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南非西开普省不同级别医疗机构的血培养污染率。

Blood culture contamination rates at different level healthcare institutions in the Western Cape, South Africa.

作者信息

Opperman Christoffel J, Baloyi Banyana, Dlamini Sipho, Samodien Nazlee

机构信息

Division of Medical Microbiology, Department of Pathology, Faculty of Health Sciences, National Health Laboratory Service, University of Cape Town, Cape Town, South Africa.

Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

出版信息

S Afr J Infect Dis. 2020 Dec 11;35(1):222. doi: 10.4102/sajid.v35i1.222. eCollection 2020.

DOI:10.4102/sajid.v35i1.222
PMID:34485484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8378204/
Abstract

Sterile blood culture (BC) collection procedures are important to prevent the consequences of contamination, namely, prolonged patient hospitalisation, unnecessary antimicrobial exposure and an increase in hospital costs. Blood culture contamination rates were determined at different hospitals in the Cape Metropole over a 3-year period. Study findings showed that contaminated BCs have a financial impact on the healthcare system and contamination rates remain above accepted international standards, except in the presence of a phlebotomist team. High BC contamination rates might be reduced by the implementation of cost-effective educational intervention programmes, which reminds healthcare workers to collect BC samples aseptically.

摘要

无菌血培养(BC)采集程序对于预防污染后果非常重要,这些后果包括患者住院时间延长、不必要的抗菌药物暴露以及医院成本增加。在三年时间里,对开普敦都会区不同医院的血培养污染率进行了测定。研究结果表明,污染的血培养对医疗系统有经济影响,除了有采血团队的情况外,污染率仍高于国际公认标准。实施具有成本效益的教育干预计划可能会降低较高的血培养污染率,该计划可提醒医护人员无菌采集血培养样本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f4d/8378204/777c2fc88a02/SAJID-35-222-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f4d/8378204/a33b37251ff1/SAJID-35-222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f4d/8378204/777c2fc88a02/SAJID-35-222-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f4d/8378204/a33b37251ff1/SAJID-35-222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f4d/8378204/777c2fc88a02/SAJID-35-222-g002.jpg

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本文引用的文献

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The effectiveness of interventions to reduce peripheral blood culture contamination in acute care: a systematic review protocol.干预措施降低急性护理中外周血培养污染的效果:系统评价方案。
Syst Rev. 2018 Nov 30;7(1):216. doi: 10.1186/s13643-018-0877-4.
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Estimated Clinical and Economic Impact through Use of a Novel Blood Collection Device To Reduce Blood Culture Contamination in the Emergency Department: a Cost-Benefit Analysis.使用新型血液采集装置减少急诊科血培养污染的临床和经济影响评估:成本效益分析。
J Clin Microbiol. 2019 Jan 2;57(1). doi: 10.1128/JCM.01015-18. Print 2019 Jan.
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多模式干预对改善急诊科血培养采集效果的研究
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How to Optimize the Use of Blood Cultures for the Diagnosis of Bloodstream Infections? A State-of-the Art.如何优化血培养在血流感染诊断中的应用?最新进展
Front Microbiol. 2016 May 12;7:697. doi: 10.3389/fmicb.2016.00697. eCollection 2016.
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