Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention

Y.M. Alahmadi, J.C. McElnay, M.P. Kearney, M.A. Aldeyab, F.A. Magee, J. Hanley, R. Bailie, W. Donaldson, K. Johnston, S. Kinoulty, A Doherty, A. Tate, M.G. Scott

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Blood culture contamination (BCC) has been associated with unnecessary antibiotic use, additional laboratory tests and increased length of hospital stay thus incurring significant extra hospital costs. We set out to assess the impact of a staff educational intervention programme on decreasing intensive care unit (ICU) BCC rates to
LanguageEnglish
Pages1964-1971
Number of pages8
JournalEpidemiology and Infection
Volume143
Issue number9
Early online date12 Nov 2014
DOIs
Publication statusPublished - 2015

Fingerprint

Intensive Care Units
Length of Stay
Hospital Costs
Anti-Bacterial Agents
Blood Culture

Keywords

  • Adequate clinical practice
  • blood culture
  • educational intervention
  • false positives
  • antibiotic agent
  • Article
  • clinical practice
  • controlled study
  • cost control
  • drug use
  • education program
  • health care
  • hospital cost
  • hospitalization
  • human
  • intensive care unit
  • laboratory diagnosis
  • laboratory test
  • length of stay
  • microbial contamination
  • outcome assessment
  • regression analysis
  • staff training
  • blood
  • blood examination
  • blood sampling
  • clinical competence
  • education
  • health care personnel
  • microbiology
  • prospective study
  • retrospective study
  • standards
  • United Kingdom
  • Blood
  • Blood Specimen Collection
  • Clinical Competence
  • False Positive Reactions
  • Health Personnel
  • Hematologic Tests
  • Humans
  • Northern Ireland
  • Prospective Studies
  • Retrospective Studies

