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Impact of 24/7 loading of blood culture bottles in a new automated incubator on the diagnosis of bloodstream infections
European Journal of Clinical Microbiology & Infectious Diseases ( IF 3.7 ) Pub Date : 2021-06-01 , DOI: 10.1007/s10096-021-04283-6
Gauthier Péan de Ponfilly 1 , H Benmansour 1 , V Manda 2 , E Lecorche 1, 3 , F Mougari 1 , A L Munier 2 , S Temim 1 , R Amarsy 4 , H Jacquier 1, 3 , E Cambau 1, 3
Affiliation  

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.



中文翻译:

在新型自动培养箱中 24/7 全天候装载血培养瓶对血流感染诊断的影响

血培养 (BC) 仍然是血流诊断的金标准,但其工作流程很慢。我们的目标是通过实施具有 24/7 BC 工作流程的新自动化孵化器来减少这一时间。使用这种新策略,潜伏时间更短(1.52 小时 vs 6.82 小时),阳性率更高(10.6% vs 8.9%,p < 0.05),并且 BSI 诊断的数量增加(16.1% vs 13.8% 患者和 2.3对比每 1000 个住院日 1.9 次密度发作)。我们的结果表明,采用 24/7 策略实现 BC 瓶的自动装载不仅缩短了诊断时间,而且显着提高了 BSI 诊断率。

更新日期:2021-06-01
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