A Critical Appraisal of the Role of the Clinical Microbiology Laboratory in the Diagnosis of Bloodstream Infections

Author:

Weinstein Melvin P.1,Doern Gary V.2

Affiliation:

1. Departments of Medicine and Pathology, Robert Wood Johnson Medical School, New Brunswick, New Jersey 08901-0019

2. Department of Pathology, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242

Abstract

ABSTRACT The detection of bloodstream infections is one of the most important functions of clinical microbiology laboratories. Despite advances in blood culture technology and clinical studies that have focused on the detection of bacteremia and fungemia, perfection has not been achieved and uncertainties persist. This review provides perspectives on a number of areas, including the recommended number of blood cultures, duration of incubation of blood cultures, use of anaerobic, in addition to aerobic, blood culture media, value of the lysis-centrifugation method, processing and reporting of probable blood culture contaminants, and limitations of current blood culture methods and systems. We also address the handling of blood cultures in point-of-care locations that lack full microbiology capabilities.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference19 articles.

1. BaronE. J.. 2005. Cumitech 1C blood cultures IV. Coordinating ed. BaronE. J. ASM Press Washington DC.

2. CLSI. 2007. Principles and procedures for blood cultures. Approved guideline M47-A. Clinical and Laboratory Standards Institute Wayne PA.

3. Clinical comparison of Difco ESP, Wampole Isolator, and Becton Dickinson Septi-Chek aerobic blood culturing systems;Cockerill F. R.;J. Clin. Microbiol.,1996

4. Optimal testing parameters for blood cultures;Cockerill F. R.;Clin. Infect. Dis.,2004

5. Four-day incubation period for blood culture bottles processed with the Difco ESP blood culture system;Doern G. V.;J. Clin. Microbiol.,1997

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