Promotion of appropriate implementation of blood culture in surgical departments

Abstract

The blood culture test (BCT) is one of the most important laboratory examinations for exploring of infectious disease. In our institute, this test did not perform appropriately, especially in surgical departments. One year from April 2014, we perform a campaign for appropriate BCT. We advertised for BCT in patients with any infectious diseases before antimicrobial drug administration and multiple sets BCT. Before the campaign, rate of multiple sets BCT in whole hospital, rate of multiple sets BCT in surgical departments and number of BCT were 18.2％, 12.1％ and 182 patients, respectively. After one year of campaign, these dates were 67.0％, 75.4％ and 252 patients, respectively. After the campaign year, we continued to approach the doctors to perform the appropriate BCT. The rates of multiple set BCT in whole hospital from 2015 to 2017 were 86.0％, 89.1％ and 91.0％, respectively. To perform the campaign of appropriate BCT in whole hospital, the rate of multiple sets BCT was improved both whole hospital and surgical departments. The campaign of appropriate BCT has to perform continuously for improvement of accuracy of BCT.