VSE knjižnice (vzajemna bibliografsko-kataložna baza podatkov COBIB.SI)
  • Bakteriemija, sepsa in endokarditis
    Lejko-Zupanc, Tatjana ; Müller-Premru, Manica
    Bacteremia, sepsis and infective endocarditis are serious diseases that demed accurate etiologic diagnosis. To ensure the maximum gain of blood cultures they should be with drawn at the time when the ... probability of isolating a causative pathogen is the greatest, and in such a way to minimize the possibility of contamination. Blood samples are usually with drawn asepticallywhen the patient's temperature is rising. Blood should be inoculated in aerobic and anaerobic bottles. On the whole 10% of blood cultures are usually positive. In the year 1998 9671 blood cultures were analyzed on the Institute for microbiology. 1112 bactetia were isolated, namely 634 (57,0%) Gram positive cocci and 380 (34,2%) Gram negative bacilli. In the years 1984 till 1996 205 patients with infective endocarditis were treated at the Department for infectious diseases. In 17,0% of the patients the blood cultures were negative. Most common pathogens were viridans streptococci (29,7%) and staphylococci (17,5%). Pathogenic bacteria (Salmonella, E. coli, Staphylococcus aureus and others) isolated from one or more blood culture bottles are usually the causative agent of sepsis. S. epidermidis and other coagulase negative staphylococci, Bacillus sp., Corynebacterium sp. and Propionibacterium sp. isolated from only one blood culture bottle in a patient without clinical signs of sepsis probably represent contamination during the withdrawal of blood In analyzing blood culture many mistakes are possible. To avoid them, good cooperation of those that the blood cultures and those anlyzing them is necessary.
    Vrsta gradiva - prispevek na konferenci
    Leto - 1999
    Jezik - slovenski
    COBISS.SI-ID - 10559449