Table 1.
Overview of all sent blood culture bottles inoculated with primarily sterile body fluids, positive signalled bottles and RAST-eligible pathogens within the time period of 1st November 2018 to 30th November 2019 at the Department for Infectious Diseases at the University Hospital Heidelberg, Germany. A total of 5341 aerobic, anaerobic and PEDS blood culture bottles inoculated with various primarily sterile body fluids were sent of which 937 bottles flagged as positive. A total of 345 positive blood culture bottles were eligible for RAST and comparison to MIC results. In total, 550 drug-species measurements were analysed
| n | |
|---|---|
| Overall sent blood cultures inoculated with primarily sterile body fluids | 5341 |
| Flagged as positive | 937 |
| - False-positive bottles | 13 |
| - Blood culture bottles with ≥ 2 pathogens | 64 |
| Positive blood culture bottles with mono-bacterial growth | 860 |
| Pathogens for which RAST was applicable | 345 |
| - BACTEC™ Aerobic | 108 |
| - BACTEC™ Anaerobic | 150 |
| - BACTEC™ PEDS | 87 |
| Thereof analysed drug-species measurements | 550 |
| Type of primarily sterile body fluids | |
| - Joint fluid | 223 |
| - Ascites | 52 |
| - Dialysate | 22 |
| - Pleural fluid | 14 |
| - Easy flow drainage | 12 |
| - Other various drainage fluids (thoracic drainage, pericardium drainage, liver abscess, not-inscribed drainage) | 20 |
| - Gall bladder puncture | 2 |
| S. aureus | 197 |
| - MSSA | 183 |
| - MRSA | 14 |
| Enterococcus spp. | 91 |
| - E. faecalis | 41 |
| - E. faecium | 28 |
| - Vancomycin-resistant E. faecium (VRE) | 22 |
| E. coli | 38 |
| K. pneumoniae | 11 |
| - Carbapenemase-producing K. pneumoniae | 1 |
| P. aeruginosa | 8 |
| Other species than those validated for RAST | 572 |
| S. epidermidis | 211 |
| Other coagulase-negative Staphylococcus spp. (S. capitis, S. caprae, S. cohnii, S. haemolyticus, S. hominis, S. lugdunensis, S. petrasii, S. pettenkoferi, S. saccharolyticus, S. warneri, S. simulans) | 135 |
| Streptococcus spp. (S. agalactiae, S. anginosus, S. canis, S. constellatus, S. dysgalactiae, S. gallolyticus, S. gordonii, S. intermedius, S. lutetiensis, S. mitis, S. oralis, S. parasanguinis, S. pyogenes, S. salivarius, S. sanguinis, S. thermophiles, S. vestibularis, S. pneumoniae, S. viridans) | 85 |
| Other Enterococcus spp. (E. gallinarum, E. avium) | 13 |
| Other gram-positive cocci (Aerococcus viridans, Micrococcus luteus, Parvimonas micra, Peptoniphilus harei, Rothia (Stomatococcus) mucilaginosa, Ruminococcus gnavus) | 8 |
| Gram-positive bacilli (Actinomyces funkei, Actinomyces neuii, Arthrobacter sanguinis, Bacillus cereus complex, Bacillus spp., Brevibacterium paucivorans, Clostridium spp., Corynebacterium spp., Cutibacterium spp., Gordonia polyisoprenivorans, Lactobacillus rhamnosus, Nocardia farcinica, Paenibacillus phoenicis) | 54 |
| Other Enterobacterales (Citrobacter spp., Enterobacter cloacae complex, Hafnia alvei, Klebsiella spp., Morganella morganii, Proteus spp., Providencia stuartii, Serratia spp.) | 7 |
| Other gram-negative pathogens (Acinetobacter spp., Aeromonas caviae, Bacteroides fragilis, Burkholderia cepacia complex, Haemophilus influenzae, Moraxella spp., Pantoea spp., Pseudomonas alcaligenes) | 17 |
| Candida spp. | 42 |