Halstead Diane C, Sautter Robert L, Snyder James W, Crist Arthur E, Nachamkin Irving
Division of Infectious Disease Diagnostic Laboratory Service, Southeastern Pathology Associates at Baptist MD Anderson Cancer Center, Jacksonville, FL, USA.
Department of Microbiology, Carolinas Pathology Group, Charlotte, NC, USA.
Infect Dis Ther. 2020 Jun;9(2):389-401. doi: 10.1007/s40121-020-00299-1. Epub 2020 Apr 30.
Blood cultures (BCs) frequently become contaminated during the pre-analytic phase of collection leading to downstream ramifications. We present a summary of performance improvement (PI) interventions provided by four hospital systems and common factors that contributed to decreased blood culture contamination (BCC) rates.
Each hospital independently formed a multidisciplinary team and action plan for implementation of their intervention, focusing on the use of educational and training tools. Their goal was to significantly decrease their BCC rates. Pre- and post-intervention data were compared during the sustainment period to determine their success.
All hospitals met their goals of post-intervention BCC rates and with most achieving and sustaining BCC rates ≤ 1.0-2.0%.
Our report highlights how four hospitals independently achieved their objective to decrease their BCC rate with the support of a multidisciplinary team. We propose a benchmark for BCC rates of 1.5 to < 2.0% as achievable and sustainable.
血培养（BCs）在采集的分析前阶段经常受到污染，从而导致后续问题。我们总结了四个医院系统提供的绩效改进（PI）干预措施以及有助于降低血培养污染（BCC）率的共同因素。
每家医院独立组建了一个多学科团队并制定了实施干预措施的行动计划，重点是使用教育和培训工具。他们的目标是显著降低其BCC率。在维持期内比较干预前后的数据，以确定其成效。
所有医院均达到了干预后BCC率的目标，大多数医院实现并维持了BCC率≤1.0 - 2.0%。
我们的报告强调了四家医院如何在多学科团队的支持下独立实现降低其BCC率的目标。我们提出将BCC率的基准设定为1.5%至<2.0%是可实现且可持续的。
