日本63家医疗机构的血液培养

T. Ohishi, M. Ogawa, Etsuko Katsukura, K. Imoto
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引用次数: 0

摘要

。血培养对传染病的诊断是必不可少的。根据血培养结果给予适当治疗;因此,需要高度精确的测试。本研究获得的数据来自各县床位数最高的医院(前10%;截至2018年,日本全国共有3129家医院,床位≥200张。总共有63家同意参与这项研究的医院提供了2年期间血液培养相关指标的信息。血培养阳性率(95%可信区间)为15.4%(13.7 ~ 17.1%),每1000患者日血培养次数为21.5套(18.2 ~ 24.9套),多套采集率为76.7%(71.1 ~ 82.3%),污染率为3.1%(2.4 ~ 3.8%)。利用这些结果作为日本医疗机构(床位≥200张)血培养的参考值,作者试图在其住院医院接近这些值,并期望改善有关血培养状况的现场干预和教育活动。
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Blood culture at 63 Japanese healthcare facilities
. Blood culture is essential for the diagnosis of infectious disease. Appropriate treatment is administered according to blood culture results; thus, highly accurate tests are required. The present study obtained data from hospitals which are ranked among those with the highest number of beds in each prefecture (top 10%; 1,000 hospitals nation-wide), beginning with 3,129 hospitals throughout Japan with ≥200 beds as of 2018. In total, 63 hospitals that gave their consent to participate in the study provided information regarding blood culture‑related indicators over a 2‑year period. The positive blood culture rate (95% confidence interval) was 15.4% (13.7‑17.1%), the number of blood culture sets per 1,000 patient days was 21.5 (18.2‑24.9), multiple set collection rate was 76.7% (71.1‑82.3%) and the contamination rate was 3.1% (2.4‑3.8%). Using these results as reference values for blood culture in Japanese healthcare facilities with ≥200 beds, the authors are attempting to approach these values at their resident hospitals and expect improved on‑site interventions and educational activities regarding the state of blood culture.
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