| Autor: |
Koshi Ota, Daisuke Nishioka, Emi Hamada, Kanna Ota, Yuriko Shibata, Akira Takasu |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
Journal of General and Family Medicine, Vol 25, Iss 1, Pp 45-52 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2189-7948 |
| DOI: |
10.1002/jgf2.667 |
| Popis: |
Abstract Background We aimed to determine whether puncture sites for blood sampling and topical disinfectants are associated with rates of contaminated blood cultures in the emergency department (ED) of a single institution. Methods This single‐center, ambidirectional cohort study of 548 consecutive patients ≥20 years of age was performed in the ED of a university hospital in Japan over a 13‐month period. Pairs of blood samples were collected for aerobic and anaerobic cultures from patients in the ED. Physicians selected puncture sites and topical disinfectants according to their personal preference. Results Potential contamination was identified in 110 of the 548 patients (20.1%). One hundred fourteen (20.8%) patients showed true‐positive results for bacteremia, and 324 (59.1%) patients showed true‐negative results. Multivariate analysis revealed more frequent contamination when puncture sites were disinfected with povidone‐iodine (PVI) than with alcohol/chlorhexidine (ACHX) (adjusted risk difference, 19.1%; 95% confidence interval [CI]), 15.7–22.6; p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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