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Faculty of Medicine
Document Details
Document Type
:
Article In Journal
Document Title
:
in febrile neutropenic patients with acute myeloid leukemia.
in febrile neutropenic patients with acute myeloid leukemia.
Document Language
:
English
Abstract
:
Objective: To evaluate the value of routinely obtaining blood culture with an Isolator system (Isol) along with the BacT/Alert (BT) system from febrile neutropenic patients with acute myeloid leukemia (AML) Design: When an infection was suspected, one aerobic BT bottle from each lumen of double or triple lumen central lines and an anaerobic BT and one Isol tube from a peripheral vein were obtained. The three to four BT bottles and one Isol tube constituted one set of blood culture. Results: Of the 291 sets obtained, microorganisms were isolated from 94 sets (32%), of which 68% (64 of 94) were considered pathogens and 32% (30 of 94) contaminants. Of the pathogens, 51% were detected by BT only and 16% by Isol only. There were nine episodes of candidemia; eight detected by BT only and none by Isol only. Of 56 Gram-positive cocci and nine Gram-negative bacilli, 50% and 60% were detected by BT only and 16% and none by Isol only, respectively. Contamination rates were 2.4% and 11.7% for BT and Isol, respectively (P<0.0001). Conclusion: Routine procurement of Isol in addition to BT blood culture was of limited value and was associated with a high rate of contamination, the consequences of which may be deleterious in the immunocompromised host.
ISSN
:
0940-5429
Journal Name
:
Canadian Journal of Infectious Diseases
Volume
:
9
Issue Number
:
5
Publishing Year
:
1998 AH
1988 AD
Article Type
:
Article
Added Date
:
Saturday, May 15, 2010
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
طارق مدني
Madani, Tariq
Researcher
Doctorate
tmadani@kau.edu.sa
Files
File Name
Type
Description
26670.doc
doc
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