Abstract
We compared the BACTEC Plus 26/27 culture system (Becton Dickinson Diagnostic Instrument Systems, Sparks, Md.) with and without fastidious organism supplement with conventional centrifugation preparation and plating for the recovery and speed of detection of microorganisms. A total of 1,101 sterile body fluid specimens were collected and processed at five hospital laboratories, yielding 234 (21%) positive cultures. Of the 176 isolates considered clinically significant, 133 (76%) were recovered by both the BACTEC system and conventional culture, while 28 (16% [P < 0.005]) were recovered by BACTEC only and 11 (6%) were recovered by conventional culture alone. There were no statistically significant differences in the speed of detection of microbial growth. It was found that BACTEC, with or without the addition of fastidious organism supplement, exhibited improved sensitivity for the recovery of microorganisms, including fastidious bacteria.
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- Doyle P. W., Crichton E. P., Mathias R. G., Werb R. Clinical and microbiological evaluation of four culture methods for the diagnosis of peritonitis in patients on continuous ambulatory peritoneal dialysis. J Clin Microbiol. 1989 Jun;27(6):1206–1209. doi: 10.1128/jcm.27.6.1206-1209.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Maartens G., Bateman E. D. Tuberculous pleural effusions: increased culture yield with bedside inoculation of pleural fluid and poor diagnostic value of adenosine deaminase. Thorax. 1991 Feb;46(2):96–99. doi: 10.1136/thx.46.2.96. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Males B. M., Walshe J. J., Garringer L., Koscinski D., Amsterdam D. Addi-Chek filtration, BACTEC, and 10-ml culture methods for recovery of microorganisms from dialysis effluent during episodes of peritonitis. J Clin Microbiol. 1986 Feb;23(2):350–353. doi: 10.1128/jcm.23.2.350-353.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reinhold C. E., Nickolai D. J., Piccinini T. E., Byford B. A., York M. K., Brooks G. F. Evaluation of broth media for routine culture of cerebrospinal and joint fluid specimens. Am J Clin Pathol. 1988 May;89(5):671–674. doi: 10.1093/ajcp/89.5.671. [DOI] [PubMed] [Google Scholar]
- Runyon B. A., Antillon M. R., Akriviadis E. A., McHutchison J. G. Bedside inoculation of blood culture bottles with ascitic fluid is superior to delayed inoculation in the detection of spontaneous bacterial peritonitis. J Clin Microbiol. 1990 Dec;28(12):2811–2812. doi: 10.1128/jcm.28.12.2811-2812.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Runyon B. A., Umland E. T., Merlin T. Inoculation of blood culture bottles with ascitic fluid. Improved detection of spontaneous bacterial peritonitis. Arch Intern Med. 1987 Jan;147(1):73–75. [PubMed] [Google Scholar]
- Saubolle M. A., Sewell D. L., Holland M. D., Golper T. A. Comparison of two commercial broth-culture systems for microbial detection in dialysates of patients on continuous ambulatory peritoneal dialysis. Diagn Microbiol Infect Dis. 1989 Nov-Dec;12(6):457–461. doi: 10.1016/0732-8893(89)90077-1. [DOI] [PubMed] [Google Scholar]
- Vas S. I., Law L. Microbiological diagnosis of peritonitis in patients on continuous ambulatory peritoneal dialysis. J Clin Microbiol. 1985 Apr;21(4):522–523. doi: 10.1128/jcm.21.4.522-523.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yagupsky P., Dagan R., Howard C. W., Einhorn M., Kassis I., Simu A. High prevalence of Kingella kingae in joint fluid from children with septic arthritis revealed by the BACTEC blood culture system. J Clin Microbiol. 1992 May;30(5):1278–1281. doi: 10.1128/jcm.30.5.1278-1281.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- von Essen R., Hölttä A. Improved method of isolating bacteria from joint fluids by the use of blood culture bottles. Ann Rheum Dis. 1986 Jun;45(6):454–457. doi: 10.1136/ard.45.6.454. [DOI] [PMC free article] [PubMed] [Google Scholar]
- von Graevenitz A., Amsterdam D. Microbiological aspects of peritonitis associated with continuous ambulatory peritoneal dialysis. Clin Microbiol Rev. 1992 Jan;5(1):36–48. doi: 10.1128/cmr.5.1.36. [DOI] [PMC free article] [PubMed] [Google Scholar]