학술논문

Impact of 24/7 loading of blood culture bottles in a new automated incubator on the diagnosis of bloodstream infections.
Document Type
Academic Journal
Author
Péan de Ponfilly G; Laboratoire de Microbiologie, BioGem, APHP Nord, Hôpitaux Lariboisière - Fernand Widal, 75014, Paris, France. gpeandeponfilly@ghpsj.fr.; Benmansour H; Laboratoire de Microbiologie, BioGem, APHP Nord, Hôpitaux Lariboisière - Fernand Widal, 75014, Paris, France.; Manda V; Department of Infectious Diseases, Saint Louis - Lariboisière - Fernand Widal University Hospital, APHP, Paris, France.; Lecorche E; Laboratoire de Microbiologie, BioGem, APHP Nord, Hôpitaux Lariboisière - Fernand Widal, 75014, Paris, France.; Université de Paris, INSERM, UMR1137, IAME, Paris, France.; Mougari F; Laboratoire de Microbiologie, BioGem, APHP Nord, Hôpitaux Lariboisière - Fernand Widal, 75014, Paris, France.; Munier AL; Department of Infectious Diseases, Saint Louis - Lariboisière - Fernand Widal University Hospital, APHP, Paris, France.; Temim S; Laboratoire de Microbiologie, BioGem, APHP Nord, Hôpitaux Lariboisière - Fernand Widal, 75014, Paris, France.; Amarsy R; Equipe opérationnelle d'Hygiène hospitalière, APHP Nord, Hôpitaux Lariboisière - Fernand Widal, Paris, France.; Jacquier H; Laboratoire de Microbiologie, BioGem, APHP Nord, Hôpitaux Lariboisière - Fernand Widal, 75014, Paris, France.; Université de Paris, INSERM, UMR1137, IAME, Paris, France.; Cambau E; Laboratoire de Microbiologie, BioGem, APHP Nord, Hôpitaux Lariboisière - Fernand Widal, 75014, Paris, France.; Université de Paris, INSERM, UMR1137, IAME, Paris, France.
Source
Publisher: Springer Country of Publication: Germany NLM ID: 8804297 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-4373 (Electronic) Linking ISSN: 09349723 NLM ISO Abbreviation: Eur J Clin Microbiol Infect Dis Subsets: MEDLINE
Subject
Language
English
Abstract
Blood culturing (BC) remains the gold standard for bloodstream diagnosis but its workflow is slow. We aimed reducing this time by implementing a new automated incubator with a 24/7 BC workflow. With this new strategy, time to incubation was shorter (1.52 h vs 6.82 h), positivity rates were higher (10.6% vs 8.9%, p<0.05), and the number of BSI diagnostics increased (16.1% vs 13.8% patients and 2.3 vs 1.9 density episode per 1000 hospital days). Our results show that implementing automatic loading of BC bottles with a 24/7 strategy not only shortened time to diagnosis but significantly increased the BSI diagnosis rate.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)