{"created":"2024-04-23T02:33:57.327932+00:00","id":2000737,"links":{},"metadata":{"_buckets":{"deposit":"ea187d2f-8ac4-4616-bff6-ba4bc26174e8"},"_deposit":{"created_by":6,"id":"2000737","owner":"6","owners":[6],"pid":{"revision_id":0,"type":"depid","value":"2000737"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:02000737","sets":["10:22:24"]},"author_link":[],"control_number":"2000737","item_5_alternative_title_19":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"ICUにおける血液培養採取プロトコルの導入と血液培養汚染率へ与える影響：単施設、非無作為化介入研究","subitem_alternative_title_language":"ja"}]},"item_5_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-12-06","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"48","bibliographicPageStart":"41","bibliographicVolumeNumber":"67","bibliographic_titles":[{"bibliographic_title":"ACTA MEDICA NAGASAKIENSIA","bibliographic_titleLang":"en"}]}]},"item_5_date_granted_64":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2023-12-06"}]},"item_5_degree_grantor_62":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"Nagasaki University (長崎大学)"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"17301","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_5_degree_name_61":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士(医学)","subitem_degreename_language":"ja"}]},"item_5_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Introduction: Because of increasing medical costs and antibiotic resistance, a blood-culture contamination rate of less than 3% is recommended. This study involved the conceptualization of a novel ICU blood culture sample-collection protocol and an investigation of the effect of its implementation on ICU blood culture contamination rate. Considering the difficulty of sample collection via venipuncture in ICU patients, blood culture sample collection via single venipuncture was evaluated as an alternative method. Materials and Methods: Adults who were admitted to the ICU and provided blood culture samples collected between June 1, 2018, and May 31, 2021, were prospectively enrolled in this single-center, interventional study. The primary outcome was the change in the blood-culture contamination rate from before to after the introduction of the seven-item ICU blood culture protocol (Intervention 1); the secondary outcome was the change in the blood-culture contamination rate and true positive rate from before to after the introduction of the single venipuncture method (Intervention 2). Results: During the study period, there were 524 sets of ICU blood culture sample collections. Intervention 1 significantly decreased the blood-culture contamination rate from 20% to 1.8% (p=0.01). Compared with the double venipuncture method, Intervention 2 did not significantly increase the blood-culture contamination or true positive rate. Discussion: The implementation of the ICU blood-culture sample-collection protocol and subsequent improvements in the quality of blood-culture sample collection significantly decreased the blood-culture contamination rate. The single venipuncture method did not increase the rate of contamination; however, the clinical usefulness of the single venipuncture method should be ascertained.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_5_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"長崎大学学位論文 学位記番号:博(医歯薬)甲第1563号 学位授与年月日:令和5年12月6日","subitem_description_language":"ja","subitem_description_type":"Other"},{"subitem_description":"Author: Jun Makino, Satoshi Kakiuchi, Takeshi Tanaka, Masato Tashiro, and Koichi Izumikawa","subitem_description_language":"en","subitem_description_type":"Other"},{"subitem_description":"Citation: ACTA MEDICA NAGASAKIENSIA, 67(2), pp.41−48; 2024","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_5_description_69":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Nagasaki University (長崎大学), 博士(医学) (2023-12-06)","subitem_description_type":"Other"}]},"item_5_dissertation_number_65":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲医歯薬第1563号"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"names":[{"name":"Makino, Jun","nameLang":"en"}]}]},"item_5_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagasaki University School of Medicine","subitem_publisher_language":"en"}]},"item_5_relation_42":{"attribute_name":"関係URI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://hdl.handle.net/10069/0002000483","subitem_relation_type_select":"HDL"}}]},"item_5_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00016055","subitem_source_identifier_type":"ISSN"}]},"item_5_text_67":{"attribute_name":"学位の種類","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"課程博士"}]},"item_5_text_68":{"attribute_name":"出版者別言語","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"長崎大学医学部"}]},"item_5_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"牧野, 淳","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-04-23"}],"filename":"ISYK1563_Makino.pdf","filesize":[{"value":"750 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://nagasaki-u.repo.nii.ac.jp/record/2000737/files/ISYK1563_Makino.pdf"},"version_id":"323cc0e5-d30f-4c03-aed0-c449b386e48f"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"blood-culture contamination","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ICU","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"blood culture sample-collection protocol","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"single venipuncture","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Introduction of ICU blood culture protocols and the effect on rates of contamination: A single-center, non-randomized interventional study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Introduction of ICU blood culture protocols and the effect on rates of contamination: A single-center, non-randomized interventional study","subitem_title_language":"en"}]},"item_type_id":"5","owner":"6","path":["24"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-04-23"},"publish_date":"2024-04-23","publish_status":"0","recid":"2000737","relation_version_is_last":true,"title":["Introduction of ICU blood culture protocols and the effect on rates of contamination: A single-center, non-randomized interventional study"],"weko_creator_id":"6","weko_shared_id":-1},"updated":"2024-05-07T00:01:14.017190+00:00"}