January 19, 2023
2 minutes to learn
Blood tradition contamination was considerably decreased when phlebotomy scientists used a major pattern diverter machine on sufferers versus utilizing conventional venipuncture, in accordance with 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, informed Helio.
“I used to be additionally conscious that sufferers with contaminated blood cultures could obtain extra antibiotics, that are related to different downstream issues, resembling: Clostridium difficile “An infection, decreased kidney perform, extra infections, longer stays, and many others,” Tompkins mentioned.
Because of this, Tompkins and colleagues examined an preliminary pattern conversion machine (ISDD) referred to as Steripath on inpatients and hospitalized ED sufferers – together with numerous sufferers in intensive care items the place blood tradition contamination (BCC) seems to happen incessantly – to evaluate the impact of the machine on inpatients and ED BCC, CLABSI and ratios Customary infections (SIRs) and administration of antibiotics.
In accordance with the research, phlebotomists used conventional venipuncture with or with out ISDD, whereas registered nurses (RNs) used conventional venipuncture. BCC occasions had been noticed and in contrast between the 2 teams between March 17, 2019, and January 21, 2020.
Total, 24% of the blood cultures taken had 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 accordance with the research, the CLABSI SIR decreased from 1.103 in 2017 and 0.658 in 2018 to 0.439 in 2019.
Based mostly on these findings, the authors write that “it’s potential to remove BCC” and “get to zero” when ISDD is used efficiently, consistent with a not too long ago up to date Medical and Laboratory Requirements Institute suggestion, to scale back BCC to lower than a 1% fee.
Lucy S. Tompkins, MP, Ph.D
“Units such because the Steripath that entice major blood containing contaminated micro organism from the pores and skin and subcutaneously in a separate chamber can cut 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 essential measure of high quality. She mentioned avoiding blood tradition contamination is a critically vital effort for affected person security and high quality.