Lack of effect of a poster-based intervention to reduce the number of blood culture samples collected.
Bacteremia
Bactériémie
Blood culture
Healthcare quality
Hémoculture
Qualité des soins
Journal
Medecine et maladies infectieuses
ISSN: 1769-6690
Titre abrégé: Med Mal Infect
Pays: France
ID NLM: 0311416
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
16
02
2019
accepted:
24
09
2019
pubmed:
24
10
2019
medline:
8
1
2021
entrez:
24
10
2019
Statut:
ppublish
Résumé
To reduce the number of blood culture samples collected. We performed a cluster randomized controlled trial in adult acute care, and subacute care and rehabilitation wards in a university hospital in France. A poster associating an image of eyes looking at the reader with a summary of blood culture sampling guidelines was displayed in hospital wards in the intervention group. The incidence rate of blood cultures per 1000 days during pre- and post-intervention periods was calculated. Thirty-one wards participated in the study. The median difference in blood cultures/1000 days between periods was -1.863 [-11.941; 1.007] in the intervention group and -5.824 [-14.763; -2.217] in the control group (P=0.27). The intervention did not show the expected effect, possibly due to the choice of blood cultures as a target of good practice, but also to confounding factors such as the stringent policy of decreasing unnecessary costly testing.
Identifiants
pubmed: 31640881
pii: S0399-077X(19)30063-0
doi: 10.1016/j.medmal.2019.09.017
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
78-82Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.