The detection of positive blood cultures by the AccuMed ESP-384 system: The clinical significance of three-day testing

被引:14
作者
Han, XY [1 ]
Truant, AL [1 ]
机构
[1] Temple Univ, Sch Med, Dept Pathol & Lab Med, Philadelphia, PA 19104 USA
关键词
D O I
10.1016/S0732-8893(98)00112-6
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A total of 805 positive blood cultures obtained over a 4-month period during 1997 by the AccuMed ESP-384 system were evaluated and compared with 471 positive blood cultures obtained during 1989. Of the 805 microorganisms isolated in 5-day culture and testing by the ESP-384, 671 (83.4%) were detected within the first 2 days and 758 (94.2%) within 3 days. There were 47 (5.7%) microorganisms detected in culture Days 4 and 5 from 42 patients and review of the medical records from these patients demonstrated that no significant changes in clinical management were instituted as a result of detection and identification of these isolates. These 47 organisms were considered to be zero to equivocal clinical relevance. These data suggest that a 3-day routine blood culture incubation protocol with the ESP-384 system may be sufficient when considering detection rate, clinical relevance, and cost-effectiveness. The microbial spectrum and relative frequencies in this study were found to be similar to those of positive blood cultures obtained during 1989. (C) 1999 Elsevier Science Inc.
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页码:1 / 6
页数:6
相关论文
共 19 条
[1]   Infective endocarditis due to unusual or fastidious microorganisms [J].
Berbari, EF ;
Cockerill, FR ;
Steckelberg, JM .
MAYO CLINIC PROCEEDINGS, 1997, 72 (06) :532-542
[2]   Lack of requirement for prolonged incubation of septi-chek blood culture bottles in patients with bacteremia due to fastidious bacteria [J].
Doern, GV ;
Davaro, R ;
George, M ;
Campognone, P .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1996, 24 (03) :141-143
[3]   Four-day incubation period for blood culture bottles processed with the Difco ESP blood culture system [J].
Doern, GV ;
Brueggemann, AB ;
Dunne, WM ;
Jenkins, SG ;
Halstead, DC ;
McLaughlin, JC .
JOURNAL OF CLINICAL MICROBIOLOGY, 1997, 35 (05) :1290-1292
[4]  
DUNNE WM, 1997, CUMITECH B, V1
[5]   THE DETECTION OF POSITIVE BLOOD CULTURES BY THE BACTEC NR660 - THE CLINICAL IMPORTANCE OF 4-DAY VERSUS 7-DAY TESTING [J].
EVANS, MR ;
TRUANT, AL ;
KOSTMAN, J ;
LOCKE, L .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 1991, 14 (02) :107-110
[6]   TIME TO DETECTION OF POSITIVE BACT ALERT BLOOD CULTURES AND LACK OF NEED FOR ROUTINE SUBCULTURE OF 5-DAY TO 7-DAY NEGATIVE CULTURES [J].
HARDY, DJ ;
HULBERT, BB ;
MIGNEAULT, PC .
JOURNAL OF CLINICAL MICROBIOLOGY, 1992, 30 (10) :2743-2745
[7]  
KAYE D, 1998, HARRISONS PRINCIPLES, P785
[8]   TIME TO POSITIVITY FOR DETECTION OF BACTEREMIA IN NEONATES [J].
KURLAT, I ;
STOLL, BJ ;
MCGOWAN, JE .
JOURNAL OF CLINICAL MICROBIOLOGY, 1989, 27 (05) :1068-1071
[9]   DETECTION OF POSITIVE BLOOD CULTURES BY THE BACTEC NR660 - THE CLINICAL IMPORTANCE OF 5 VERSUS 7 DAYS OF TESTING [J].
MASTERSON, KC ;
MCGOWAN, JE .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1988, 90 (01) :91-94
[10]   Usefulness of blood cultures in pyelonephritis [J].
McMurray, BR ;
Wrenn, KD ;
Wright, SW .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1997, 15 (02) :137-140