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Effect of routine sterile gloving on contamination rates in blood culture : A cluster randomized trial
DC Field | Value | Language |
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dc.contributor.author | Kim, Nak-Hyun | - |
dc.contributor.author | Kim, Moonsuk | - |
dc.contributor.author | Lee, Shinwon | - |
dc.contributor.author | Yun, Na Ra | - |
dc.contributor.author | Kim, Kye-Hyung | - |
dc.contributor.author | Park, Sang Won | - |
dc.contributor.author | Kim, Hong Bin | - |
dc.contributor.author | Kim, Nam-Joong | - |
dc.contributor.author | Kim, Eui-Chong | - |
dc.contributor.author | Park, Wan Beom | - |
dc.contributor.author | Oh, Myoung-don | - |
dc.date.accessioned | 2024-04-26T01:11:47Z | - |
dc.date.available | 2024-04-26T01:11:47Z | - |
dc.date.created | 2020-08-11 | - |
dc.date.issued | 2011-02 | - |
dc.identifier.citation | Annals of Internal Medicine, Vol.154 No.3, pp.145-151 | - |
dc.identifier.issn | 0003-4819 | - |
dc.identifier.uri | https://hdl.handle.net/10371/199745 | - |
dc.description.abstract | Background: Blood culture contamination leads to inappropriate or unnecessary antibiotic use. However, practical guidelines are inconsistent about the routine use of sterile gloving in collection of blood for culture. Objective: To determine whether the routine use of sterile gloving before venipuncture reduces blood culture contamination rates. Design: Cluster randomized, assessor-blinded, crossover trial (ClinicalTrials.gov registration number: NCT00973063). Setting: Single-center trial involving medical wards and the intensive care unit. Participants: 64 interns in charge of collection of blood for culture were randomly assigned to routine-to-optional or optional-to-routine sterile gloving groups for 1854 adult patients who needed blood cultures. Intervention: During routine sterile gloving, the interns wore sterile gloves every time before venipuncture, but during optional sterile gloving, sterile gloves were worn only if needed. Measurements: Isolates from single positive blood cultures were classified as likely contaminant, possible contaminant, or true pathogen. Contamination rates were compared by using generalized mixed models. Results: A total of 10 520 blood cultures were analyzed: 5265 from the routine sterile gloving period and 5255 from the optional sterile gloving period. When possible contaminants were included, the contamination rate was 0.6% in routine sterile gloving and 1.1% in optional sterile gloving (adjusted odds ratio, 0.57 [95% CI, 0.37 to 0.87]; P = 0.009). When only likely contaminants were included, the contamination rate was 0.5% in routine sterile gloving and 0.9% in optional sterile gloving (adjusted odds ratio, 0.51 [CI, 0.31 to 0.83]; P = 0.007). Limitation: Blood cultures from the emergency department, surgical wards, and pediatric wards were not assessed. Conclusion: Routine sterile gloving before venipuncture may reduce blood culture contamination. | - |
dc.language | 영어 | - |
dc.publisher | American College of Physicians | - |
dc.title | Effect of routine sterile gloving on contamination rates in blood culture : A cluster randomized trial | - |
dc.type | Article | - |
dc.identifier.doi | 10.7326/0003-4819-154-3-201102010-00003 | - |
dc.citation.journaltitle | Annals of Internal Medicine | - |
dc.identifier.wosid | 000286729200001 | - |
dc.identifier.scopusid | 2-s2.0-79551544266 | - |
dc.citation.endpage | 151 | - |
dc.citation.number | 3 | - |
dc.citation.startpage | 145 | - |
dc.citation.volume | 154 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Park, Sang Won | - |
dc.contributor.affiliatedAuthor | Kim, Hong Bin | - |
dc.contributor.affiliatedAuthor | Kim, Nam-Joong | - |
dc.contributor.affiliatedAuthor | Kim, Eui-Chong | - |
dc.contributor.affiliatedAuthor | Park, Wan Beom | - |
dc.contributor.affiliatedAuthor | Oh, Myoung-don | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | VENIPUNCTURE SITE DISINFECTION | - |
dc.subject.keywordPlus | POVIDONE-IODINE | - |
dc.subject.keywordPlus | CHLORHEXIDINE GLUCONATE | - |
dc.subject.keywordPlus | CLINICAL-SIGNIFICANCE | - |
dc.subject.keywordPlus | SKIN PREPARATION | - |
dc.subject.keywordPlus | TINCTURE | - |
dc.subject.keywordPlus | ANTISEPSIS | - |
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