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比较两种初始标本分流技术对血培养污染率和临床结局的影响——一项多中心研究。

Comparing the effects of two initial specimen diversion techniques on blood culture contamination rates and clinical outcomes-a multicenter study.

作者信息

Febres-Aldana Anthony, Ashley Patrycja, Amenta Eva, Duffey Megan, Sepulveda Theresa, Lopez Corina, Shay Sabra, Barrett Miriam, Lasco Todd, Pipkins Takei, Reed Margaret, Lembcke Bradley, Al Mohajer Mayar

机构信息

Department of Medicine, Section of Infectious Diseases, Baylor College of Medicine, Houston, TX, USA.

Division of Infectious Disease, Moffitt Cancer Center, Tampa, FL, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2024 Nov 11;4(1):e194. doi: 10.1017/ash.2024.391. eCollection 2024.

DOI:10.1017/ash.2024.391
PMID:39563929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11574589/
Abstract

Although the initial specimen diversion device (ISDD) has been shown to reduce blood culture contamination (BCC) rates, its impact on clinical outcomes remains unclear. This multicenter study showed that ISDD significantly decreased BCC. However, there was no reduction in length of stay, days of therapy, or central line-associated bloodstream infections.

摘要

尽管初始标本分流装置（ISDD）已被证明可降低血培养污染（BCC）率，但其对临床结局的影响仍不明确。这项多中心研究表明，ISDD可显著降低BCC。然而，住院时间、治疗天数或中心静脉导管相关血流感染并无减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9c9/11574589/b61e02b2ff03/S2732494X24003917_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9c9/11574589/af7e16ff028f/S2732494X24003917_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9c9/11574589/b61e02b2ff03/S2732494X24003917_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9c9/11574589/af7e16ff028f/S2732494X24003917_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9c9/11574589/b61e02b2ff03/S2732494X24003917_fig2.jpg

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本文引用的文献

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Diagnostic Stewardship: A Systematic Review and Meta-analysis of Blood Collection Diversion Devices Used to Reduce Blood Culture Contamination and Improve the Accuracy of Diagnosis in Clinical Settings.诊断管理：对用于减少血培养污染并提高临床诊断准确性的采血分流装置的系统评价和荟萃分析
Open Forum Infect Dis. 2023 Aug 11;10(9):ofad433. doi: 10.1093/ofid/ofad433. eCollection 2023 Sep.
2
The Impact of Initial Specimen Diversion Systems on Blood Culture Contamination.初始标本分流系统对血培养污染的影响。
Open Forum Infect Dis. 2023 Apr 5;10(5):ofad182. doi: 10.1093/ofid/ofad182. eCollection 2023 May.
3
Getting to zero: Impact of a device to reduce blood culture contamination and false-positive central-line-associated bloodstream infections.
实现零目标：减少血培养污染和假阳性中心静脉相关血流感染的装置的影响。
Infect Control Hosp Epidemiol. 2023 Sep;44(9):1386-1390. doi: 10.1017/ice.2022.284. Epub 2022 Dec 21.
4
Initial Specimen Diversion Device® reduces blood culture contamination and vancomycin use in academic medical centre.初始标本转移装置®减少了学术医疗中心的血培养污染和万古霉素的使用。
J Hosp Infect. 2022 Feb;120:127-133. doi: 10.1016/j.jhin.2021.10.017. Epub 2021 Nov 13.
5
Evaluation of an Initial Specimen Diversion Device (ISDD) on Rates of Blood Culture Contamination in the Emergency Department.急诊科初始标本分流装置（ISDD）对血培养污染率的评估
Kans J Med. 2021 Mar 19;14(1):73-76. doi: 10.17161/kjm.vol1413804. eCollection 2021.
6
Asynchronous Testing of 2 Specimen-Diversion Devices to Reduce Blood Culture Contamination: A Single-Site Product Supply Quality Improvement Project.两种标本采集器的异步检测以减少血培养污染：单点产品供应质量改进项目。
J Emerg Nurs. 2021 Mar;47(2):256-264.e6. doi: 10.1016/j.jen.2020.11.008. Epub 2021 Jan 8.
7
Modification of Blood Test Draw Order to Reduce Blood Culture Contamination: A Randomized Clinical Trial.修改血培养标本采集顺序以降低血培养污染率：一项随机临床试验。
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8
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。
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