Evidence map›Paper›PMID 22709932›Full record

SynthesisClinical biochemistry2012

Effectiveness of practices to reduce blood culture contamination: a Laboratory Medicine Best Practices systematic review and meta-analysis.

Susan R Snyder, Alessandra M Favoretto, Rich Ann Baetz, James H Derzon, Bereneice M Madison, Diana Mass, Colleen S Shaw, Christopher D Layfield, Robert H Christenson, Edward B Liebow

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical biochemistry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05686577 (Comment Diminuer Les hémocultures Inutiles), which is not on this map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05686577 completednot on this mapstarted 2022, after this paper: background citation

Comment Diminuer Les hémocultures Inutiles : Construction et Validation d'un Score prédictif de positivité Des hémocultures en réanimation.

TypeobservationalSponsorUniversity Hospital, ToursRan2022 to 2023Enrolled2,411ConditionsInfection, Bacterial, Infection, Fungal, BacteremiaArmsno intervention
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Reduction in Blood Culture Contamination Through Use of Initial Specimen Diversion Device.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Trial
  5. Clinical and Molecular Characteristics ofOpen forum infectious diseases · 2026
    Article
  6. In-depth analysis of sampling practice and yield of blood cultures.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Low penicillin susceptibility inMicrobiology spectrum · 2024
    Article
  19. Article
  20. Microbial growth on temporary pacemaker leads post-TAVR: pathogen spectrum and clinical implications.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Susan R SnyderBattelle Centers for Public Health Research and Evaluation, Century Plaza 1, 2987 Clairmont Road, NE-Suite 450, Atlanta, GA 30329-4448, USA. snydersu@battelle.org
Alessandra M Favoretto
Rich Ann Baetz
James H Derzon
Bereneice M Madison
Diana Mass
Colleen S Shaw
Christopher D Layfield
Robert H Christenson
Edward B Liebow

Funding

Intramural CDC HHS CC999999Intramural NIH HHSPHS HHS W911NF-07-D-0001/DO 0191/TCN 07235
6 · The paper itself

Abstract

objectivesThis article is a systematic review of the effectiveness of three practices for reducing blood culture contamination rates: venipuncture, phlebotomy teams, and prepackaged preparation/collection (prep) kits. DESIGN AND

methodsThe CDC-funded Laboratory Medicine Best Practices Initiative systematic review methods for quality improvement practices were used.

resultsStudies included as evidence were: 9 venipuncture (vs. versus intravenous catheter), 5 phlebotomy team; and 7 prep kit. All studies for venipuncture and phlebotomy teams favored these practices, with meta-analysis mean odds ratios for venipuncture of 2.69 and phlebotomy teams of 2.58. For prep kits 6 studies' effect sizes were not statistically significantly different from no effect (meta-analysis mean odds ratio 1.12).

conclusionsVenipuncture and the use of phlebotomy teams are effective practices for reducing blood culture contamination rates in diverse hospital settings and are recommended as evidence-based "best practices" with high overall strength of evidence and substantial effect size ratings. No recommendation is made for or against prep kits based on uncertain improvement.

Indexed as

BacteriaBloodCell Culture TechniquesCenters for Disease Control and Prevention, U.S.Diagnostic ErrorsEquipment ContaminationFalse Positive ReactionsHumansOdds RatioPhlebotomyPractice Guidelines as TopicProgram EvaluationQuality ImprovementReagent Kits, DiagnosticUnited StatesReagent Kits, Diagnostic

Identifiers

PMID22709932
PMCPMC4518453

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.