Cover Image

Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke

Blood culture is a crucial investigation with major implication in the management of severe infection especially on the best-appropriate selection of anti-microbial therapy. Blood culture contamination can lead to adverse consequences such as inappropriate use of antibiotics, increased antibiotic...

Full description

Saved in:
Bibliographic Details
Main Authors: Mohd Nizam, Zahary, Azizul Fadzli, Wan Jusoh@Ab Rahim, Nik Ahmad Shaiffudin, Nik Him, Rosliza, Yahaya
Format: Article
Language:English
Published: 2017
Subjects:
Q Science (General)
R Medicine (General)
Online Access:http://eprints.unisza.edu.my/5780/1/FH02-FSK-18-13094.pdf
http://eprints.unisza.edu.my/5780/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my-unisza-ir.5780
record_format eprints
spelling my-unisza-ir.57802022-02-24T04:47:12Z http://eprints.unisza.edu.my/5780/ Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke Mohd Nizam, Zahary Azizul Fadzli, Wan Jusoh@Ab Rahim Nik Ahmad Shaiffudin, Nik Him Rosliza, Yahaya Q Science (General) R Medicine (General) Blood culture is a crucial investigation with major implication in the management of severe infection especially on the best-appropriate selection of anti-microbial therapy. Blood culture contamination can lead to adverse consequences such as inappropriate use of antibiotics, increased antibiotic resistance and prolonged hospital stay. The present study aimed to determine the prevalence of blood culture contamination and to investigate the factors associated with blood culture contamination such as patients, healthcare providers and environmental at Emergency Department, Hospital Universiti Sains Malaysia. A prospective cross-sectional study was conducted on sepsis, severe sepsis and septic shock patients from 1st September 2012 to 31st August 2013. One hundred and thirty six (136) consented patients who fulfilled criteria according to International Sepsis Guidelines and required intravenous antibiotics were enrolled into the study. Blood culture was processed according to the recommendations of the Clinical and Laboratory Standard Institute.Positive blood cultures were 44 (32.4%) with 27 of them were contaminated. The prevalence of blood culture contamination in the study population was 19.9%. Night shift work (OR, 4.73; CI, 1.35-16.57; p=0.015), semi-critical zone in triage (OR, 3.78; CI, 1.47- 9.73; p=0.006) and patients who have stroke (OR, 5.49; CI, 1.36-22.19; p=0.017) were found to be significantly associated with the risk for blood culture contamination. Cultures taken during night shift work, semi critical zone in triage and patients who have stroke are associated with the risk for blood culture contamination. These findings should be regarded as a time for change and provide an impetus towards improving patient care. 2017-12 Article PeerReviewed text en http://eprints.unisza.edu.my/5780/1/FH02-FSK-18-13094.pdf Mohd Nizam, Zahary and Azizul Fadzli, Wan Jusoh@Ab Rahim and Nik Ahmad Shaiffudin, Nik Him and Rosliza, Yahaya (2017) Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke. Research Journal of Pharmacy and Technology, 10 (12). pp. 9-10. ISSN 0974-3618
institution Universiti Sultan Zainal Abidin
building UNISZA Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sultan Zainal Abidin
content_source UNISZA Institutional Repository
url_provider https://eprints.unisza.edu.my/
language English
topic Q Science (General)
R Medicine (General)
spellingShingle Q Science (General)
R Medicine (General)
Mohd Nizam, Zahary
Azizul Fadzli, Wan Jusoh@Ab Rahim
Nik Ahmad Shaiffudin, Nik Him
Rosliza, Yahaya
Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke
description Blood culture is a crucial investigation with major implication in the management of severe infection especially on the best-appropriate selection of anti-microbial therapy. Blood culture contamination can lead to adverse consequences such as inappropriate use of antibiotics, increased antibiotic resistance and prolonged hospital stay. The present study aimed to determine the prevalence of blood culture contamination and to investigate the factors associated with blood culture contamination such as patients, healthcare providers and environmental at Emergency Department, Hospital Universiti Sains Malaysia. A prospective cross-sectional study was conducted on sepsis, severe sepsis and septic shock patients from 1st September 2012 to 31st August 2013. One hundred and thirty six (136) consented patients who fulfilled criteria according to International Sepsis Guidelines and required intravenous antibiotics were enrolled into the study. Blood culture was processed according to the recommendations of the Clinical and Laboratory Standard Institute.Positive blood cultures were 44 (32.4%) with 27 of them were contaminated. The prevalence of blood culture contamination in the study population was 19.9%. Night shift work (OR, 4.73; CI, 1.35-16.57; p=0.015), semi-critical zone in triage (OR, 3.78; CI, 1.47- 9.73; p=0.006) and patients who have stroke (OR, 5.49; CI, 1.36-22.19; p=0.017) were found to be significantly associated with the risk for blood culture contamination. Cultures taken during night shift work, semi critical zone in triage and patients who have stroke are associated with the risk for blood culture contamination. These findings should be regarded as a time for change and provide an impetus towards improving patient care.
format Article
author Mohd Nizam, Zahary
Azizul Fadzli, Wan Jusoh@Ab Rahim
Nik Ahmad Shaiffudin, Nik Him
Rosliza, Yahaya
author_facet Mohd Nizam, Zahary
Azizul Fadzli, Wan Jusoh@Ab Rahim
Nik Ahmad Shaiffudin, Nik Him
Rosliza, Yahaya
author_sort Mohd Nizam, Zahary
title Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke
title_short Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke
title_full Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke
title_fullStr Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke
title_full_unstemmed Blood culture contamination in emergency department of a tertiary teaching hospital in North-Eastern Malaysia: Association with working shift, triage and stroke
title_sort blood culture contamination in emergency department of a tertiary teaching hospital in north-eastern malaysia: association with working shift, triage and stroke
publishDate 2017
url http://eprints.unisza.edu.my/5780/1/FH02-FSK-18-13094.pdf
http://eprints.unisza.edu.my/5780/
_version_ 1725976993402454016
score 13.211869

Similar Items