EMERGENCY HEALTH SERVICE; EMERGENCY NURSING; EMERGENCY WARD; FOLLOW UP; HUMAN; IN SERVICE TRAINING; INFANT; LABORATORY DIAGNOSIS; METHODOLOGY; PEDIATRIC; PEDIATRICS; PHLEBOTOMY; PRESCHOOL CHILD; RETROSPECTIVE STUDY; STANDARD; TOTAL QUALITY MANAGEMENT;

CONTAMINATED BLOOD CULTURE; EMERGENCY DEPARTMENT; PEDIATRIC;

BLOOD SPECIMEN COLLECTION; CHILD; CHILD, PRESCHOOL; CLINICAL COMPETENCE; EMERGENCY NURSING; EMERGENCY SERVICE, HOSPITAL; FALSE POSITIVE REACTIONS; FOLLOW-UP STUDIES; HUMANS; INFANT; INSERVICE TRAINING; PEDIATRICS; PHLEBOTOMY; QUALITY IMPROVEMENT; RETROSPECTIVE STUDIES;

EID: 84883302133     PISSN: 00991767     EISSN: 15272966     Source Type: Journal    
DOI: 10.1016/j.jen.2011.12.017     Document Type: Article

References (23)

1. Hall KK, Lyman JA Updated review of blood culture contamination. Clin Microbiol Rev 2006, 19(4):788-802.
2. Thompson F, Madeo M Blood cultures: towards zero false positives. J Infect Prev 2009, 10:24-26.
3. 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.
4. Madeo M, Davies D, Owen L, Wadsworth P, Johnson G, Martin CR Reduction in the contamination rate of blood cultures collected by medical staff in the accident and emergency department. Clin Eff Nurs 2003, 7:30-32.
5. Madeo M, Jackson T, Williams C Simple measures to reduce the rate of contamination of blood cultures in Accident and Emergency. Emerg Med J 2005, 22(11):810-811.
6. Eskira S, Gilad J, Schlaeffer P, et al. Reduction of blood culture contamination rate by an educational intervention. Clin Microbiol Infect 2006, 12(8):818-821.
7. Qamruddin A, Khanna N, Orr D Peripheral blood culture contamination in adults and venepuncture technique: prospective cohort study. J Clin Pathol 2008, 61(4):509-513.
8. Halm M, Hickson T, Stein D, Tanner M, VandeGraaf S Blood cultures and central catheters: is the "easiest way" best practice?. Am J Crit Care 2011, 20(4):335-338.
9. Weddle G, Jackson MA, Selvarangan R Reducing blood culture contamination in a pediatric emergency department. Pediatr Emerg Care 2011, 27(3):179-181.
10. McLellan E, Townsend R, Parsons HK Evaluation of ChloraPrep (2% chlorhexidine gluconate in 70% isopropyl alcohol) for skin antisepsis in preparation for blood culture collection. J Infect 2008, 57(6):459-463.
11. Shahar E, Wohl-Gottesman BS, Shenkman L Contamination of blood cultures during venepuncture: fact or myth?. Postgrad Med J 1990, 66(782):1053-1058.
12. Trautner BW, Clarridge JE, Darouiche RO Skin antisepsis kits containing alcohol and chlorhexidine gluconate or tincture of iodine are associated with low rates of blood culture contamination. Infect Control Hosp Epidemiol 2002, 23(7):397-401.
13. Larkin S, Baker N, Anderson R, Ward S, Forde S An interactive approach to reducing blood culture contamination. J Hosp Infect 2010, 76(3):273-275.
14. Calfee DP, Farr BM Comparison of four antiseptic preparations for skin in the prevention of contamination of percutaneously drawn blood cultures: a randomized trial. J Clin Microbiol 2002, 40(5):1660-1665.
15. Marlowe L, Mistry RD, Coffin S, et al. Blood culture contamination rates after skin antisepsis with chlorhexidine gluconate versus povidone-iodine in a pediatric emergency department. Infect Control Hosp Epidemiol 2010, 31(2):171-176.
16. 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.
17. Madeo M, Barlow G Reducing blood-culture contamination rates by the use of a 2% chlorhexidine solution applicator in acute admission units. J Hosp Infect 2008, 69(3):307-309.
18. Gearing RE, Mian IA, Barber J, Ickowicz A A methodology for conducting retrospective chart review research in child and adolescent psychiatry. J Can Acad Child Adolesc Psychiatry 2006, 15(3):126-134.
19. Horan TC, Andrus M, Dudeck MA CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008, 36(5):309-332.
20. CDC/NHSN surveillance definition of healthcare-associated infection and criteria for specific types of infections in the acute care setting Accessed June 2, 2011. http://www.cdc.gov/nhsn/PDFs/pscManual/17pscNosInfDef_current.pdf.
21. Harris P, Taylor R, Thielke R, Gonzalez N, Conde J Research electronic data capture (REDCap)-a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009, 42(2):377-381.
22. Weddle G, Jackson MA, Cox K, Selvarangan R Role of nursing unit factors on performance of phlebotomy and subsequent blood culture contamination rates. J Nurs Care Qual 2010, 25:176-181.
23. Barnes B The Hawthorne effect in community trials in developing countries. Int J Soc Res Methodol 2010, 13:357-370.