Caracterización de los procedimientos para la realización de hemocultivos en pacientes adultos, en instituciones hospitalarias del área Metropolitana del Valle de Aburrá

Grupo GERMEN

    Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

    Resumen

    Objective: To characterize the procedures that are performed for the collection, analysis, reporting and quality assurance of blood cultures in adult patients in hospital institutions. Material and Methods: Descriptive study in 15 hospitals of Medellin and its surroundings. A semi-structured collection instrument was used to collect the information provided by each hospital; SPSS® was used for the analysis. Results: All institutions have protocols based on authorized sources; there were important differences in the pre-analytic and post-analytic processes. The products employed for skin antisepsis were 2-4% chlorhexidine gluconate (66.7%) and 70% isopropyl or ethyl alcohol (20.0%), with discrepancies in product action times. 73.3% use sterile gloves and an equal proportion uses an open system (syringe) for venipuncture. Two aerobic and one anaerobic bottles are taken per episode in adult patients in 46.6% of institutions and only two aerobic bottles in 33.3% of them. Indicators of contamination were used by 66.6 % of institutions, of positivity in 53.3% and of blood volume in 26.6%. The average rate of contaminated blood cultures during the follow-up period was 1.61%. Conclusion: Heterogeneity in the procedures was observed especially in the pre-analytic and post-analytical phases. In the pursuit of excellence and patient safety, standardized protocols and the use of indicators to measure and control the performance of blood cultures are needed.

    Título traducido de la contribuciónCharacterization of procedures for performing blood cultures in adult patients, in hospitals of the Metropolitan Area of Aburrá Valley
    Idioma originalEspañol
    Páginas (desde-hasta)19-25
    Número de páginas7
    PublicaciónInfectio
    Volumen22
    N.º1
    EstadoPublicada - 2018

    Palabras clave

    • Blood Specimen Collection
    • Blood culture
    • Contamination
    • Specimen Handling

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