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Reducing blood culture contamination rate: A quality assurance project in a Malaysian tertiary hospital

机译:降低血培养污染率:马来西亚一家三级医院的质量保证项目

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Blood cultures contamination is a common scenario in Malaysian hospitals. Reducing the contamination rate of blood culture will reduce false-positive blood culture, prevent inappropriate antibiotic prescription and reduce patient management cost. This is a 6 months study specifically focused on the effects of changing the type of skin antiseptics used (70% isopropyl alcohol plus 2% chlorhexidine replacing 70% isopropyl alcohol plus povidone-iodine) and improving the knowledge and techniques of blood culture taking in a tertiary hospital. The remedial measures introduced were successful in achieving 4.34% contamination rate, which is 2.03% less than pre-remedial contamination rate (6.37%). There was a statistically significant reduction in the number of contaminants (p = 0.02) with five-fold rise in the significant blood cultures results. Better choice of skin antiseptics and good blood culture knowledge and technique may contribute to reduce number of contamination rate in blood culture.
机译:在马来西亚医院,血培养物污染是常见的情况。降低血液培养物的污染率将减少假阳性血液培养物,防止使用不当的抗生素处方并降低患者管理成本。这是一个为期6个月的研究,专门研究改变所用皮肤消毒剂的类型(70%异丙醇加2%氯己定代替70%异丙醇加聚维酮碘)的作用,并改善血液培养的知识和技术。三级医院。采取的补救措施成功实现了4.34%的污染率,比补救前的污染​​率(6.37%)降低了2.03%。统计上显着减少的污染物数量(p = 0.02),显着的血液培养结果增加了五倍。皮肤防腐剂的更好选择以及良好的血液培养知识和技术可能有助于减少血液培养中的污染率。

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