ArticleInfection control and hospital epidemiology2024
Implementation of a diagnostic stewardship intervention to improve blood-culture utilization in 2 surgical ICUs: Time for a blood-culture change.
Article in Infection control and hospital epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Diagnostic disruption during a blood culture bottle shortage: clinical and laboratory adaptation strategies.Microbiology spectrum · 2026Observational
- Enhancing the effectiveness of multidisciplinary interventions to improve blood culture efficiency and optimize antimicrobial utilization.Frontiers in public health · 2026Article
- Implementation of blood culture stewardship during a blood culture bottle shortage: a multicenter assessment.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025Article
- Fine-tuning blood culture practices: implementing diagnostic stewardship in cardiothoracic surgery patients.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Rapid implementation of a clinical decision-support workflow during the national blood culture bottle shortage.Infection prevention in practice · 2024Article
- Every Crisis Is an Opportunity: Advancing Blood Culture Stewardship During a Blood Culture Bottle Shortage.Open forum infectious diseases · 2024Article
Corrections and comments
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Authors and funding
14 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe compared the number of blood-culture events before and after the introduction of a blood-culture algorithm and provider feedback. Secondary objectives were the comparison of blood-culture positivity and negative safety signals before and after the intervention.
designProspective cohort design.
settingTwo surgical intensive care units (ICUs): general and trauma surgery and cardiothoracic surgery. PATIENTS: Patients aged ≥18 years and admitted to the ICU at the time of the blood-culture event.
methodsWe used an interrupted time series to compare rates of blood-culture events (ie, blood-culture events per 1,000 patient days) before and after the algorithm implementation with weekly provider feedback.
resultsThe blood-culture event rate decreased from 100 to 55 blood-culture events per 1,000 patient days in the general surgery and trauma ICU (72% reduction; incidence rate ratio [IRR], 0.38; 95% confidence interval [CI], 0.32-0.46;
conclusionsWe implemented a blood-culture algorithm with data feedback in 2 surgical ICUs, and we observed significant decreases in the rates of blood-culture events without an increase in negative safety signals, including ICU length of stay, mortality, antibiotic use, or readmissions.
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