Evaluation of a model to improve collection of blood cultures in patients with sepsis in the emergency room

Autor: Elena Seminari, I. F. Martino, Carmine Tinelli, Patrizia Cambieri, Bianca Mariani, Alba Muzzi, L. Sacco, F. Capra Marzani, Carlo Marena, M. A. Bressan, Piero Marone, M. Corbella
Rok vydání: 2017
Předmět:
Zdroj: European Journal of Clinical Microbiology & Infectious Diseases. 37:241-246
ISSN: 1435-4373
0934-9723
DOI: 10.1007/s10096-017-3122-5
Popis: Sepsis begins outside of the hospital for nearly 80% of patients and the emergency room (ER) represents the first contact with the health care system. This study evaluates a project to improve collection of blood cultures (BCs) in patients with sepsis in the ER consisting of staff education and completion of the appropriate BC pre-analytical phase. A retrospective observational study performed to analyse the data on BC collection in the ER before and after a three-phase project. The first phase (1 January to 30 June 2015) before the intervention consisted of evaluation of data on BCs routinely collected in the ER. The second phase (1 July to 31 December 2015) was the intervention phase in which educational courses on sepsis recognition and on pre-analytical phase procedures (including direct incubation) were provided to ER staff. The third phase (1 January to 30 June 2016; after the intervention) again consisted of evaluation. Before the intervention, out of 24,738 admissions to the ER, 103 patients (0.4%) were identified as septic and had BCs drawn (359 BC bottles); 19 out of 103 patients (18.4%) had positive BCs. After the intervention, out of 24,702 admissions, 313 patients (1.3%) had BCs drawn (1,242 bottles); of these, 96 (30.7%) had positive BCs. Comparing the first and third periods, an increase in the percentage of patients with BCs collected (from 0.4% to 1.3% respectively, p
Databáze: OpenAIRE
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