Takahashi Miki, Yomoda Sachie, Hosoya Ryuuichi, Horikoshi Mieko, Ishihara Tsutomu, Murakami Masami
Department of Clinical Laboratory Center, Gunma University Hospital, Maebashi.
Rinsho Byori. 2007 Nov;55(11):1025-8.
We compared blood culture and in situ hybridization method (Hybrisep) to detect bacteria in blood samples. One thousand and two hundred and sixty nine blood culture samples were tested in 2003 in our hospital. One hundred and sixty seven samples (13.1%) were positive for bacteria. Total number of detected bacteria was 178. Of 178 bacteria, 49.4% was gram positive, 32.6% was gram negative, 13.5% was Candida spp., and 4.5% was anaerobic. Twenty five samples were tested with both blood culture and Hybrisep. Three samples were positive for both methods, and 13 samples were negative for both methods. The identical results were obtained in 64% of samples. Although the microscopic determination of positive signals in Hybrisep requires trained skills, Hybrisep may be a rapid and sensitive method providing valuable information to diagnose sepsis with an automated equipment and an increased number of probes.
我们比较了血培养和原位杂交方法(Hybrisep)在血样中检测细菌的效果。2003年我院对1269份血培养样本进行了检测。167份样本(13.1%)细菌检测呈阳性。检测到的细菌总数为178株。在178株细菌中,49.4%为革兰氏阳性菌,32.6%为革兰氏阴性菌,13.5%为念珠菌属,4.5%为厌氧菌。对25份样本同时采用血培养和Hybrisep进行检测。两种方法均有3份样本呈阳性,13份样本均为阴性。64%的样本得到了相同的结果。尽管在Hybrisep中通过显微镜确定阳性信号需要专业技能,但Hybrisep可能是一种快速且灵敏的方法,可借助自动化设备和增加的探针数量为败血症诊断提供有价值的信息。