Blood culture procedures and practices in the neonatal intensive care unit: A survey of a large multicenter collaborative in California.
Blood culture procedures and practices in the neonatal intensive care unit: A survey of a large multicenter collaborative in California.
复制标题
新生儿重症监护病房的血培养程序和实践：对加利福尼亚州大型多中心协作机构的调查。
DOI：
10.1017/ice.2023.33
复制
发表时间：
2023
影响因子：
4.5
通讯作者：
Zangwill,KennethM
中科院分区：
文献类型：
--
作者：
Lefrak,Linda;Schaffer,KristenE;Bohnert,Janine;Mendel,Peter;Payton,KurlenSE;Lee,HenryC;Bolaris,MichaelA;Zangwill,KennethM
Objective-describing variation in blood culture practices in neonatal intensive care unit（NICU）.DesignSurvey of neonatal practitioners involved with blood culturing and NICU-level policy development. AppropriantsWe included 28 NICU in a large antimicrobial stewardship quality improvement program through the加州围产期优质护理协作. MethodsWeb-based survey of bedside blood culture practices and NICU- and laboratory level practices.我们评估遵守推荐practics.ResultsMost新生儿重症监护病房没有一个程序的能力（54%），没有记录的样本量（75%），没有收到一个文化污染报告（57%），和/或不需要向供应商报告，如果<1毫升的血液获得（64%）。NICU的皮肤无菌程序各不相同。只有71%有书面程序，但≥86%在接种前更换针头并消毒瓶盖。超过五分之一的NICU仅从血管内器械（如果存在）中提取培养物。在13个与培养和污染相关的可修改的实践中，与没有护士执业的单位相比，NICU更频繁地采用>50%的实践（92% vs 50%的单位; P <0.02）。
ObjectiveTo describe variation in blood culture practices in the neonatal intensive care unit (NICU).DesignSurvey of neonatal practitioners involved with blood culturing and NICU-level policy development.ParticipantsWe included 28 NICUs in a large antimicrobial stewardship quality improvement program through the California Perinatal Quality Care Collaborative.MethodsWeb-based survey of bedside blood culture practices and NICU- and laboratory-level practices. We evaluated adherence to recommended practices.ResultsMost NICUs did not have a procedural competency (54%), did not document the sample volume (75%), did not receive a culture contamination report (57%), and/or did not require reporting to the provider if <1 mL blood was obtained (64%). The skin asepsis procedure varied across NICUs. Only 71% had a written procedure, but ≥86% changed the needle and disinfected the bottle top prior to inoculation. More than one-fifth of NICUs draw a culture from an intravascular device only (if present). Of 13 modifiable practices related to culture and contamination, NICUs with nurse practitioners more frequently adopted >50% of practices, compared to units without (92% vs 50% of units; P < .02).ConclusionsIn the NICU setting, recommended practices for blood culturing were not routinely performed.