Evidence map›Paper›PMID 28989406›Full record

ArticleJournal of infection prevention2015

The effect of a quality improvement programme reducing blood culture contamination on the detection of bloodstream infection in an emergency department.

Paul Robertson, Andrew Russell, Donald J Inverarity

Abstract read
In one paragraph

Article in Journal of infection prevention, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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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

3 authors.

Paul RobertsonDepartment of Microbiology, Glasgow Royal Infirmary, UK.
Andrew RussellEmergency Department, Monklands Hospital, UK.
Donald J InverarityDepartment of Microbiology, Monklands Hospital, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContaminated blood cultures (BC) generate avoidable costs and prolong hospital stays. To measure our hospital's performance against the recommended standard of <3% BC contamination, we performed a prospective study.

methodsWe prospectively determined the frequency of contaminated and genuinely positive BC hospital-wide over seven months.

resultsOverall, 73 of 1,829 blood cultures reviewed were contaminated (4.0%). However, distribution of contamination was not uniform. Finding a consistently higher incidence of contamination (11.7%) in our emergency department (ED) than elsewhere in the hospital (2.5%), we adopted a collaborative quality improvement strategy targeted to the ED. A combination of education, modified BC packs and regular feedback of BC results was associated with a significant reduction in contamination (7.4%,

conclusionsUsing a simple and inexpensive collaborative intervention we reduced BC contamination without adversely affecting the detection of genuine BSI.

Indexed as

Blood culturebloodstream infectioncontaminationeducational interventionquality improvement

Identifiers

PMID28989406
PMCPMC5074175

What OpenQuestion holds

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Registered trials

None linked

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.