Blood culture procedures and practices in the neonatal intensive care unit: A survey of a large multicenter collaborative in California.
OBJECTIVE: To describe variation in blood culture practices in the neonatal intensive care unit (NICU).
DESIGN: Survey of neonatal practitioners involved with blood culturing and NICU-level policy development.
PARTICIPANTS: We included 28 NICUs in a large antimicrobial stewardship quality improvement program through the California Perinatal Quality Care Collaborative.
METHODS: Web-based survey of bedside blood culture practices and NICU- and laboratory-level practices. We evaluated adherence to recommended practices.
RESULTS: Most NICUs did not have a procedural competency (54%), did not document the sample volume (75%), did not receive a culture contamination report (57%), and/or did not require reporting to the provider if 50% of practices, compared to units without (92% vs 50% of units; P < .02).
CONCLUSIONS: In the NICU setting, recommended practices for blood culturing were not routinely performed.
Lefrak L, Schaffer KE, Bohnert J, et al. "Blood culture procedures and practices in the neonatal intensive care unit: A survey of a large multicenter collaborative in California." Infect Control Hosp Epidemiol. 2023:1-6.PubMed