Wilson M L, Weinstein M P
Department of Pathology, University of Colorado School of Medicine, Denver.
Clin Lab Med. 1994 Mar;14(1):69-82.
Various factors are important in the laboratory detection of bacteremia and fungemia. These include clinical factors, the type of blood culture system, and laboratory processing of blood culture bottles. Most commercial blood culture products have been designed to take these factors into account and, thus, are relatively similar. There are differences, however, and it should not be assumed that these products have identical performance characteristics. To optimize microbial recovery, clinicians should order and collect the proper number of blood cultures at the earliest possible time and before the administration of antimicrobial agents. Clinical microbiologists should select a blood culture system that optimizes the recovery of common microbial pathogens and should use blood culture systems according to the manufacturers' recommendations.
多种因素在菌血症和真菌血症的实验室检测中很重要。这些因素包括临床因素、血培养系统的类型以及血培养瓶的实验室处理。大多数商业血培养产品在设计时已考虑到这些因素，因此相对相似。然而，它们之间存在差异，不应假定这些产品具有相同的性能特征。为了优化微生物的检出率，临床医生应尽早且在使用抗菌药物之前开出并采集适当数量的血培养标本。临床微生物学家应选择能优化常见微生物病原体检出率的血培养系统，并应按照制造商的建议使用血培养系统。
