THE DETECTION OF POSITIVE BLOOD CULTURES BY THE BACTEC NR660 - THE CLINICAL IMPORTANCE OF 4-DAY VERSUS 7-DAY TESTING

被引:17
作者
EVANS, MR
TRUANT, AL
KOSTMAN, J
LOCKE, L
机构
[1] TEMPLE UNIV, HLTH SCI CTR, DEPT MED MICROBIOL & IMMUNOL, PHILADELPHIA, PA 19140 USA
[2] TEMPLE UNIV, HLTH SCI CTR, DEPT PATHOL, PHILADELPHIA, PA 19140 USA
[3] TEMPLE UNIV, HLTH SCI CTR, DEPT INTERNAL MED, PHILADELPHIA, PA 19140 USA
[4] TEMPLE UNIV, HLTH SCI CTR, DEPT CLIN LAB SCI, PHILADELPHIA, PA 19140 USA
关键词
D O I
10.1016/0732-8893(91)90043-F
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A total of 471 positive blood cultures obtained over a 3-month period were identified and evaluated for day of positivity by the BACTEC NR660. Of all positive blood cultures, 73% (344) were detected within the first 2 days, and 94% (441) were detected through day 4. The proportion of positive cultures detected at day 5 was significantly lower than that at day 4 (p < 0.01). Patient chart review revealed that two of 30 isolates (0.4% of all positive isolates) identified on days 5-7 were considered clinically significant and would have been missed if cultures would not have been evaluated for seven days. Therefore, very limited additional patient benefit is derived after > 4 days of growth and detection by the BACTEC NR660.
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收藏
页码:107 / 110
页数:4
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