Blood culture contamination rates

blood sampling

“Initial central venous blood culture sampling before CVC insertion is a simple approach that does not generate additional costs and may reduce contamination while preserving accurate pathogen detection, thereby potentially improving diagnostic certainty and supporting antimicrobial stewardship” Hellenthal et al (2026).

Time to blood culture positivity and Candidemia management – Full Text

blood sampling

“Blood culture positivity times differ among Candida species. Early TTP species, such as C. albicans and C. tropicalis, were more likely to be fluconazole-susceptible, suggesting that fluconazole may be an appropriate option for empirical therapy in such infections” Öz et al (2026).

Blood culture pathways in UK hospitals

blood sampling

“We conducted a nationwide survey (1 February 2024-6 February 2025) of microbiology laboratories across England and Scotland to assess BC pathways, turnaround times for organism identification and antimicrobial susceptibility testing (AST), availability of rapid methods, operational hours, and result communication” Drury et al (2026).

Characteristics associated with positive pediatric blood cultures

blood sampling

“We defined clinical characteristics associated with children who had clinically significant BSI. These data should be considered when developing guidance for which children warrant blood culture collection for BSI evaluation. The majority of BSIs are identified within 36 hours of collection” Patel et al (2026).

Review of blood culture diversion devices

blood sampling

“Blood culture diversion (BCD), particularly via blood culture diversion devices (BCDDs), has emerged as a promising strategy to reduce BCC. BCDDs divert initial blood flow likely contaminated with skin flora, thereby improving diagnostic accuracy” Otter et al (2026).

Blood culture stewardship – Full Text

blood sampling

“At two hospitals during the shortage, SEP-1 metric compliance declined related to BCx utilization. Review of cases where BCx were not obtained demonstrated most BCx were safely avoided without demonstrable patient harm” Ryder et al (2025).

Impact of stewardship practices on blood culture collection – Full Text

blood sampling

“Formulating safe and effective diagnostic stewardship guidance for blood cultures in immunocompromised patients is challenging due to limited data and high risk of infectious complications. A 2024 global shortage in blood culture bottles (BD Diagnostics) necessitated the implementation of blood culture stewardship, including at our tertiary care cancer center” She et al (2025).

Blood culture contamination rates in children

blood sampling

“Active feedback is likely to maintain low contamination rates during the pandemic. The decrease in occult bacteremia suggests that enhanced infection control measures influenced pediatric infectious disease patterns” Aiba et al (2025).

Electronic prompt for blood culture collection

blood sampling

“If blood cultures had not been collected, the pharmacist manually recorded a prompt in the patient’s electronic medical record recommending the collection of two sets of blood cultures” Shibata et al (2025).

Blood cultures in extremely preterm infants – Full Text

blood sampling

“Most EP infants admitted to an all-referral Level IV NICU had a blood culture drawn. The rate of positive cultures was relatively low, although EP infants with positive blood cultures had higher rates of mortality and morbidities” Sharadgah et al (2025).

Review of paired central and peripheral blood cultures

blood sampling

“CLABSI can be diagnosed by differential time to positivity (DTP), where central venous line (CVL) blood cultures grow 120 minutes faster than peripheral cultures drawn at the same time. Peripheral cultures cause patient discomfort, risk contamination with skin flora, may cause delays in clinical care, and the overall impact is uncertain. We investigated our institution’s paired blood culture practice to assess the utility and clinical impact of peripheral cultures” Prudowsky et al (2025).

Impact of blood diversion during blood culture collection

blood sampling

“This quality improvement study reports a 34.45% reduction in contamination rates using the initial specimen blood diversion technique. Although there was a significant decrease in the rate of contamination, we were unable to achieve a rate of less than 1.0% without a sterile closed system device” Moore et al (2025).

Blood cultures processing after death

blood sampling

“Blood cultures (BC) are essential for the diagnosis of bloodstream infections (BSI). BSI can be inaccurately attributed due to BC contamination or bacterial translocation. Reporting BCs after patient death can be inaccurate and potentially increase BSI incidence” Heather et al (2025).

Blood culture contamination creep – Full Text

blood sampling

“In a low-COVID-19-burden secondary care teaching hospital setting, blood culture contamination rates have progressively increased over the past decade, irrespective of the pandemic. These findings underscore the importance of sustained vigilance in infection prevention and control practices, strict adherence to blood culture collection protocols, and the ongoing need for staff training” Jeverica et al (2025).

Management of a positive blood cultures

blood sampling

“There is considerable practice variation among ED physicians for the management of positive blood cultures in children across Canada. Incongruencies in the perceived impact of clinical factors on the likelihood of a true bacteremia, such as time-to-positivity, highlight the need for a standardized decision-making tool” Gouin et al (2025).

Impact of delayed blood culture transport time – Full Text

blood sampling

“There is a marginal loss of growth for every hour a blood culture is left unincubated, with the loss of recovery of Streptococcus pyogenes and other streptococci being most common. There was no evidence of a reduction in Gram-negatives, anaerobes, or yeasts” Deas et al (2025).

Pediatric blood culture contamination rates

blood sampling

“Younger patient age and ED nurse blood cultures had greater odds of contamination. Results can inform focused training on quality collection and testing techniques, as well as the creation of enhanced staffing models to increase phlebotomist collections” Childress et al (2025).

Blood culture diagnostic stewardship model – Full Text

blood sampling

“The medical community recently experienced a severe shortage of blood culture media bottles. Rates of blood stream infection (BSI) among critically ill children are low. We sought to design a machine learning (ML) model able to identify children at low risk for BSI to improve blood culture diagnostic stewardship” Martin et al (2025).