Publication: The Effects of Changing Needles on Reducing Contamination of Postmortem Hemocultures
4
Issued Date
2024
Resource Type
Resource Version
Accepted Manuscript
Language
eng
File Type
application/pdf
ISSN
0125-3611 (Print)
2651-0561 (Online)
2651-0561 (Online)
Journal Title
Ramathibodi Medical Journal
Volume
47
Issue
2
Start Page
1
End Page
11
Access Rights
open access
Rights
ผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้า
Rights Holder(s)
Department of Pathology Faculty of Medicine Ramathibodi Hospital Mahidol University
Bibliographic Citation
Ramathibodi Medical Journal. Vol. 47, No. 2 (Apr - Jun 2024), 1-11
Suggested Citation
Warinthorn Hanthanasan, Pitak Santanirand, Kornpira Siriwes, Wisarn Worasuwannarak The Effects of Changing Needles on Reducing Contamination of Postmortem Hemocultures. Ramathibodi Medical Journal. Vol. 47, No. 2 (Apr - Jun 2024), 1-11. 11. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/109779
Research Projects
Organizational Units
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Journal Issue
Thesis
Title
The Effects of Changing Needles on Reducing Contamination of Postmortem Hemocultures
Abstract
Background: Sepsis is a common cause of death and can be diagnosed through postmortem hemoculture. However, this method carries the risk of contamination. Some experts have argued that using a new needle before inoculation can help reduce the contamination rates.
Objective: To evaluate the contamination rate from postmortem hemoculture in needle-changing and no-needle-changing groups.
Methods: The present study analyzed postmortem hemoculture results from autopsy cases at Ramathibodi Hospital. Forty deceased individuals who had died within 24 hours and were not suspected of having an infection were included in the study. The blood samples were divided into 2 groups: one in which the needle was changed before inoculation and the other in which it was not. Differences in hemoculture results between the 2 methods were examined.
Results: No statistically significant difference was detected in the positive culture rate between the needle-changing (57.5%) and non-needle-changing groups (57.5%) (P = 1.00). The Kappa coefficient was 0.795. Viridans group streptococci, Escherichia coli, Klebsiella pneumoniae complex, Enterobacter cloacae complex, and Acinetobacter baumannii complex were the most commonly cultured bacteria.
Conclusions: Changing the needles did not reduce the contamination rate from postmortem hemocultures. Microorganisms commonly found in postmortem hemocultures are oral, gastrointestinal, and hospital-associated microorganisms.