Mantz J M, Faller J P, Le Faou A, Jaeger A, Minck R
Nouv Presse Med. 1981;10(30):2489-90.
In patients with positive haemoculture counting the number of micro-organisms per ml of blood can be of interest for both diagnosis and prognosis. Contamination is practically excluded when values exceed 20 organisms/ml, and bacteraemia when they exceed 500 organisms/ml. Generally, the higher the count the greater the likelihood of septicaemia. Values lower than 2 organisms/ml correspond in most cases to Gram-negative infections. Excluding the latter, which carry a high lethal risk, the mortality rate in septicaemia increases with the number of micro-organisms in the blood.
在血培养阳性的患者中,每毫升血液中微生物的数量对于诊断和预后都可能具有重要意义。当数值超过20个微生物/毫升时,几乎可以排除污染;当超过500个微生物/毫升时,则为菌血症。一般来说,计数越高,发生败血症的可能性就越大。大多数情况下,低于2个微生物/毫升的值对应革兰氏阴性菌感染。排除后者(其具有较高的致死风险),败血症的死亡率会随着血液中微生物数量的增加而上升。