Cite this

Alahmadi, Y. M., McElnay, J. C., Kearney, M. P., Aldeyab, M. A., Magee, F. A., Hanley, J., ... Scott, M. G. (2015). Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention. Epidemiology and Infection, 143(9), 1964-1971. https://doi.org/10.1017/S0950268814003008
Alahmadi, Y.M. ; McElnay, J.C. ; Kearney, M.P. ; Aldeyab, M.A. ; Magee, F.A. ; Hanley, J. ; Bailie, R. ; Donaldson, W. ; Johnston, K. ; Kinoulty, S. ; Doherty, A ; Tate, A. ; Scott, M.G. / Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention. In: Epidemiology and Infection. 2015 ; Vol. 143, No. 9. pp. 1964-1971.
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abstract = "Blood culture contamination (BCC) has been associated with unnecessary antibiotic use, additional laboratory tests and increased length of hospital stay thus incurring significant extra hospital costs. We set out to assess the impact of a staff educational intervention programme on decreasing intensive care unit (ICU) BCC rates to",
keywords = "Adequate clinical practice, blood culture, educational intervention, false positives, antibiotic agent, Article, clinical practice, controlled study, cost control, drug use, education program, health care, hospital cost, hospitalization, human, intensive care unit, laboratory diagnosis, laboratory test, length of stay, microbial contamination, outcome assessment, regression analysis, staff training, blood, blood examination, blood sampling, clinical competence, education, health care personnel, microbiology, prospective study, retrospective study, standards, United Kingdom, Blood, Blood Specimen Collection, Clinical Competence, False Positive Reactions, Health Personnel, Hematologic Tests, Humans, Northern Ireland, Prospective Studies, Retrospective Studies",
author = "Y.M. Alahmadi and J.C. McElnay and M.P. Kearney and M.A. Aldeyab and F.A. Magee and J. Hanley and R. Bailie and W. Donaldson and K. Johnston and S. Kinoulty and A Doherty and A. Tate and M.G. Scott",
note = "Cited By :4 Export Date: 15 September 2018 CODEN: EPINE Correspondence Address: Scott, M.G.; Department of Pharmacy and Medicines Management, Pharmacy and Medicines Management Centre, Antrim Area Hospital, 45 Bush Road, United Kingdom References: Shafazand, S., Weinacker, A.B., Blood cultures in the critical care unit: Improving utilization and yield (2002) Chest, 122, pp. 1727-1736; Ak, O., Nosocomial infections and risk factors in the intensive care unit of a teaching and research hospital: A prospective cohort study (2011) Medical Science Monitor, 17, pp. 29-34; Akhtar, N., Hospital acquired infections in a medical intensive care unit (2010) Journal of the College of Physicians and Surgeons Pakistan, 20, pp. 386-390; Hall, K.K., Lyman, J.A., Updated review of blood culture contamination (2006) Clinical Microbiology Reviews, 19, pp. 788-802; Bamber, A.I., Effectiveness of introducing blood culture collection packs to reduce contamination rates (2009) British Journal of Biomedical Science, 66, pp. 6-9; Weinbaum, F.I., Doing it right the first time: Quality improvement and the contaminant blood culture (1997) Journal of Clinical Microbiology, 35, pp. 563-565; Mylotte, J.M., Tayara, A., Blood cultures: Clinical aspects and controversies (2000) European Journal of Clinical Microbiology & Infectious Diseases, 19, pp. 157-163; Larkin, S., An interactive approach to reducing blood culture contamination (2010) Journal of Hospital Infection, 76, pp. 273-275; Kim, N., Effect of routine sterile gloving on contamination rates in blood culture: A cluster randomized trial (2011) Annals of Internal Medicine, 154, pp. 145-151; Hall, R.T., Reducing the blood culture contamination rate in a pediatric emergency department and subsequent cost savings (2013) Pediatrics, 131, pp. 292-297; Ernst, D.J., Controlling blood-culture contamination rates (2004) Medical Laboratory Observer, 36, pp. 14-18; Roth, A., Reducing blood culture contamination by a simple informational intervention (2010) Journal of Clinical Microbiology, 48, pp. 4552-4558; Weddle, G., Role of nursing unit factors on performance of phlebotomy and subsequent blood culture contamination rates (2010) Journal of Nursing Care Quality, 25, pp. 176-181; Bryant, J.K., Strand, C.L., Reliability of blood cultures collected from intravascular catheter versus venipuncture (1987) American Journal of Clinical Pathology, 88, pp. 113-116; Bates, D.W., Goldman, L., Lee, T.H., Contaminant blood cultures and resource utilization. The true consequences of false-positive results (1991) Journal of the American Medical Association, 265, pp. 365-369; Ruge, D.G., Reduction in blood culture contamination rates by establishment of policy for central intravenous catheters (2002) Laboratory Medicine, 33, pp. 797-800; Alahmadi, Y.M., Clinical and economic impact of contaminated blood cultures within the hospital setting (2011) Journal of Hospital Infection, 77, pp. 233-236; Weinstein, M.P., The clinical significance of positive blood cultures in the 1990s: A prospective comprehensive evaluation of the microbiology, epidemiology, and outcome of bacteremia and fungemia in adults (1997) Clinical Infectious Diseases, 24, pp. 584-602; Stohl, S., Blood cultures at central line insertion in the intensive care unit: Comparison with peripheral venipuncture (2011) Journal of Clinical Microbiology, 49, pp. 2398-2403; Interrupted Time Series (ITS) Analyses, SPSS Time Series Analysis, , http://epoc.cochrane.org/epocauthor-resources, Accessed 6 September 2014; Little, J.R., A randomized trial of povidone-iodine compared with iodine tincture for venipuncture site disinfection: Effects on rates of blood culture contamination (1999) American Journal of Medicine, 107, pp. 119-125; Lee, C.C., Clinical significance of potential contaminants in blood cultures among patients in a medical center (2007) Journal of Microbiology, Immunology, and Infection, 40, pp. 438-444; Robert, R.R., Reducing blood-culture contamination through an education program (2011) Journal of Infusion Nursing, 34, pp. 49-54; Perla, R.J., Provost, L.P., Murray, S.K., The run chart: A simple analytical tool for learning from variation in healthcare processes (2011) BMJ Quality and Safety, 20, pp. 46-51; Gibb, A.P., Reduction in blood culture contamination rate by feedback to phlebotomists (1997) Archives of Pathology & Laboratory Medicine, 121, pp. 503-507; Eskira, S., Reduction of blood culture contamination rate by an educational intervention (2006) Clinical Microbiology and Infection, 12, pp. 818-821; Wilson, M.L.M., (2007) Principles and Procedures for Blood Cultures; Approved Guideline, , USA: Clinical and Laboratory Standards Institute; Thomas, S., Impact of a blood culture collection kit on the quality of blood culture sampling: Fear and the law of unintended consequences (2011) Journal of Hospital Infection, 78, pp. 256-259; Everts, R.J., Contamination of catheter-drawn blood cultures (2001) Journal of Clinical Microbiology, 39, pp. 3393-3394",
year = "2015",
doi = "10.1017/S0950268814003008",
language = "English",
volume = "143",
pages = "1964--1971",
journal = "Epidemiology and Infection",
issn = "0950-2688",
publisher = "Cambridge University Press",
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}

