A medical question ?!?
We were running about 5% contamination rate last year with direct patient
consequences. We pulled nursing together, looked at best practices, and
created a bundle approach to peripheral blood cultures. We went 6 months
with an average of about 2%, so it seemed to work.
We do draw from the IV line, pretty much in all ages.
One question I might ask the group is what lower limit of contamination is
possible. I initially felt that 0% might be a stretch goal but have since
learned that there may be bacteria in the skin plug that prevents 0%.
There is a device the adult ED has initiative that diverts the first 1 ml
of blood to reduce contamination in adult patients. The company wants to
trial that in pediatrics but I am afraid that in our smaller kids, even 0.5
ml may simply be too much to waste.
On Thu, Feb 22, 2018 at 12:10 AM, Mathew George <[log in to unmask]> wrote:
> there has been an increasing number of blood culture contamination from our
> PED recently.
> All the peds EDs I work, we obtain the blood culture when the IV cath is
> How many of you use a second venipuncture for obtaining blood culture,
> particularly in infants 2 months and less
> For more information, send mail to [log in to unmask] with the
> message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: