Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-17T23:31:08.726Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of Blood-Culture Contamination Rates in a Pediatric Emergency Room: Newly Inserted Intravenous Catheters Versus Venipuncture

Published online by Cambridge University Press:  02 January 2015

Chris Ramsook ,
Kim Childers ,
Stanley G. Cron  and
Milton Nirken
Chris Ramsook*
Affiliation:
Section of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas
Kim Childers
Affiliation:
Section of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas
Stanley G. Cron
Affiliation:
Section of Academic General Pediatrics, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas
Milton Nirken
Affiliation:
Section of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas
*
113 Savannah Dr, Trinicity, Trinidad, West Indies
Get access Rights & Permissions [Opens in a new window]

Abstract

We compared contamination rates of blood cultures obtained either from newly inserted intravenous catheters or via venipuncture. Of 2,431 blood cultures, the overall contamination rate was 2.7% (intravenous catheter, 3.4%; venipuncture, 2.0%; P=.043). The site of lowest contamination was the antecubital fossa, making this the optimal choice for blood-culture sampling.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 21 , Issue 10 , October 2000 , pp. 649 - 651
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Isaacman, DJ, Karasic, RB. Utility of collecting blood cultures through newly inserted intravenous catheters. Pediatric Infect Dis J 1990;9:815–818.CrossRefGoogle ScholarPubMed
2. Smart, D, Baggoley, C, Head, J, Noble, D, Wetherall, B, Gordon, DL. Effect of needle changing and intravenous cannula collection on blood culture contamination rates. Ann Emerg Med 1993;22:1164–1168.CrossRefGoogle ScholarPubMed
3. Strand, CL, Wajsbort, RR, Sturmann, K. Effect of iodophor vs iodine tincture skin preparation on blood culture contamination rate. JAMA 1993;269:1004–1006.Google Scholar
4. Krumholz, HM, Cummings, S, York, M. Blood culture phlebotomy: switching needles does not prevent contamination. Ann Intern Med 1990;113:290–292.Google Scholar
5. Schifman, R, Pindur, A. The effect of skin disinfection materials on reducing blood culture contamination. Am J Clin Pathol 1993;99:536–538.CrossRefGoogle ScholarPubMed
6. Jumaa, PA, Chattopadhyay, B. Pseudobacteremia. J Hosp Infect 1994;27:167–177.Google Scholar
7. Weinbaum, FI, Lavie, S, Danek, M, Sixsmith, D, Heinrich, GF, Mills, SS. Doing it right the first time: quality improvement and the contaminant blood culture. J Clin Microbiol 1997;35:563–565.Google Scholar
8. Bryant, JK, Strand, CL. Reliability of blood cultures collected from intravascular catheter versus venipuncture. Am J Clin Pathol 1987;88:113–116.Google Scholar
9. McQuillen, KK, Santucci, KA, Conrad, MA, Nelson, DG, Lewander, W, Duffy, SJ, et al. Intravenous catheter blood cultures: utility and contamination. Pediatrics 1999;103:809–810.Google Scholar