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双套血培养对提高血流感染检出率和鉴别污染的评价 被引量:24

Value of duplicate blood cultures in identifying bloodstream infection and discri-minating contamination
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摘要 目的评价双套血培养在提高血流感染检出率及鉴别污染的临床价值。方法统计2010—2011年上海交通大学附属第六人民医院双套血培养的双次阳性率和单次阳性率,评价双次阳性和单次阳性在鉴别血培养污染中的差异。结果我院2010—2011年共送检双套血培养3 151例,占全年送检病例数的71.2%。共检出483例阳性,阳性率15.33%。其中双次阳性192例,阳性率6.09%;单次阳性291例,阳性率9.23%。结论双套血培养能够提高血流感染检出率并能鉴别分离菌的定植或污染,建议临床在诊断血流感染时送检双套血培养。 Objective To evaluate the utility of duplicate blood cultures in identifying bloodstream infection and discriminating contamination. Methods The results of duplicate cultures during 2010 -2011 were analyzed in terms of single or double positive findings. The ability of discriminating contamination was compared between single and double positive cultures. Results Dupli- cate blood cultures were conducted for 3 151 blood samples in our hospital during the period from 2010 through 2011, about 71.2% of all the blood cultures in these two years. There were 483 (15.33%) positive cultures, including double-positive for 192 samples (192/3 151, 6.09%), single-positive for 29l (9. 230/oo, 291/3 151) samples. Conclusions Duplicate blood cultures can improve the detection of bloodstream infection and discrimination of contamination. Duplicate blood cultures should be ree ommended for identifying bloodstream infection.
出处 《中国感染与化疗杂志》 CAS 北大核心 2012年第6期440-442,共3页 Chinese Journal of Infection and Chemotherapy
关键词 双套血培养 血流感染 检出率 duplicate blood culture bloodstream infection
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  • 1Pittet D, Tarara D, Wenzel RP. Nosocomial bloodstream in?fection in critically ill patients. Excess length of stay, extra- costs and attributable mortality[J].JAMA,1994,271 (20): 1598-1601.
  • 2Vandijck DM,Depaemelaere Mv Labeau SO,et al. Daily cost of antimicrobial therapy in patient s with Intensive Care Unit?acquired, laboratory-confirmed bloodstream infection [J]. Int J Antimicrob Agents,2008,31(2): 161-165.
  • 3Weinstein MP. Blood culture contamination: Persisting prob?lems and partial progress[J]. J Clin Microbiol, 20D3, 41 (6) : 2275-2278.
  • 4Everts RJ, Vinson EN, Adholla PO, et al. Contamination of catheter-drawn blood cultures[J]. J Clin Microbiol , 2001,39 (!) : 3393-3394.
  • 5Suet ens C, Morales 1, Savey A, et al. European surveillance of ICU-acquired infections ( HELICS-ICU ): methods and main results[J]. J Hosp Infect, 2007 , 65 CSuppl 2) : 171-173.
  • 6徐修礼,杨春龙,樊新,孙怡群,郝晓柯.血培养标本中病原菌分布及其耐药性分析[J].中华医院感染学杂志,2008,18(10):1456-1459. 被引量:22
  • 7王进,肖永红.2006-2007年Mohnarin血流感染病原菌构成及耐药性[J].中华医院感染学杂志,2008,18(9):1238-1242. 被引量:87
  • 8Richter SS, Beekmann SE, Croce DJ, et al. Minimizing the workup of blood culture contaminants: Implementation and e?valuation of a laboratory-based algorithm[J]. J Clin Microbi- 01,2002,40(7) :2437-2444.
  • 9Haimi-Cohem Y, Vellozzi EM, Rubin LG. Initial concentra?tion of Staphylococcus epiderrnidis in simulated pediatric blood cultures correlates with time to positive results with the automated, continuously monitored BACTEC blood culture system[J]. J Clin Microbiol,2002,40(3) :898-901.
  • 10St Geme JW 3rd,Beli LM,Baumgart Sv et al. Distinguishing sepsis from blood culture contamination in young infants with blood cultures growing coagulase-negative staphylococci [1]. Pediatrics, 1990,86(2) : 157-162.

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  • 1周俊山,徐梦怡,陆敏.中青年急性脑梗死患者血浆同型半胱氨酸水平和超敏C反应蛋白与颈动脉粥样硬化的关系[J].脑与神经疾病杂志,2011,19(2):110-112. 被引量:20
  • 2孙宝君,邹琳.血培养阳性病原菌分布及变化趋势的临床分析[J].解放军医学杂志,2005,30(5):430-431. 被引量:4
  • 3黎毅敏,黄红川,刘晓青,何为群,袁锦萍,杨灵,唐英春.重症监护病房铜绿假单胞菌医院获得性感染暴发的流行病学调查[J].中国呼吸与危重监护杂志,2006,5(6):413-417. 被引量:13
  • 4张红升.血培养凝固酶阴性葡萄球菌阳性的评价[J].医药论坛杂志,2007,28(5):9-11. 被引量:19
  • 5Baddour LM, Wilson WR, Bayer AS, et al. Infective endocarditis : diagnosis, antimicrobial therapy, and management of complications : a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association : endorsed by the Infectious Diseases Society of America [ J ]. Circulation ,2005,111 (23) : e394-e434.
  • 6Weinstein MP, Towns ML, Quartey SM, et al. The clinical significance of positive blood cuhures in the 1990s: a prospective, comprehensive evaluation of the microbiology, epidemiology, and outcome of bacteremia and fungemia in adults [ J ]. Clin Infect Dis, 1997,24 (4) :584-602.
  • 7Everts RJ,Vinson EN,Adholla P,et al. Contamination of catheter-drawn blood cultures [ J ]. J Clin Mierobiol, 2001,39 (9) : 3393-3394.
  • 8Clinical and Laboratory Standards Institute . Principles and procedures for blood euhures [ S ] . M47-A, CLSI,2010.
  • 9Riehter S, Beekmann SE, Croeo JL, et al. Minimizing the workup of blood culture contaminants: implementation and evaluation of a laboratory-based algorithm [ J ]. J Clin Microbiol, 2002,40 ( 7 ) : 2437- 2444.
  • 10Janapatla RP, Yan JJ, Chien ML, et al. Effect of overnight storage of blood culture bottles on bacterial detection time in the BACTEC 9240 blood culture system [ J]. J Microbiol Immunol Infect,2010,43 (2) :126-132.

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