Division of Clinical Microbiology F 72, Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
Diagn Microbiol Infect Dis. 2012 Jun;73(2):153-6. doi: 10.1016/j.diagmicrobio.2012.02.020. Epub 2012 Apr 10.
The present study analyzed the performance of Bactec Mycosis IC/F, BacT/Alert FA, and BacT/Alert FN vials in detection and time to detection (TTD) of Candida spp. in 179 simultaneous blood cultures. The Mycosis IC/F, BacT/Alert FA, and BacT/Alert FN vials could detect Candida spp. in 144 (80.45%) of 179, 149 (83.24%) of 179, and 8 (4.47%) of 179 samples, respectively. With the presence of antifungal therapy, the numbers of positive vials were higher in BacT/Alert FA compared to Mycosis IC/F, 87/99 versus 73/99, respectively (P < 0.05). TTD (SD) for C. albicans was shorter in Mycosis IC/F than in BacT/Alert FA vials without antifungal therapy, 20.89 (9.33) versus 28.26 (9.77), respectively (P < 0.01). The detection of Candida spp., with concomitant bacteremia, was higher in Mycosis IC/F than in BacT/Alert FA vials, 28/30 and 19/30, respectively (P = 0.01). The present data show that the use of Bactec Mycosis IC/F together with BacT/Alert FA vials might improve the detection of Candida spp.
本研究分析了 Bactec 真菌培养瓶(Mycosis IC/F)、BacT/Alert FA 和 BacT/Alert FN 培养瓶在 179 份同时进行的血培养中检测和检测时间(TTD)对念珠菌属的性能。Mycosis IC/F、BacT/Alert FA 和 BacT/Alert FN 培养瓶分别可在 179 份样本中的 144 份(80.45%)、179 份样本中的 149 份(83.24%)和 179 份样本中的 8 份(4.47%)中检测到念珠菌属。在存在抗真菌治疗的情况下,BacT/Alert FA 培养瓶中的阳性瓶数高于 Mycosis IC/F 培养瓶,分别为 87/99 比 73/99(P<0.05)。在没有抗真菌治疗的情况下,Mycosis IC/F 培养瓶中 C. albicans 的 TTD(SD)比 BacT/Alert FA 培养瓶短,分别为 20.89(9.33)比 28.26(9.77)(P<0.01)。在合并菌血症的情况下,Mycosis IC/F 培养瓶中念珠菌属的检测率高于 BacT/Alert FA 培养瓶,分别为 28/30 和 19/30(P=0.01)。本研究数据表明,联合使用 Bactec 真菌培养瓶和 BacT/Alert FA 培养瓶可能会提高念珠菌属的检测率。