[Blood culture utilization and its indications in emergency departments; time for change?]

Q4 Medicine Nederlands tijdschrift voor geneeskunde Pub Date : 2024-09-10

Daniëlle Kroon, Judith van Kreij, David Baden, Margré C M Baan-Kooman, R B Kool, Simone A van Dulmen

引用次数: 0

Abstract

Objective: To gain insight into the blood culture (BC) utilization in emergency departments (EDs) and to identify differences in the indications for BC collection.

Design: Retrospective study METHOD: Data were collected in 11 EDs for 2018, 2019, and 2020. Indications for blood culture collection were identified in from the hospital protocols. Participants indicated which indications are used in their ED.

Results: In 2019, ten EDs collected BC from 19% to 30% of all patients for internal medicine and geriatrics. Both the used indications and the cutoff values varied. For fever, >38.0°C, >38.3°C, or >38.5°C were used, and for hypothermia <36.0°C or <35.0°C.

Conclusion: There is a variation in the percentage of collected BC in the EDs. Additionally, the used indications and the cutoff values differed. A national discussion on criteria is needed to reduce this variation. Meanwhile, structured benchmarking can make BC collection more appropriate.

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[急诊科血液培养的使用及其适应症；是时候做出改变了吗？］

目的深入了解急诊科（ED）血液培养（BC）的使用情况，并确定BC采集适应症的差异：方法：在 11 个急诊科收集 2018 年、2019 年和 2020 年的数据。根据医院协议确定了血培养采集指征。参与者指出其所在的急诊室采用了哪些适应症：2019 年，10 家急诊室为内科和老年病科的所有患者采集了 19% 至 30% 的 BC。使用的适应症和临界值各不相同。对于发热，使用 >38.0°C、>38.3°C 或 >38.5°C，对于低体温，使用结论：急诊室收集的 BC 百分比存在差异。此外，使用的适应症和临界值也各不相同。需要在全国范围内对标准进行讨论，以减少这种差异。同时，结构化基准可以使 BC 采集更加适当。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nederlands tijdschrift voor geneeskunde Medicine-Medicine (all)

CiteScore

0.30

自引率

0.00%

发文量

302

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