Kunze M, Volkman H, Köhler W
Z Gesamte Inn Med. 1979 Nov 1;34(21):662-4.
The importance of the skin contamination for the results of blood cultures was emphasized by model examinations. In the method of blood taking without previous desinfection of the skin the quota of positive blood cultures increased by the twofold to threefold per culture and test person (5.7 to 18.8% and 11.3 to 26.3%, respectively). In large-volume blood takings the contamination rate becomes smaller with increasing blood volume. The rejecting of a first blood sample is to be recommended, when the possibility is given. With an increased quantity o blood per taking by blood bactericidia a decreased contamination rate is to be expected. By the results of the examinations the necessity of a consequent desinfection of the skin is to be emphasized, also when closed systems of blood cultures are used.
模拟试验强调了皮肤污染对血培养结果的重要性。在未事先对皮肤进行消毒的采血方法中,每份培养物和每个测试者的血培养阳性率增加了两倍至三倍(分别为5.7%至18.8%和11.3%至26.3%)。在大量采血时,随着采血量增加,污染率会降低。如有可能,建议弃去第一份血样。随着每次采血时血液中抑菌剂含量增加,预期污染率会降低。根据试验结果,应强调必须始终对皮肤进行消毒,即使使用封闭式血培养系统时也应如此。