The “Standard” for Blood Culture Contamination is Changing
~1.4 million patients are potentially impacted each year by a misdiagnosis of sepsis.11 We can do better.
Training and Education on “Best Practices” Alone Will Not Solve the Problem
Clinicians rely on blood culture results for patient treatment decisions, and hospitals and healthcare systems spend considerable efforts training and educating on skin preparation and aseptic techniques. While these best practices are important, contamination caused by sources outside of the nurse or phlebotomist’s control can still occur, resulting in inaccurate or false-positive results and other negative outcomes.12
Human Factors
Skin Flora (microorganisms)
Skin Plugs & Fragments
The Impact
Unnecessary Antibiotic Administration
3 Million +
antibiotic-resistant and C. difficile infections each year and 48,000 people die based on the CDC's 2019 report27
1 in 5 Patients
experience adverse drug event (ADE) associated with antibiotic administration in acute care hospital setting28
$6 billion +
is spent by our healthcare system each year on unnecessary treatment associated with false-positive blood culture results49
Alternative Blood Diversion Methods are Ineffective in Preventing Contamination
Manual Diversion (Waste Tube)
Unproven to Achieve Sustained Reductions
Peer-reviewed controlled clinical studies have not demonstrated sustained reductions and many hospitals have reported an increase in contamination rates18
Waste Tube Challenges
Difficult, if not impossible, to disinfect waste tube top leading to the risk of cross-contamination of both culture bottles
Additional Steps, Touchpoint Contamination
Assembly of supplies and at least 6 additional steps can lead to contamination risks and human error
Passive Diversion Device
Unproven Diversion Volume
No controlled, prospective clinical studies published in national peer-reviewed medical journals on 0.15mL diversion volume
Unproven Effectiveness for Peripheral Intravenous (PIV) Starts
No known, validated clinical data supporting effectiveness and reliable, functional performance for use with PIV starts
Risk of Sidelined Blood Mixing with Specimen
Sideline design allows sidelined blood to mix with culture specimen
Susceptible to Bypassing Diversion
Passive diversion is dependent upon timing of bottle inoculation
Elevating the Standard in Sepsis Testing Accuracy
- Reduction in false-positive blood culture results by up to 100% 19
- 10-month [11,202 blood culture sets] sustained contamination rate as low as 0.0% 19
- Positive predictive value as high as 97% 20
- Reduction in vancomycin DOT as much as 31% 21
- Shorten length of stay by average of 2.2 days (P=0.0001) 22
- Decrease annual costs by an average of $1.9M 23
We’re on a mission to improve the diagnostic accuracy and timeliness of sepsis test results.