Alahmadi, YM, McElnay, JC, Kearney, MP, Aldeyab, MA, Magee, FA, Hanley, J, Bailie, R, Donaldson, W, Johnston, K, Kinoulty, S, Doherty, A, Tate, A & Scott, MG 2015, 'Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention', Epidemiology and Infection, vol. 143, no. 9, pp. 1964-1971. https://doi.org/10.1017/S0950268814003008

Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention. / Alahmadi, Y.M.; McElnay, J.C.; Kearney, M.P.; Aldeyab, M.A.; Magee, F.A.; Hanley, J.; Bailie, R.; Donaldson, W.; Johnston, K.; Kinoulty, S.; Doherty, A; Tate, A.; Scott, M.G.

In: Epidemiology and Infection, Vol. 143, No. 9, 2015, p. 1964-1971.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Tackling the problem of blood culture contamination in the intensive care unit using an educational intervention

AU - Alahmadi, Y.M.

AU - McElnay, J.C.

AU - Kearney, M.P.

AU - Aldeyab, M.A.

AU - Magee, F.A.

AU - Hanley, J.

AU - Bailie, R.

AU - Donaldson, W.

AU - Johnston, K.

AU - Kinoulty, S.

AU - Doherty, A

AU - Tate, A.

AU - Scott, M.G.

N1 - Cited By :4 Export Date: 15 September 2018 CODEN: EPINE Correspondence Address: Scott, M.G.; Department of Pharmacy and Medicines Management, Pharmacy and Medicines Management Centre, Antrim Area Hospital, 45 Bush Road, United Kingdom References: Shafazand, S., Weinacker, A.B., Blood cultures in the critical care unit: Improving utilization and yield (2002) Chest, 122, pp. 1727-1736; Ak, O., Nosocomial infections and risk factors in the intensive care unit of a teaching and research hospital: A prospective cohort study (2011) Medical Science Monitor, 17, pp. 29-34; Akhtar, N., Hospital acquired infections in a medical intensive care unit (2010) Journal of the College of Physicians and Surgeons Pakistan, 20, pp. 386-390; Hall, K.K., Lyman, J.A., Updated review of blood culture contamination (2006) Clinical Microbiology Reviews, 19, pp. 788-802; Bamber, A.I., Effectiveness of introducing blood culture collection packs to reduce contamination rates (2009) British Journal of Biomedical Science, 66, pp. 6-9; Weinbaum, F.I., Doing it right the first time: Quality improvement and the contaminant blood culture (1997) Journal of Clinical Microbiology, 35, pp. 563-565; Mylotte, J.M., Tayara, A., Blood cultures: Clinical aspects and controversies (2000) European Journal of Clinical Microbiology & Infectious Diseases, 19, pp. 157-163; Larkin, S., An interactive approach to reducing blood culture contamination (2010) Journal of Hospital Infection, 76, pp. 273-275; Kim, N., Effect of routine sterile gloving on contamination rates in blood culture: A cluster randomized trial (2011) Annals of Internal Medicine, 154, pp. 145-151; Hall, R.T., Reducing the blood culture contamination rate in a pediatric emergency department and subsequent cost savings (2013) Pediatrics, 131, pp. 292-297; Ernst, D.J., Controlling blood-culture contamination rates (2004) Medical Laboratory Observer, 36, pp. 14-18; Roth, A., Reducing blood culture contamination by a simple informational intervention (2010) Journal of Clinical Microbiology, 48, pp. 4552-4558; Weddle, G., Role of nursing unit factors on performance of phlebotomy and subsequent blood culture contamination rates (2010) Journal of Nursing Care Quality, 25, pp. 176-181; Bryant, J.K., Strand, C.L., Reliability of blood cultures collected from intravascular catheter versus venipuncture (1987) American Journal of Clinical Pathology, 88, pp. 113-116; Bates, D.W., Goldman, L., Lee, T.H., Contaminant blood cultures and resource utilization. The true consequences of false-positive results (1991) Journal of the American Medical Association, 265, pp. 365-369; Ruge, D.G., Reduction in blood culture contamination rates by establishment of policy for central intravenous catheters (2002) Laboratory Medicine, 33, pp. 797-800; Alahmadi, Y.M., Clinical and economic impact of contaminated blood cultures within the hospital setting (2011) Journal of Hospital Infection, 77, pp. 233-236; Weinstein, M.P., The clinical significance of positive blood cultures in the 1990s: A prospective comprehensive evaluation of the microbiology, epidemiology, and outcome of bacteremia and fungemia in adults (1997) Clinical Infectious Diseases, 24, pp. 584-602; Stohl, S., Blood cultures at central line insertion in the intensive care unit: Comparison with peripheral venipuncture (2011) Journal of Clinical Microbiology, 49, pp. 2398-2403; Interrupted Time Series (ITS) Analyses, SPSS Time Series Analysis, , http://epoc.cochrane.org/epocauthor-resources, Accessed 6 September 2014; Little, J.R., A randomized trial of povidone-iodine compared with iodine tincture for venipuncture site disinfection: Effects on rates of blood culture contamination (1999) American Journal of Medicine, 107, pp. 119-125; Lee, C.C., Clinical significance of potential contaminants in blood cultures among patients in a medical center (2007) Journal of Microbiology, Immunology, and Infection, 40, pp. 438-444; Robert, R.R., Reducing blood-culture contamination through an education program (2011) Journal of Infusion Nursing, 34, pp. 49-54; Perla, R.J., Provost, L.P., Murray, S.K., The run chart: A simple analytical tool for learning from variation in healthcare processes (2011) BMJ Quality and Safety, 20, pp. 46-51; Gibb, A.P., Reduction in blood culture contamination rate by feedback to phlebotomists (1997) Archives of Pathology & Laboratory Medicine, 121, pp. 503-507; Eskira, S., Reduction of blood culture contamination rate by an educational intervention (2006) Clinical Microbiology and Infection, 12, pp. 818-821; Wilson, M.L.M., (2007) Principles and Procedures for Blood Cultures; Approved Guideline, , USA: Clinical and Laboratory Standards Institute; Thomas, S., Impact of a blood culture collection kit on the quality of blood culture sampling: Fear and the law of unintended consequences (2011) Journal of Hospital Infection, 78, pp. 256-259; Everts, R.J., Contamination of catheter-drawn blood cultures (2001) Journal of Clinical Microbiology, 39, pp. 3393-3394

