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Blood culture procedures and practices in the neonatal intensive care unit: A survey of a large multicenter collaborative in California
Published online by Cambridge University Press: 16 March 2023
Abstract
Objective:
To describe variation in blood culture practices in the neonatal intensive care unit (NICU).
Design:
Survey of neonatal practitioners involved with blood culturing and NICU-level policy development.
Participants:
We included 28 NICUs in a large antimicrobial stewardship quality improvement program through the California Perinatal Quality Care Collaborative.
Methods:
Web-based survey of bedside blood culture practices and NICU- and laboratory-level practices. We evaluated adherence to recommended practices.
Results:
Most NICUs did not have a procedural competency (54%), did not document the sample volume (75%), did not receive a culture contamination report (57%), and/or did not require reporting to the provider if <1 mL blood was obtained (64%). The skin asepsis procedure varied across NICUs. Only 71% had a written procedure, but ≥86% changed the needle and disinfected the bottle top prior to inoculation. More than one-fifth of NICUs draw a culture from an intravascular device only (if present). Of 13 modifiable practices related to culture and contamination, NICUs with nurse practitioners more frequently adopted >50% of practices, compared to units without (92% vs 50% of units; P < .02).
Conclusions:
In the NICU setting, recommended practices for blood culturing were not routinely performed.
- Type
- Original Article
- Information
- Copyright
- © The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America
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Lefrak et al. supplementary material
Lefrak et al. supplementary material
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