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Blood Culture Collection through Peripheral Intravenous Catheters Increases the Risk of Specimen Contamination among Adult Emergency Department Patients

Published online by Cambridge University Press:  02 January 2015

Wesley H. Self ,
Theodore Speroff ,
Candace D. McNaughton ,
Patty W. Wright ,
Geraldine Miller ,
James G. Johnson ,
Titus L. Daniels  and
Thomas R. Talbot
Wesley H. Self*
Affiliation:
Department of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Theodore Speroff
Affiliation:
Geriatric Research Education and Clinical Center and Center for Health Services Research, Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Candace D. McNaughton
Affiliation:
Department of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee Geriatric Research Education and Clinical Center and Center for Health Services Research, Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee
Patty W. Wright
Affiliation:
Division of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Geraldine Miller
Affiliation:
Division of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
James G. Johnson
Affiliation:
Division of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Titus L. Daniels
Affiliation:
Division of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
Thomas R. Talbot
Affiliation:
Division of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
*
1313 21st Avenue South, 703 Oxford House, Nashville, TN 37232-4700 ([email protected])
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Abstract

Five hundred five blood cultures collected through a peripheral intravenous catheter (PIV) in an emergency department were matched to cultures obtained by dedicated venipuncture from the same patient within 10 minutes. The relative risk of contamination for cultures collected through PIVs compared with dedicated venipuncture was 1.83 (95% confidence interval, 1.08–3.11).

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 33 , Issue 5 , May 2012 , pp. 524 - 526
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

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References

1.van der Heijden, YF, Miller, G, Wright, PW, Shepherd, BE, Daniels, TL, Talbot, TR. Clinical impact of blood cultures contaminated with coagulase-negative staphylococci at an academic medical center. Infect Control Hosp Epidemiol 2011;32:623–625.CrossRefGoogle ScholarPubMed
2.Bates, DW, Goldman, L, Lee, TH. Contaminant blood cultures and resource utilization: the true consequences of false-positive results. JAMA 1991;265:365–369.Google Scholar
3.Gander, RM, Byrd, L, DeCrescenzo, M, Hirany, S, Bowen, M, Baughman, J. Impact of blood cultures drawn by phlebotomy on contamination rates and health care costs in a hospital emergency department. J Clin Microbiol 2009;47:1021–1024.Google Scholar
4.Hall, KK, Lyman, JA. Updated review of blood culture contamination. Clin Microbiol Rev 2006;19:788–802.CrossRefGoogle ScholarPubMed
5.Smart, D, Baggoley, D, Head, J, Noble, D, Wetherall, B, Gordon, DL. Effect of needle changing and intravenous cannula collection on blood culture contamination rates. Ann Etnerg Med 1993;22:1164–1168.Google Scholar
6.Norberg, A, Christopher, NC, Ramundo, ML, Bower, JR, Berman, SA. Contamination rates of blood cultures obtained by dedicated phlebotomy vs intravenous catheter. JAMA 2003;289:726–729.Google Scholar
7.Weinstein, MP, Towns, ML, Quartey, SM, et al. The clinical significance of positive blood cultures in the 1990s: a prospective comprehensive evaluation of the microbiology, epidemiology, and outcome of bacteremia and fungemia in adults. Clin Infect Dis 1997;24:584–602.Google Scholar
8.Falagas, ME, Kazantzi, MS, Bliziotis, IA. Comparison of utility of blood cultures from intravascular catheters and peripheral veins: a systematic review and decision analysis. J Med Microbiol 2008; 57:1–8.Google Scholar
9.Isaacman, DJ, Karasic, RB. Utility of collecting blood cultures through newly inserted intravenous catheters. Pediatr Infect Dis J 1990;9:815–818.Google Scholar
10.Ramsook, C, Childers, K, Cron, SG, Nirken, M. Comparison of blood culture contamination rates in a pediatric emergency room: newly inserted intravenous catheters versus venipuncture. Infect Control Hosp Epidemiol 2000;21:649–651.Google Scholar