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In total 92% of the nursing personnel and 93% of the medical personnel received training. The total number of blood cultures increased from 1757 to 2872 (64% increase) and the rate of blood cultures per 1000patients from 287 to 481 (68% increase). The number of positive blood cultures decreased from 18.6% to 13.7% (p  0.05). Typical skin pathogens were found in 34.4% and 26.4% of the cases, respectively (p  0.05). The development, introduction and training of aBC-SOP in the ED can make a relevant contribution to