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Blood culture contamination creep – Full Text

blood sampling

“In a low-COVID-19-burden secondary care teaching hospital setting, blood culture contamination rates have progressively increased over the past decade, irrespective of the pandemic. These findings underscore the importance of sustained vigilance in infection prevention and control practices, strict adherence to blood culture collection protocols, and the ongoing need for staff training” Jeverica et al (2025).

Management of a positive blood cultures

blood sampling

“There is considerable practice variation among ED physicians for the management of positive blood cultures in children across Canada. Incongruencies in the perceived impact of clinical factors on the likelihood of a true bacteremia, such as time-to-positivity, highlight the need for a standardized decision-making tool” Gouin et al (2025).

Impact of delayed blood culture transport time – Full Text

blood sampling

“There is a marginal loss of growth for every hour a blood culture is left unincubated, with the loss of recovery of Streptococcus pyogenes and other streptococci being most common. There was no evidence of a reduction in Gram-negatives, anaerobes, or yeasts” Deas et al (2025).

Pediatric blood culture contamination rates

blood sampling

“Younger patient age and ED nurse blood cultures had greater odds of contamination. Results can inform focused training on quality collection and testing techniques, as well as the creation of enhanced staffing models to increase phlebotomist collections” Childress et al (2025).

Blood culture diagnostic stewardship model – Full Text

blood sampling

“The medical community recently experienced a severe shortage of blood culture media bottles. Rates of blood stream infection (BSI) among critically ill children are low. We sought to design a machine learning (ML) model able to identify children at low risk for BSI to improve blood culture diagnostic stewardship” Martin et al (2025).

Blood culture contamination study – Full Text

blood sampling

“We define a contaminated BC as the growth of a typical contaminant/skin flora in 1-2/4 BC bottles. We calculate BCC rates as a percentage of the contaminated BC/total BC during the period and BCU rates as the number of BC/1000 patient days (PD)” Saleh et al (2025).

Algorithm to reduce blood culture false positives

blood sampling

“Overusing blood cultures (BCxs) can lead to false positives, unnecessary antibiotics, and increased healthcare costs. Despite studies on inpatient BCx algorithms, none have focused on cardiothoracic surgery (CTS) patients, with complex postoperative care and invasive devices” Seidelman et al (2024).

Standardizing blood culture collection

blood sampling

“CDC developed this quality measure to promote the standardization of blood culture best practices and improve laboratory diagnosis of bloodstream infections nationally. This special report will emphasize the importance of standardizing blood culture collection and describe the need for a national patient safety measure, new quality tools, and next steps” Bunn and Cornish (2025).

Contaminated blood culture case study – Full Text

blood sampling

“This case highlights the risks associated with empiric antibiotic treatment of patients with suspected bacteremia, the implications associated with improper blood culture collection technique leading to false positive results, and the importance of interpreting a laboratory result within the context of the patient’s clinical status rather than relying solely on Systemic Inflammatory Response Syndrome (SIRS) criteria” Ordookhanian et al (2024).

Value of time to positivity in blood cultures – Full Text

blood sampling

“Time to positivity (TTP) refers to the duration required for a microbiological culture test to indicate a positive result, marking the onset of detectable bacterial or fungal growth in the sample. Numerous variables, including patient characteristics, infection source, former antimicrobial therapy, blood sample volume, and sample transportation time can influence the value of TTP” Maffezzoli et al (2024).

Reducing blood culture contamination – Full Text

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“The study demonstrated a substantial reduction in blood culture contamination rates through targeted interventions, highlighting the efficacy of combining evidence-based strategies with interdisciplinary teamwork to improve patient care outcomes” Eisenberg et al (2024).

Guidelines to reduce blood culture contamination – Full Text

blood sampling

“Our evidence-based systematic review and meta-analysis support several interventions to effectively reduce BCC by approximately 40%-60%. However, devices alone without an education/training component and buy-in from key stakeholders to implement various interventions would not be as effective in reducing BCC rates” Sautter et al (2024).

Impact of inappropriate central line blood cultures

blood sampling

“The infectious diseases service was consulted for possible catheter related bloodstream infection (CRBSI). The consultant determined that the risk of CRBSI was low because the tunneled line was nontender without surrounding erythema or drainage, and the patient had a known alternative source of infection” Fuher et al (2024).

BSI in children and role of repeat blood cultures

blood sampling

“Repeat blood cultures are common in children after an initial positive culture. However, in contrast to adults, there are little data to help guide clinicians when a repeat culture is necessary to assess for persistent bacteremia. This study identifies factors associated with persistent bloodstream infections (BSI) in children to inform diagnostic stewardship” Puthawala et al (2024).

Impact of central venous catheter drawn blood cultures on patient management – Full Text

blood sampling

“Many episodes of positive catheter-drawn blood cultures with concomitant negative percutaneously-drawn cultures lead to growth from percutaneously-drawn follow-up blood cultures. Thus, such initial discordant results should not be disregarded. Our findings advocate for a nuanced approach to blood culture interpretation, emphasizing the value of catheter-drawn blood cultures in clinical decision making and management” Wales et al (2024).

Blood cultures and time to positivity in children – Full Text

blood sampling

“An audit of positive blood cultures from the Children’s Hospital of Eastern Ontario (CHEO) from November 1, 2019, to October 31, 2020, was performed to determine TTP, defined as the start of incubation to a positive signal from automated incubators” Yeung et al (2024).

Blood culture bottle fill volume – Full Text

blood sampling

“Therefore, it is crucial to fill a blood culture bottle with enough blood to maximize the detection of bacteremia. Current CLSI guidelines for adult blood culture collection recommend 2 sets, that is, 4 bottles of blood cultures, each filled with 10 mL of blood to maximize detection of bacteremia” Keller et al (2024).

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