Evidence map›Paper›PMID 37681771›Full record

ArticleInternational journal of environmental research and public health2023

Use and Quality of Blood Cultures for the Diagnosis of Bloodstream Infections: A Cross-Sectional Study in the Ho Teaching Hospital, Ghana, 2019-2021.

Emily Boakye-Yiadom, Robinah Najjemba, Pruthu Thekkur, Appiah-Korang Labi, Julita Gil-Cuesta, Karikari Asafo-Adjei, Prosper Mensah, Elburg van Boetzelaer, Nasreen S Jessani, Verner Ndudri Orish

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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 at 7 institutions in 6 countries.

Emily Boakye-YiadomDepartment of Microbiology and Immunology, University of Health and Allied Sciences, Ho PMB 31, Volta Region, Ghana.ORCID 0000-0002-9605-6791
Robinah NajjembaIndependent Public Health Consultant, 1202 Geneva, Switzerland.ORCID 0000-0003-4691-6906
Pruthu ThekkurInternational Union Against Tuberculosis and Lung Disease, 68 Boulevard Saint Michel, 75006 Paris, France.ORCID 0000-0001-5257-5074
Appiah-Korang LabiGhana Country Office, World Health Organization, 7 Ameda Street, Roman Ridge, Accra P.O. Box MB 142, Ghana.
Julita Gil-CuestaLuxembourg Operational Research Unit, Operational Centre Brussels, Médecins Sans Frontières, Rue Arbre Benit 46, 1050 Brussels, Belgium.ORCID 0000-0002-8291-9701
Karikari Asafo-AdjeiLaboratory Department, Ho Teaching Hospital, Ho P.O. Box MA 374, Volta Region, Ghana.
Prosper MensahLaboratory Department, Ho Teaching Hospital, Ho P.O. Box MA 374, Volta Region, Ghana.
Elburg van BoetzelaerLuxembourg Operational Research Unit, Médecins Sans Frontières, 68 Rue de Gasperich, L-1617 Luxembourg, Luxembourg.
Nasreen S JessaniCentre for Evidence-Based Health Care, Division of Epidemiology and Biostatistics, Department of Global Health, Stellenbosch University, Tygerburg 7505, South Africa.ORCID 0000-0002-1160-3099
Verner Ndudri OrishDepartment of Microbiology and Immunology, University of Health and Allied Sciences, Ho PMB 31, Volta Region, Ghana.
Ho Technical University · GHUniversity of Health and Allied Sciences · GHGhana Health Service · GHInternational Union Against Tuberculosis and Lung Disease · FRJohns Hopkins University · USMédecins Sans Frontières · LUMédecins Sans Frontières · BE

Funding

Department of HealthWorld Health Organization 001
6 · The paper itself

Abstract

Blood Culture and Drug Susceptibility Testing (CDST) remains vital for the diagnosis and management of bloodstream infections (BSIs). While the Ghana National Standard Treatment Guidelines require CDST to be performed in each case of suspected or clinically diagnosed BSI, these are poorly adhered to in the Ho Teaching Hospital (HTH). This study used secondary medical and laboratory records to describe blood CDST requests by clinicians and the quality of CDST processes for the diagnosis of BSI among patients admitted to HTH from 2019 to 2021. Of 4278 patients, 33% were infants. Pneumonia and neonatal sepsis cases were 40% and 22%, respectively. Only 8% (351/4278) had blood CDST requested. Of 94% (329/351) blood CDST processed and reported, only 7% (22/329) were culture-positive, with likely contaminants being recovered from 16% (52/329) of the specimens. The duration from admission to request was 2 days (IQR: 0-5), and Further qualitative studies must be conducted to understand the reasons for low blood CDST utilisation among clinicians and the patient outcomes. Targeted interventions are required to enhance the utilisation of blood CDST by clinicians and the quality of laboratory processes.

Indexed as

Mycobacterium tuberculosisSepsisBlood CultureCross-Sectional StudiesGhanaHospitals, TeachingHumansInfantInfant, NewbornMicrobial Sensitivity Testsantimicrobial resistanceantimicrobial susceptibility testingblood culturebloodstream infectionGhanalaboratory qualityneonatal sepsisoperational researchsepsisSORT IT

Identifiers

PMID37681771
PMCPMC10487590
OpenAlexW4386098560

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.