能否使用阳性血培养瓶进行细菌鉴定和抗菌药物敏感性测试，以快速诊断血流感染？
Is it possible to perform bacterial identification and antimicrobial susceptibility testing with a positive blood culture bottle for quick diagnosis of bloodstream infections?
作者信息
Lemos Tamily Cristina, Cogo Laura Lúcia, Maestri Adriane Cheschin, Hadad Milena, Nogueira Keite da Silva
机构信息
Residência Multiprofissional em Atenção Hospitalar, Universidade Federal do Paraná, Curitiba, PR, Brasil.
Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brasil.
出版信息
Rev Soc Bras Med Trop. 2018 Mar-Apr;51(2):215-218. doi: 10.1590/0037-8682-0311-2017.
INTRODUCTION
Bloodstream infections can be fatal, and timely identification of the etiologic agent is important for treatment.
METHODOLOGY
An alternative method, consisting of direct identification and susceptibility testing of blood culture bottles using the automated VITEK 2® system, was assessed.
RESULTS
All 37 of the Gram-negative bacilli (GNB) identifications and 57.1% of the 28 Gram-positive cocci (GPC) identifications matched those obtained with standard methods. In susceptibility testing, the agreement was greater than 90%.
CONCLUSIONS
This alternative methodology may assist in the early identification and susceptibility testing of GNB. Further research is necessary to develop appropriate methods for GPC.
引言
血流感染可能是致命的，及时鉴定病原体对于治疗很重要。
方法
评估了一种替代方法，该方法包括使用自动化VITEK 2®系统对血培养瓶进行直接鉴定和药敏试验。
结果
所有37株革兰氏阴性杆菌（GNB）的鉴定结果以及28株革兰氏阳性球菌（GPC）中57.1%的鉴定结果与标准方法获得的结果相匹配。在药敏试验中，一致性大于90%。
结论
这种替代方法可能有助于GNB的早期鉴定和药敏试验。需要进一步研究以开发适用于GPC的合适方法。
Zotero 插件