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Merien A, Bacle A, Tattevin P, Bellasfar D, Piau C, Cattoir V, Soulat L, Malledant Y, Garlantezec R. Effectiveness of a multimodal intervention to improve blood culture collection in an adult emergency department. Eur J Clin Microbiol Infect Dis 2023; 42:1519-1522. [PMID: 37853227 DOI: 10.1007/s10096-023-04680-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 10/09/2023] [Indexed: 10/20/2023]
Abstract
We investigated the impact of a multimodal intervention to improve the compliance of BC collections as a composite outcome, taking into account both blood volume collected and absence of solitary BC. We performed a quasi-experimental study using a before-after design (5 months for pre- and post-intervention evaluation) in an adult emergency department at a tertiary care hospital that showed that a multimodal intervention was associated with a dramatic increase in the proportion of blood cultures that were collected as recommended per national guidelines, from 17.3% (328/1896) to 68.9% (744/1080), P < 0.0001. The implementation of such intervention in other settings could improve the diagnosis of bloodstream infections and reduce irrelevant costs.
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Affiliation(s)
- Alexis Merien
- Adult Emergency Department, CHU de Rennes, F-35000, Rennes, France
| | - Astrid Bacle
- CHU de Rennes, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement Et Travail) - UMR_S 1085, F-35000, Rennes, France
| | - Pierre Tattevin
- CHU de Rennes, Univ Rennes, INSERM U1230, IFR140, F-35033, Rennes, France
| | - Dorsaf Bellasfar
- Adult Emergency Department, CHU de Rennes, F-35000, Rennes, France
| | - Caroline Piau
- CHU de Rennes, Univ Rennes, INSERM U1230, IFR140, F-35033, Rennes, France
| | - Vincent Cattoir
- CHU de Rennes, Univ Rennes, INSERM U1230, IFR140, F-35033, Rennes, France
| | - Louis Soulat
- Adult Emergency Department, CHU de Rennes, F-35000, Rennes, France
| | - Yannick Malledant
- CHU de Rennes, Univ Rennes, Inra, Inserm, Institut NUMECAN - UMR_A 1341, UMR_S 1241, 35000, Rennes, France
| | - Ronan Garlantezec
- CHU de Rennes, Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement Et Travail) - UMR_S 1085, F-35000, Rennes, France.
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Dirckx K, Cabri P, Merien A, Galajdova L, Gerris J, Dhont M, De Sutter P. Does low-dose aspirin improve pregnancy rate in IVF/ICSI? A randomized double-blind placebo controlled trial. Hum Reprod 2008; 24:856-60. [DOI: 10.1093/humrep/den476] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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