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Underutilization and Quality Gaps in Blood Culture Processing in Public Hospitals of Peru.

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dc.contributor.author Krapp, Fiorella
dc.contributor.author Rondon, Claudia
dc.contributor.author Amaro, Catherine
dc.contributor.author Barco-Yaipén, Evelyn
dc.contributor.author Valera-Krumdieck, María
dc.contributor.author Vásquez, Rubén
dc.contributor.author Briones, Alexander
dc.contributor.author Casapia, Martin
dc.contributor.author Burgos, Antonio
dc.contributor.author López, Favio Sarmiento
dc.contributor.author Vilcapoma, Pierina
dc.contributor.author Sipión, Roberto Díaz
dc.contributor.author Villegas-Chiroque, Miguel
dc.contributor.author Castillo, Kelly
dc.contributor.author Pino-Dueñas, Jimena
dc.contributor.author Cuadros, Edwin Cuaresma
dc.contributor.author Alpaca-Salvador, Hugo
dc.contributor.author Campana, René
dc.contributor.author Córdova, Teresa Peralta
dc.contributor.author Chavez, Elizett Sierra
dc.contributor.author Ventura, Carla Aguado
dc.contributor.author Peeters, Marjan
dc.contributor.author Jacobs, Jan
dc.contributor.author García Apac, Coralith Marlinda
dc.date.accessioned 2022-02-01T21:18:26Z
dc.date.available 2022-02-01T21:18:26Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/11269
dc.description.abstract Correct processing of blood cultures may impact individual patient management, antibiotic stewardship, and scaling up of antimicrobial resistance surveillance. To assess the quality of blood culture processing, we conducted four assessments at 16 public hospitals across different regions of Peru. We assessed the following standardized quality indicators: 1) positivity and contamination rates, 2) compliance with recommended number of bottles/sets and volume of blood sampled, 3) blood culture utilization, and 4) possible barriers for compliance with recommendations. Suboptimal performance was found, with a median contamination rate of 4.2% (range 0-15.1%), with only one third of the participating hospitals meeting the target value of < 3%; and a median positivity rate of 4.9% (range 1-8.1%), with only 6 out of the 15 surveilled hospitals meeting the target of 6-12%. None of the assessed hospitals met both targets. The median frequency of solitary blood cultures was 71.9% and only 8.9% (N = 59) of the surveyed adult bottles met the target blood volume of 8 - 12 mL, whereas 90.5% (N = 602) were underfilled. A high frequency of missed opportunities for ordering blood cultures was found (30.1%, 95/316) among patients with clinical indications for blood culture sampling. This multicenter study demonstrates important shortcomings in the quality of blood culture processing in public hospitals of Peru. It provides a national benchmark of blood culture utilization and quality indicators that can be used to monitor future quality improvement studies and diagnostic stewardship policies en_US
dc.language.iso eng
dc.publisher American Society of Tropical Medicine and Hygiene
dc.relation.ispartofseries American Journal of Tropical Medicine and Hygiene (ASTMH Journal)
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Underutilization en_US
dc.subject Quality Gaps en_US
dc.subject Blood Culture en_US
dc.subject Public Hospital en_US
dc.subject Peru en_US
dc.title Underutilization and Quality Gaps in Blood Culture Processing in Public Hospitals of Peru. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.4269/ajtmh.21-0770
dc.relation.issn 1476-1645


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