Wada Y, Yoshimoto H, Tozawa T
Department of Clinical Laboratory, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 663-8501, Japan.
Rinsho Biseibutshu Jinsoku Shindan Kenkyukai Shi. 1999 Dec;10(2):97-102.
We evaluated the direct identification method from growth-positive blood culture bottles using MicroScan Rapid ID panels (DADE BEHRING) for the purpose of rapid identification. The inoculum for Rapid ID panels were prepared using an isolation method from blood culture bottles by VACUTAINER (BD). McF 1.0 had a better result than McF 0.5 as the inoculum concentration for Rapid ID panels. Rapid ID panel identification results were effected by blood contamination for > or =0.3% of S. aureus and 0.9% of a strain of E. coli. Blood contamination from the bottle may cause an issue to the identification results. The accuracy of this direct identification testing was 72.0% (36 out of 50) for gram positives organisms and 88. 9% (80 out of 90) for gram negatives organisms. Although some strains including S. pyogenes, coagulase-negative staphylococci and non-Fermentative Gram Negative Rods had not identified correctly, this method provides a preliminary result within 3 hours and provides a fast turn around time. In conclusion, this method was considered as an effective method for routine testing.
为实现快速鉴定,我们评估了使用MicroScan Rapid ID鉴定板(达德拜林公司)对生长阳性血培养瓶进行直接鉴定的方法。Rapid ID鉴定板的接种物采用VACUTAINER(BD公司)从血培养瓶中分离的方法制备。作为Rapid ID鉴定板的接种物浓度,麦氏浊度1.0比麦氏浊度0.5效果更好。当金黄色葡萄球菌污染率≥0.3%以及一株大肠杆菌污染率为0.9%时,Rapid ID鉴定板的鉴定结果会受到血液污染的影响。血培养瓶中的血液污染可能会对鉴定结果产生问题。对于革兰氏阳性菌,这种直接鉴定测试的准确率为72.0%(50株中有36株),对于革兰氏阴性菌为88.9%(90株中有80株)。尽管包括化脓性链球菌、凝固酶阴性葡萄球菌和非发酵革兰氏阴性杆菌在内的一些菌株未被正确鉴定,但该方法能在3小时内提供初步结果,周转时间快。总之,该方法被认为是一种有效的常规检测方法。