Salisbury Foundation Trust

FOI_7659

Internal Reference Number: FOI_7659

Date Request Received: 10/01/2024 00:00:00

Date Request Replied To: 06/02/2024 00:00:00

This response was sent via: By Email

Request Summary: Blood Contamination

Request Category: Companies

 
Question Number 1:
Prior to blood culture collection, what skin asepsis solution does your hospital/Trust/Health Board use in the skin preparation/ cleaning process - (a) licensed skin antisepsis applicator (b) licensed skin disinfection wipe (c) non licensed wipe (d) other?
 
Answer To Question 1:
B
 
Question Number 2:
How long do you clean the patient’s skin for and what technique is used?
 
Answer To Question 2:
No specific timeframe in policy. Advised to do thoroughly in policy.
 
Question Number 3:
How long does your organisation allow the patients skin to dry before blood culture collection?
 
Answer To Question 3:
No specific time frame - just allow to dry.
 
Question Number 4:
Do you know the percentage of contamination rate of blood cultures in your organisation?
 
Answer To Question 4:
Yes, a contamination audit is carried out.

Contamination rates historically. No current data available for 2019 - 2024 - this would take in excess of 18 hours to collate. Exemption notice attached for current data.

2012-13: 4.07%
2013-14: 4.29%
2014-15: 4.51%
2015-16: 4.82%
2016-17: 4.49%
2017-18: 4.85%
2018-19: 4.37%


 
Question Number 5:
What is the management process following a confirmed blood sample contamination.

Is it escalation to

(a) infection control team

(b) microbiology

(c) education and development

(d) other, please specify or

(e) no process?

 
Answer To Question 5:
B. Microbiology:

Each culture is analysed by the microbiology consultant on a case-by-case basis taking into consideration the microbiological findings, the clinical details and information from the clinicians involved. In some cases the blood cultures will obviously be a contaminant and advice given to the team accordingly, however, in most cases, identification is required to be sure that an isolate is indeed a contaminant. Again, advice will be given to the team accordingly.
 
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