Table 1.
Body of evidence summary table: venipuncture (versus catheter).
| Study (Quality and Effect Size Ratings) | Population/Sample | Setting | Time period | Results (Blood Culture Contamination Rates) |
|---|---|---|---|---|
| Beutz 2003 - Good - Moderate |
300 paired blood cultures from 119 patients - medical ICU | Barnes - Jewish Hospital, St. Louis, MO: 1,000 bed university - affiliated teaching hospital | 9 months (02/2001 – 10/2001) | Venipuncture: 3.7% Catheter: 6.7% OR = 1.88 (CI: 0.88 – 3.99) |
| DesJardin 1999 - Good - Moderate |
551 paired blood cultures from 185 patients – oncology ward | New England Medical Cente, Boston, MA; 300 - bed tertiary care university - affiliated hospital | 22 months (08/1994 – 06/1996) | Venipuncture: 2.4% Catheter: 4.4% OR = 1.88 (CI: 0.95 – 3.74) |
| Everts 2001 - Good - Substantial |
1,408 pairs of concurrent catheter-drawn and venipuncture samples | Tertiary - care medical setting; Duke University School of Medicine, Durham, NC | 24 months (01/1997 – 12/1998) | Venipuncture: 1.8% Catheter: 3.8% OR = 2.12 (CI: 1.32 – 3.41) |
| Martinez 2002 - Good - Substantial |
499 paired blood cultures from 271 patients - surgical and cardiothoracic ICUs | New England Medical Center, Boston, MA; 300 - bed tertiary care university - affiliated hospital | 34 months (11/1994 – 08/1997) | Venipuncture: 1.6% Catheter: 4.0% OR = 2.57 (CI: 1.13 – 5.89) |
| Mcbryde et al. (2005) - Good - Substantial |
962 paired venipuncture and catheter - drawn blood cultures from same patient – multiple wards | Mater Misericordiae Hospital, Brisbane, Queensland Australia; 280 beds; Teaching hospital | 44 months (01/1998 - 08/2002) | Venipuncture: 2.6% Catheter: 13% OR = 5.60 (CI: 3.61 – 8.69) |
| Norberg 2003 - Good - Substantial |
4,108 total blood cultures – pediatric emergency department Catheter: 2108 Venipuncture: 2000 |
Children’s Hospital Medical Center of Akron, Akron, OH | 12 months (01/1999 - 12/1999) | Venipuncture: 2.8% Catheter: 9.1% OR = 3.46 (CI: 2.55 – 4.69) |
| Qamruddin et al. (2007) - Fair - Moderate |
1,138 total blood culture samples – adult patients from multiple wards Venipuncture: 979 Catheter: 159 |
Manchester Royal Infirmary, Manchester, UK. | 2 months (02/2006 - 04/2006) | Peripheral vein: 7.3% Catheter: 10.7% OR = 1.53 (CI: 0.88 – 2.68) |
| Ramsook et al. (2000) - Fair - Substantial |
1,722 total blood cultures – pediatric emergency room Venipuncture: 427 Catheter: 1295 |
Texas Children’s Hospital; Houston University - affiliated Houston, Texas | 6 months (02/1999 - 07/1999) | Venipuncture: 1.2% Catheter: 3.4% OR = 2.97 (CI: 1.17 – 7.54) |
| Weddle 2011 - Good - Substantial |
3,025 total blood cultures - pediatric emergency department Venipuncture: 1229 Catheter: 1796 |
Children’s Mercy Hospitals and Clinics, Kansas City, MO. 263-bed tertiary children’s hospital. | 12 months (9/2008 - 8/2009) | Venipuncture: 2.4 (29/1229) Catheter: 6.7% (120/1796) OR = 2.96 (CI 1.96 – 4.47) |
| BODY OF EVIDENCE RATINGS |
# Studies by Quality and Effect Size Ratings 5 Good/Substantial 1 Fair/Substantial 2 Good/Moderate 1 Fair/Moderate |
|||
| Consistency | YES | |||
| Overall Strength | HIGH | |||
Bibliographic information for all studies is provided in Appendix C.