Reply from dr gilad Academic Article uri icon


  • We read with considerable interest the recent article in CMI by Eskira et al.[1], in which the authors described the use of an educational intervention to significantly reduce blood culture contamination (BCC) rates. We agree that this protocol should be considered in settings where BCC rates are a major difficulty, such as the intensive care unit (ICU). Particularly in the ICU, favourable evolutions in healthcare have resulted in a change in the profile of critically-ill patients, making them highly susceptible to infection by opportunistic pathogens. The risk of severe infection means that broadspectrum empirical antimicrobial agents are administered frequently (and often incorrectly), thereby increasing selection pressure and drug resistance [2]. To focus empirical treatment, sitespecific surveillance cultures are taken in our hospital on a routine, thrice-weekly basis [3]. As colonisation with resistant …

publication date

  • January 1, 2007