PY - 2015

Y1 - 2015

N2 - Blood culture contamination (BCC) has been associated with unnecessary antibiotic use, additional laboratory tests and increased length of hospital stay thus incurring significant extra hospital costs. We set out to assess the impact of a staff educational intervention programme on decreasing intensive care unit (ICU) BCC rates to

AB - Blood culture contamination (BCC) has been associated with unnecessary antibiotic use, additional laboratory tests and increased length of hospital stay thus incurring significant extra hospital costs. We set out to assess the impact of a staff educational intervention programme on decreasing intensive care unit (ICU) BCC rates to

KW - Adequate clinical practice

KW - blood culture

KW - educational intervention

KW - false positives

KW - antibiotic agent

KW - Article

KW - clinical practice

KW - controlled study

KW - cost control

KW - drug use

KW - education program

KW - health care

KW - hospital cost

KW - hospitalization

KW - human

KW - intensive care unit

KW - laboratory diagnosis

KW - laboratory test

KW - length of stay

KW - microbial contamination

KW - outcome assessment

KW - regression analysis

KW - staff training

KW - blood

KW - blood examination

KW - blood sampling

KW - clinical competence

KW - education

KW - health care personnel

KW - microbiology

KW - prospective study

KW - retrospective study

KW - standards

KW - United Kingdom

KW - Blood

KW - Blood Specimen Collection

KW - Clinical Competence

KW - False Positive Reactions

KW - Health Personnel

KW - Hematologic Tests

KW - Humans

KW - Northern Ireland

KW - Prospective Studies

KW - Retrospective Studies

U2 - 10.1017/S0950268814003008

DO - 10.1017/S0950268814003008

M3 - Article

VL - 143

SP - 1964

EP - 1971

JO - Epidemiology and Infection

T2 - Epidemiology and Infection

JF - Epidemiology and Infection

SN - 0950-2688

IS - 9

ER -