Benes J, Gabrielová A, Horová B, Zítko K, Rozsypal H, Dzupová O, Kabelková M
Infekcní klinika, Fakultní nemocnice na Bulovce, Praha.
Epidemiol Mikrobiol Imunol. 1996 Sep;45(3):101-7.
Three methods of blood cultivation were compared: collection of blood into transport bottles containing only dextran-sulphate, collection into cultivation media containing bottles (aerobic, anaerobic and paediatric Dulab) and the semi-automatic continuous blood culture system (Bactec 9000, using aerobic, anaerobic and paediatric bottles). A total amount of 1.250 blood samples collected from 626 patients was divided equally into the compared bottles and processed parallelly. The yield of the Bactec aerobic bottles was significantly higher than the yield of the transport bottles and aerobic Dulab bottles (p < 0.001). However, this result was influenced by the higher rate of contaminating bacteria isolated from the aerobic Bactec bottles. The yield of the aerobic Dulab bottles was higher than the yield of the transport bottles (p < 0.01). The average time needed for the detection of microorganisms in the Bactec bottles was by 24 hours shorter than in the transport bottles and by 19 hours shorter than in the aerobic Dulab bottles (p < 0.001). The difference between the yields of the anaerobic and the paediatric bottles in our study was not significant. The time needed for the detection of microorganisms was by 17 hours shorter in the anaerobic Bactec bottles than in the transport bottles (p < 0.05).
将血液采集到仅含有葡聚糖硫酸酯的转运瓶中、采集到含有培养基的培养瓶中(需氧、厌氧和儿科杜拉布瓶)以及半自动连续血液培养系统(Bactec 9000,使用需氧、厌氧和儿科瓶)。从626名患者采集的总共1250份血样被平均分配到所比较的培养瓶中并并行处理。Bactec需氧瓶的培养阳性率显著高于转运瓶和需氧杜拉布瓶(p < 0.001)。然而,这一结果受到从需氧Bactec瓶中分离出的污染菌比例较高的影响。需氧杜拉布瓶的培养阳性率高于转运瓶(p < 0.01)。在Bactec瓶中检测到微生物所需的平均时间比在转运瓶中短24小时,比在需氧杜拉布瓶中短19小时(p < 0.001)。在我们的研究中,厌氧瓶和儿科瓶的培养阳性率差异不显著。在厌氧Bactec瓶中检测到微生物所需的时间比在转运瓶中短17小时(p < 0.05)。