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The Impact of Performance Improvement Interventions and Phlebotomy Staff Counseling on Blood Culture Contamination Rates: Experience of Security Forces Hospital, Makkah, Saudi Ar

Article

Last updated: 28 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Clinical microbiology

Abstract

Background: Blood culture contamination is a global problem that heeds all healthcare settings and has many negative impacts. Objectives: to compare the effectiveness of the two implemented interventions on blood culture contamination rates. Methodology: The blood culture reports of specimens received by the microbiology laboratory during the study period were grouped into 3 groups; pre-intervention group, post-intervention I group after educational lectures and practical workshops, post-intervention II group after implementation of the same intervention I together with individual counseling for staff identified as having obtained contaminated specimens. The contamination rates were evaluated and compared to the target and as regards departments and organisms. Results: After intervention I, there was a 31.56% reduction rate while after post-intervention II there was a 56.8% reduction from the pre-intervention rate. The total number of contaminants showed a highly significant difference between pre-intervention and post-intervention I & between post-interventions I and II (p=0.001) and an extremely highly significant difference between pre-intervention and post-intervention II (p=0.0001).  The highest rate of contamination was found in the emergency department followed by ICUs. The contaminants were coagulase-negative staphylococci (CoNS) (82.8%, 92.6%, 93.3%) micrococci (9.7%, 5.5% 6.7%), anthracoid (4.9%,1.2%, 0%) and Corynebacterium spp. (2.6%, 0.6%, 0%) in the three groups pre or post interventions respectively. Conclusion: Intervention II proved to be more effective in reducing blood culture contamination rate. So, it is recommended to continuously track the contamination rate and train the staff on the best practice together with disciplinary counseling for those who frequently withdraw contaminated blood culture specimens.

DOI

10.21608/ejmm.2023.312063

Keywords

Quality, Standard -rate, Educational, Training, Feedback

Authors

First Name

Ibtesam

Last Name

Afifi

MiddleName

K.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Tanta University, Tanta, Egypt; Department of Basic &Clinical Oral Sciences &, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia

Email

ebtesam.afefy@med.tanta.edu.eg

City

-

Orcid

0000-0001-5534-479X

First Name

Asmaa

Last Name

Mostafa

MiddleName

M.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Tanta University, Tanta, Egypt; Infection Control and Epidemiology Department, King Abdullah Medical City, Makkah, Saudi Arabia,

Email

aysha_zedan@yahoo.com

City

-

Orcid

-

First Name

Waseem

Last Name

Hassan

MiddleName

-

Affiliation

Microbiology Laboratory Supervisor, Security Forces Hospital Makkah, Saudi Arabia

Email

wasimgadie@yahoo.com

City

-

Orcid

-

First Name

Sultana

Last Name

Alshareef

MiddleName

A.

Affiliation

Quality Management Supervisor, Security Forces Hospital Makkah, Saudi Arabia

Email

sultanaaalsharif@gmail.com

City

-

Orcid

-

First Name

Sherhana

Last Name

Abdulmajid

MiddleName

J. A.

Affiliation

Laboratory Quality Coordinator, Security Forces Hospital Makkah, Saudi Arabia

Email

sherhanaabdulmajid474@gmail.com

City

-

Orcid

-

First Name

Eman

Last Name

Elsebaei

MiddleName

A.

Affiliation

Professor and Consultant of Medical Microbiology, Security Forces Hospital Makkah, Saudi Arabia

Email

emanlabah@yahoo.com

City

-

Orcid

-

Volume

32

Article Issue

3

Related Issue

41216

Issue Date

2023-07-01

Receive Date

2023-08-10

Publish Date

2023-07-01

Page Start

117

Page End

126

Print ISSN

1110-2179

Online ISSN

2537-0979

Article File

EJMM_Volume 32_Issue 3_Pages 117-126.pdf

PDF . 627.4kB

Link

https://ejmm.journals.ekb.eg/article_312063.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=312063

Order

312,063

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

The Impact of Performance Improvement Interventions and Phlebotomy Staff Counseling on Blood Culture Contamination Rates: Experience of Security Forces Hospital, Makkah, Saudi Arabia

Details

Type

Article

Created At

28 Dec 2024