{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:32:52Z","timestamp":1784194372241,"version":"3.55.0"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2016,6,21]],"date-time":"2016-06-21T00:00:00Z","timestamp":1466467200000},"content-version":"unspecified","delay-in-days":9790,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[1989,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    For several months in 1986, an outbreak of Strep\n                    <jats:italic>tococcus viridans<\/jats:italic>\n                    pseudobacteremia occurred at a large teaching hospital. All sources of laboratory blood culture contamination were excluded. A retrospective epidemiological study indicated that one phlebotomist, \u201cP,\u201d collected a disproportionate number of the positive blood cultures. Further comparison of the paired blood culture results from the three months when the incidence was highest revealed a good concordance of results among all other phlebotomists (Kappa = 0.5), while P's results concurred with others less frequently than would be expected even by chance (Kappa &lt; 0.0). Clinical follow-up showed that P did not routinely wear gloves while drawing blood and had eczema of the hands. Skin scrapings from the hands, right index finger\/fingernail grew predominantly\n                    <jats:italic>S viridans<\/jats:italic>\n                    species that were compatible with those recovered from contaminated blood cultures. This epidemic demonstrated the need for early detection of this source as a cause of nosocomial pseudobacteremia.\n                  <\/jats:p>","DOI":"10.1086\/646063","type":"journal-article","created":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T16:23:23Z","timestamp":1251822203000},"page":"416-421","source":"Crossref","is-referenced-by-count":9,"title":["Investigation of a\n                    <i>Streptococcus viridans<\/i>\n                    Pseudobacteremia Epidemic at a University Teaching Hospital"],"prefix":"10.1017","volume":"10","author":[{"given":"Deirdre L.","family":"Church","sequence":"first","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather E.","family":"Bryant","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,6,21]]},"reference":[{"key":"S0195941700025960_ref018","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1128\/JCM.15.4.567-570.1982","article-title":"Blood culture contamination associated with a radiometric analyzer","volume":"15","author":"Griffin","year":"1982","journal-title":"J Clin Microbiol"},{"key":"S0195941700025960_ref010","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1128\/JCM.22.1.23-25.1985","article-title":"Mechanism of cross-contamination of blood culture bottles in outbreaks of pseudobacteremia associated with nonsterile blood collection tubes","volume":"22","author":"McNeil","year":"1985","journal-title":"J Clin Microbiol"},{"key":"S0195941700025960_ref002","first-page":"84","article-title":"Through a glass darkly. 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