Antisepsis for blood culture extraction. Blood culture contamination rate.

Antisepsia en la extracción de hemocultivos. Tasa de contaminación de hemocultivos.

Journal

Medicina intensiva
ISSN: 2173-5727
Titre abrégé: Med Intensiva (Engl Ed)
Pays: Spain
ID NLM: 101717568

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 09 07 2018
revised: 03 08 2018
accepted: 07 08 2018
pubmed: 12 12 2018
medline: 20 6 2020
entrez: 12 12 2018
Statut: ppublish

Résumé

Blood cultures are the gold standard for the etiological diagnosis of bacteremia, though false-positive results are relatively frequent primarily due to contamination from skin flora during sample extraction. Correct skin antisepsis is important for reducing the bacterial load and opportunities for contamination. However, there is currently no solid consensus on the best antiseptic method. Alcohol has a potent immediate bactericidal effect, and there is some scientific evidence in favor of its combination with chlorhexidine, but most studies on this issue are heterogeneous and with inconclusive results. Some authors even suggest that the chosen antiseptic is irrelevant to the contamination rate, provided the blood culture extraction method is adequate and is performed by a trained professional. This article is part of a supplement entitled "Antisepsis in the critical patient", which is sponsored by Becton Dickinson.

Identifiants

pubmed: 30528952
pii: S0210-5691(18)30258-4
doi: 10.1016/j.medin.2018.08.007
pii:
doi:

Substances chimiques

Anti-Infective Agents, Local 0
Ethanol 3K9958V90M
Chlorhexidine R4KO0DY52L

Types de publication

Journal Article Review

Langues

eng spa

Sous-ensembles de citation

IM

Pagination

31-34

Informations de copyright

Copyright © 2019 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

Auteurs

P Ramirez Galleymore (P)

Unidad de Medicina Intensiva, Hospital Universitario y Politécnico la Fe, Valencia, España; Centro de Investigación Biomedica En Red-Enfermedades Respiratorias (CibeRes, CB06/06/0028), Instituto de Salud Carlos III, Madrid, España. Electronic address: ramirez_pau@gva.es.

M Gordón Sahuquillo (M)

Unidad de Medicina Intensiva, Hospital Universitario y Politécnico la Fe, Valencia, España.

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Classifications MeSH