Quality indicators for blood culture: 1 year of monitoring with BacT/Alert Virtuo at a French hospital

التفاصيل البيبلوغرافية
العنوان: Quality indicators for blood culture: 1 year of monitoring with BacT/Alert Virtuo at a French hospital
المؤلفون: Seher Yilmaz, Gaelle Cuzon, Laurent Dortet, Cécile Emeraud, Nicolas Fortineau
المصدر: Journal of Medical Microbiology
بيانات النشر: Microbiology Society, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Microbiology (medical), medicine.medical_specialty, Time Factors, Sample (material), Blood volume, Microbiology, BacT/AlertVirtuo, accreditation, Specimen Handling, Bloodstream infection, Sepsis, medicine, Humans, Blood culture, Quality Indicators, Health Care, medicine.diagnostic_test, Bacteria, business.industry, Bact alert, General Medicine, quality indicators, Contamination rate, Clinical microbiology, Clinical Microbiology, Blood Culture, Emergency medicine, France, business
الوصف: Introduction. Blood culture (BC) remains the gold standard for the diagnosis of bloodstream infection. Clinical microbiology laboratories must ensure the quality of their BC process from receipt to definitive results. Aim. In this study, we followed the evolution of different quality indicators for BCs over the first year of implementation of the BacT/Alert Virtuo system in a French hospital. Methodology. In our laboratory, we instituted regular monitoring of several quality indicators to track (i) delays in sample registration, (ii) delays in loading BC bottles in our incubating system (BacT/Alert Virtuo) after registration, (iii) the volume of blood in bottles and (iv) the contamination rates. Results. For 53 892 BC bottles loaded in the BacT/Alert Virtuo from 23 January to 31 December 2019, the delays in sample registration, loading and unloading were respectively 3.5 h±0.016, 44 min±0.209 and 5.8 h±0.0727. Intriguingly, the automated process performed by the BacT/Alert Virtuo system to check the blood volume in bottles was only performed for 60 % of the loaded bottles. Among these, 30 % contained the recommended volume of blood (between 7 and 13 ml). Finally, the contamination rate was found to be 27.2 % for samples at our institution. Conclusions. The delays in sample registration, loading and unloading were found to be acceptable, even though they could be improved by ensuring a continuous service during the night duty period. Furthermore, the percentage of volumes measured is insufficient and must be improved and the majority of bottles do not contain the recommended blood volume.
اللغة: English
تدمد: 1473-5644
0022-2615
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a173fe999661dc2050dea234e93dd315Test
http://europepmc.org/articles/PMC8346724Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....a173fe999661dc2050dea234e93dd315
قاعدة البيانات: OpenAIRE