Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impact
Abstract Objective design: In June of 2024, Becton Dickinson experienced a blood culture bottle shortage for their BACTEC system, forcing health systems to reduce usage or risk exhausting their supply. Virginia Commonwealth University Health System (VCUHS) in Richmond, VA decided that it was neces...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Antimicrobial Stewardship & Healthcare Epidemiology |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2732494X24004741/type/journal_article |
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| author | Christopher D. Doern Melissa Whitman Michelle Doll Suzanne Lavoie David Friedel Gonzalo Bearman Jeffrey Kim Heather Masters Susan Roseff Jim Willis Roxanne Mercer Aaron Hill Ramana Feeser Harinder Dhindsa Frank Petruzella Anne Jackson Michael Vitto Josh Plauny Alexandra Bryson |
| author_facet | Christopher D. Doern Melissa Whitman Michelle Doll Suzanne Lavoie David Friedel Gonzalo Bearman Jeffrey Kim Heather Masters Susan Roseff Jim Willis Roxanne Mercer Aaron Hill Ramana Feeser Harinder Dhindsa Frank Petruzella Anne Jackson Michael Vitto Josh Plauny Alexandra Bryson |
| author_sort | Christopher D. Doern |
| collection | DOAJ |
| description |
Abstract
Objective design:
In June of 2024, Becton Dickinson experienced a blood culture bottle shortage for their BACTEC system, forcing health systems to reduce usage or risk exhausting their supply. Virginia Commonwealth University Health System (VCUHS) in Richmond, VA decided that it was necessary to implement austerity measures to preserve the blood culture bottle supply.
Setting:
VCUHS includes a main campus in Richmond, VA as well as two affiliate hospitals in South Hill, VA (Community Memorial Hospital (CMH)) and Tappahannock Hospital in Tappahannock, VA. It also includes a free-standing Emergency Department in New Kent, VA.
Patients:
Blood cultures from both pediatric and adult patients were included in this study.
Interventions:
VCUHS intervened to decrease blood culture utilization across the entire health system. Interventions included communication of blood culture guidance as well as an electronic health record order designed to guide providers and discourage wasteful ordering.
Results:
Post-implementation analyses showed that interventions reduced overall usage by 35.6% (P < .0001) and by greater than 40% in the Emergency Departments. The impact of these changes in utilization on positivity were analyzed, and it was found that the overall positivity rate increased post-intervention from 8.8% to 12.1% (P = .0115) and in the ED specifically from 10.2% to 19.5% (P < .0001).
Conclusions:
These findings strongly suggest that some basic stewardship interventions can significantly change blood culture practice in a manner that minimizes the impact on patient care.
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| format | Article |
| id | doaj-art-3bd859aaa97d4e98b324a44f021f9aff |
| institution | Kabale University |
| issn | 2732-494X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Antimicrobial Stewardship & Healthcare Epidemiology |
| spelling | doaj-art-3bd859aaa97d4e98b324a44f021f9aff2025-01-16T21:48:01ZengCambridge University PressAntimicrobial Stewardship & Healthcare Epidemiology2732-494X2025-01-01510.1017/ash.2024.474Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impactChristopher D. Doern0https://orcid.org/0000-0003-2454-4355Melissa Whitman1https://orcid.org/0009-0002-3721-8647Michelle Doll2https://orcid.org/0000-0003-2477-1240Suzanne Lavoie3https://orcid.org/0009-0009-7334-2304David Friedel4https://orcid.org/0000-0001-6936-9082Gonzalo Bearman5Jeffrey Kim6Heather Masters7Susan Roseff8Jim Willis9Roxanne Mercer10Aaron Hill11Ramana Feeser12Harinder Dhindsa13https://orcid.org/0009-0000-2295-3353Frank Petruzella14Anne Jackson15Michael Vitto16Josh Plauny17Alexandra Bryson18Department of Pathology, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USA Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USA Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Pathology, Virginia Commonwealth University School of Medicine, Richmond, VA, USAVirginia Commonwealth University Health System, Richmond, VA, USAVirginia Commonwealth University Health System, Richmond, VA, USAVirginia Commonwealth University Health System, Richmond, VA, USADepartment of Emergency Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Emergency Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USADepartment of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, VA, USAVirginia Commonwealth University Health System, Richmond, VA, USADepartment of Emergency Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USAVirginia Commonwealth University Health System, Richmond, VA, USADepartment of Pathology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA Abstract Objective design: In June of 2024, Becton Dickinson experienced a blood culture bottle shortage for their BACTEC system, forcing health systems to reduce usage or risk exhausting their supply. Virginia Commonwealth University Health System (VCUHS) in Richmond, VA decided that it was necessary to implement austerity measures to preserve the blood culture bottle supply. Setting: VCUHS includes a main campus in Richmond, VA as well as two affiliate hospitals in South Hill, VA (Community Memorial Hospital (CMH)) and Tappahannock Hospital in Tappahannock, VA. It also includes a free-standing Emergency Department in New Kent, VA. Patients: Blood cultures from both pediatric and adult patients were included in this study. Interventions: VCUHS intervened to decrease blood culture utilization across the entire health system. Interventions included communication of blood culture guidance as well as an electronic health record order designed to guide providers and discourage wasteful ordering. Results: Post-implementation analyses showed that interventions reduced overall usage by 35.6% (P < .0001) and by greater than 40% in the Emergency Departments. The impact of these changes in utilization on positivity were analyzed, and it was found that the overall positivity rate increased post-intervention from 8.8% to 12.1% (P = .0115) and in the ED specifically from 10.2% to 19.5% (P < .0001). Conclusions: These findings strongly suggest that some basic stewardship interventions can significantly change blood culture practice in a manner that minimizes the impact on patient care. https://www.cambridge.org/core/product/identifier/S2732494X24004741/type/journal_article |
| spellingShingle | Christopher D. Doern Melissa Whitman Michelle Doll Suzanne Lavoie David Friedel Gonzalo Bearman Jeffrey Kim Heather Masters Susan Roseff Jim Willis Roxanne Mercer Aaron Hill Ramana Feeser Harinder Dhindsa Frank Petruzella Anne Jackson Michael Vitto Josh Plauny Alexandra Bryson Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impact Antimicrobial Stewardship & Healthcare Epidemiology |
| title | Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impact |
| title_full | Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impact |
| title_fullStr | Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impact |
| title_full_unstemmed | Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impact |
| title_short | Blood culture bottle shortage mitigation efforts: analysis of impact on ordering and patient impact |
| title_sort | blood culture bottle shortage mitigation efforts analysis of impact on ordering and patient impact |
| url | https://www.cambridge.org/core/product/identifier/S2732494X24004741/type/journal_article |
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