Enterococcus Species and the Central Line–Associated Bloodstream Infection Surveillance Definition: Evaluating the Importance of Blood Culture Contamination

Outpatient hemodialysis bloodstream infection rates, now used for performance measurement and were significantly higher for manual compared with automated surveillance (P<.001), largely owing to the absence of blood culture data in the dialysis electronic health record. Improvement in data sharing between hospitals and outpatient dialysis centers is necessary.Infect. Control Hosp. Epidemiol. 2016;37(4):472–474

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P219: Central line associated bloodstream infection surveillance adult ICU Kamc Riyadh 2012

Antimicrobial Resistance and Infection Control ◽

10.1186/2047-2994-2-s1-p219 ◽

2013 ◽

Vol 2 (Suppl 1) ◽

pp. P219

Author(s):

J Tannous ◽

H Balkhy ◽

M Sallah ◽

E Tannous ◽

Y Arabi

Keyword(s):

Bloodstream Infection ◽

Central Line ◽

Infection Surveillance

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Central Line-Associated Bloodstream Infection Surveillance and Reduction Strategies across the Continuum of Care of a Tertiary-Care Pediatric Institution

American Journal of Infection Control ◽

10.1016/j.ajic.2004.04.158 ◽

2004 ◽

Vol 32 (3) ◽

pp. E106-E107

Author(s):

J. Vinsel ◽

C. McGlone∗ ◽

M. Brady ◽

B. Roman ◽

T. Kelly ◽

...

Keyword(s):

Bloodstream Infection ◽

Tertiary Care ◽

Continuum Of Care ◽

Central Line ◽

Infection Surveillance ◽

Reduction Strategies ◽

The Continuum

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Formulation of a model for automating infection surveillance: algorithmic detection of central-line associated bloodstream infection

Journal of the American Medical Informatics Association ◽

10.1197/jamia.m3196 ◽

2010 ◽

Vol 17 (1) ◽

pp. 42-48 ◽

Cited By ~ 30

Author(s):

B. Hota ◽

M. Lin ◽

J. A Doherty ◽

T. Borlawsky ◽

K. Woeltje ◽

...

Keyword(s):

Bloodstream Infection ◽

Central Line ◽

Infection Surveillance

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Obtaining Blood Cultures by Venipuncture versus from Central Lines Impact on Blood Culture Contamination Rates and Potential Effect on Central Line–Associated Bloodstream Infection Reporting

Infection Control and Hospital Epidemiology ◽

10.1086/673142 ◽

2013 ◽

Vol 34 (10) ◽

pp. 1042-1047 ◽

Cited By ~ 26

Author(s):

John M. Boyce ◽

Jacqueline Nadeau ◽

Diane Dumigan ◽

Debra Miller ◽

Cindy Dubowsky ◽

...

Keyword(s):

Blood Culture ◽

Bloodstream Infection ◽

Hospital Costs ◽

Cost Savings ◽

Central Line ◽

Potential Effect ◽

Blood Cultures ◽

Blood Samples ◽

Central Lines ◽

Contaminated Blood

Objective.Reduce the frequency of contaminated blood cultures that meet National Healthcare Safety Network definitions for a central line-associated bloodstream infection (CLABSI).Design.An observational study.Setting.A 500-bed university-affiliated hospital.Methods.A new blood culture policy discouraged drawing blood samples from central lines. Phlebotomists were reeducated regarding aseptic technique when obtaining blood samples by venipuncture. The intravenous therapy team was taught how to draw blood samples by venipuncture and served as a backup when phlebotomists were unable to obtain blood samples. A 2-nurse protocol and a special supply kit for obtaining blood samples from catheters were developed. Rates of blood culture contamination were monitored by the microbiology laboratory.Results.The proportion of blood samples obtained for culture from central lines decreased from 10.9% during January–June 2010 to 0.4% during July–December 2012 (P< .001). The proportion of blood cultures that were contaminated decreased from 84 (1.6%) of 5,274 during January–June 2010 to 21 (0.5%) of 4,245 during January–June 2012 (P< .001). Based on estimated excess hospital costs of $3,000 per contaminated blood culture, the reduction in blood culture contaminants yielded an estimated annualized savings of $378,000 in 2012 when compared to 2010. In mid-2010, 3 (30%) of 10 reported CLABSIs were suspected to represent blood culture contamination compared with none of 6 CLABSIs reported from mid-November 2010 through June 2012 (P= 0.25).Conclusions.Multiple interventions resulted in a reduction in blood culture contamination rates and substantial cost savings to the hospital, and they may have reduced the number of reportable CLABSIs.

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