Evidence map›Paper›PMID 41623527›Full record

ReviewJAC-antimicrobial resistance2026

A scoping review of interventions to improve blood culture sampling practices in hospital acute care settings.

Muuna A I Abdi, Deborah Bamber, Carolyn Tarrant

Abstract readReview
In one paragraph

Review in JAC-antimicrobial resistance, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Muuna A I AbdiLeicester Medical School, University of Leicester, University Road, Leicester, England, LE1 7RH.
Deborah BamberSchool of Medical Sciences, University of Leicester, University Road, Leicester, England, LE1 7RH.ORCID https://orcid.org/0000-0003-2628-8826
Carolyn TarrantSchool of Medical Sciences, University of Leicester, University Road, Leicester, England, LE1 7RH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Blood cultures (BCs) are the gold standard investigation for patients with suspected severe infection and sepsis. Yet, BCs are not consistently obtained prior to antibiotic administration, and sampling practices remain suboptimal. Optimizing BC sampling has important benefits, including reducing inappropriate antibiotic use and improving antimicrobial stewardship. Despite advances in sepsis recognition and management, a significant scope remains to improve BC sampling practices. This scoping review aimed to identify evidence on interventions used to improve BC sampling in higher economically developed countries. Methods: Database searches of MEDLINE, CINAHL, PubMed and BMJ Open Quality were conducted for studies published between January 2015 and January 2025. Included studies were mapped to the Behaviour Change Wheel (BCW) framework. Results: Searches identified 3746 records; 23 studies met the inclusion criteria, with two additional studies identified through reference screening. In total, 25 studies were analysed, identifying six intervention types. Common interventions included visual prompts, screening tools, education and training programmes and audit-and-feedback mechanisms. These interventions most frequently mapped to the BCW categories of Environmental Restructuring (32%), Education and Training (28%) and Enablement (25%). Outcome measures varied widely, with no consistent metrics used across studies. Conclusions: This review identified six intervention types used to improve BC sampling practices, with Environmental Restructuring, Education and Training, and Enablement most commonly employed. Interventions were associated with improvements in timely BC collection and reduced contamination rates. However, heterogeneity in outcome measures and gaps in intervention types highlight the need for standardized metrics and more robust evaluations to optimize BC sampling practices across healthcare settings.

Identifiers

PMID41623527
PMCPMC12856658

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Registered trials

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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.