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Sumiyoshi S, Aoki K, Motobayashi H, Yogo A, Tochitani K. Contamination rate of rare bacterial species detected by MALDI-TOFMS: a retrospective cohort study. Diagn Microbiol Infect Dis 2024; 108:116110. [PMID: 37924747 DOI: 10.1016/j.diagmicrobio.2023.116110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 10/07/2023] [Accepted: 10/12/2023] [Indexed: 11/06/2023]
Abstract
When rare bacterial species are identified in blood cultures, determining the clinical significance is sometimes difficult. This study aimed to analyze the clinical significance of rare bacterial species detected in blood cultures using matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOFMS) by comparing their contamination rates with those of common species. We retrospectively analyzed medical records of adult patients with positive blood cultures at Kyoto City Hospital from 2014 to 2022. Rare species were defined by low detection rates and few PubMed reports. Of 4880 microorganisms identified from 3441 individuals, 1150 (23.6%) were classified as contamination. Meanwhile, 24 rare microorganisms were identified, of which 14 (58.3%) were classified as contamination, which was significantly higher than common species (odds ratio 4.56, 95% confidence Interval 1.88-11.50, P < 0.001). These findings may help in determining the clinical significance of rare bacterial species in blood cultures with few reported cases.
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Affiliation(s)
- Shougen Sumiyoshi
- Department of Infection Control and Prevention, Osaka University, Osaka, Japan.
| | - Kazuaki Aoki
- Department of General Internal Medicine, Kameda Medical Center, Chiba, Japan
| | | | - Aoi Yogo
- Division of Infectious Diseases, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
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Batool A, Yaqoob A, Anwar Z, Joshi LT, Batool R, Lone D, Saleem Z, Ahmed Q, Bin Jardan YA, Bourhia M, Qamar MU. Outbreak investigation of NDM-producing Burkholderia cepacia causing neonatal sepsis in Pakistan. Future Microbiol 2023; 18:1159-1169. [PMID: 37850347 DOI: 10.2217/fmb-2023-0063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 08/03/2023] [Indexed: 10/19/2023] Open
Abstract
Aim: To investigate the outbreak of Burkholderia cepacia complex (BCC), mortality, antimicrobial resistance and associated risk factors in the neonatal intensive care unit. Method: Eighteen blood culture samples from neonates and twenty swab samples from different neonatal intensive care unit surfaces were collected. The VITEK 2 was used to confirm the isolates and generate the antibiogram. PCR was used to identify blaNDM. Results: Eighteen samples tested positive for BCC, and 10/18 (55.5%) of the neonates died. 13/18 (72%) of the neonates had late-onset neonatal sepsis, and 10/18 (55%) had low birth weight. Resistance to minocycline and chloramphenicol was 100%, 72.2% to meropenem; 72.2% NDM gene was found in neonates and was 20% from the environment. Conclusion: Outbreak of NDM-producing BCC resulting in high neonatal mortality in NICU.
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Affiliation(s)
- Alia Batool
- Department of Pathology, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan
| | - Asma Yaqoob
- Department of Pathology, Aziz Fatima Medical & Dental College, Faisalabad, Pakistan
| | - Zahid Anwar
- Department of Paediatrics, Department of Paediatrics, Fatima Memorial Hospital College of Medicine & Dentistry, Lahore, Pakistan
| | - Lovleen Tina Joshi
- Peninsula School of Dentistry, Faculty of Health, University of Plymouth, Plymouth, PL4 8AA, UK
| | - Ramsha Batool
- Department of Pathology, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan
| | - Durreshahwar Lone
- Department of Pathology, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan
| | - Zikria Saleem
- Department of Pharmacy Practice, Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Pakistan
| | - Qasim Ahmed
- Department of Pathology, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan
| | - Yousef A Bin Jardan
- Department of Pharmaceutics, College of Pharmacy, King Saud University, P.O. Box 11451, Riyadh, Saudi Arabia
| | - Mohammed Bourhia
- Department of Chemistry & Biochemistry, Faculty of Medicine & Pharmacy, Ibn Zohr University, Laayoune 70000, Morocco
| | - Muhammad Usman Qamar
- Intitute of Microbiology, Faculty of Life Sciences, Government College University, Faisalabad, 38000, Pakistan
- Division of Infectious Diseases, Department of Medicine, Geneva University Hospitals and Medical School, Geneva, Switzerland
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Aiesh BM, Daraghmeh D, Abu-Shamleh N, Joudallah A, Sabateen A, Al Ramahi R. Blood culture contamination in a tertiary care hospital: a retrospective three-year study. BMC Infect Dis 2023; 23:448. [PMID: 37403044 DOI: 10.1186/s12879-023-08428-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 06/26/2023] [Indexed: 07/06/2023] Open
Abstract
BACKGROUND Bloodstream infections (BSI) are a leading cause of morbidity and mortality in hospitalized patients worldwide. A blood culture is the primary tool for determining whether a patient has BSI and requires antimicrobial therapy, but it can result in an inappropriate outcome if the isolated microorganisms are deemed contaminants from the skin. Despite the development of medical equipment and technology, there is still a percentage of blood culture contamination. The aims of this study were to detect the blood culture contamination (BCC) rate in a tertiary care hospital in Palestine and to identify the departments with the highest rates along with the microorganisms isolated from the contaminated blood samples. METHOD Blood cultures that were taken at An-Najah National University Hospital between January 2019 and December 2021 were evaluated retrospectively. Positive blood cultures were classified as either true positives or false positives based on laboratory results and clinical pictures. Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) version 21. A p-value of less than 0.05 was considered statistically significant for all analyses. RESULTS Out of 10,930 blood cultures performed in the microbiology laboratory from 2019 to 2021, 1479 (13.6%) were identified as positive blood cultures that showed microbial growth. Of these, 453 were blood culture contaminations, representing 4.17% of total blood cultures and 30.63% of the positive blood culture samples. The highest rate of contamination was in the hemodialysis unit (26.49%), followed by the emergency department (15.89%). Staphylococcus epidermidis was the most prevalent (49.2%), followed by Staphylococcus hominis (20.8%) and Staphylococcus haemolyticus (13.2%). The highest annual contamination rate was observed in 2019 (4.78%) followed by 2020 (3.95%) and the lowest was in 2021 (3.79%). The rate of BCC was decreasing, although it did not reach statistically significant levels (P value = 0.085). CONCLUSION The rate of BCC is higher than recommended. The rates of BCC are different in different wards and over time. Continuous monitoring and performance improvement projects are needed to minimize blood culture contamination and unnecessary antibiotic use.
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Affiliation(s)
- Banan M Aiesh
- Infection Control Department, An-Najah National University Hospital, Nablus, Palestine
| | - Duha Daraghmeh
- Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| | - Nasreen Abu-Shamleh
- Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| | - Abdalmenem Joudallah
- Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine
| | - Ali Sabateen
- Infection Control Department, An-Najah National University Hospital, Nablus, Palestine
| | - Rowa' Al Ramahi
- Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
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Gunvanti R, Lakshmi JT, Ariyanachi K, Saranya M, Kamlakar S, Sakthivadivel V, Gaur A, Nikhat SS, Sagar T, Chenna K, Vidya MS. Blood Culture Contamination Rate as a Quality Indicator - a Prospective Observational Study. MAEDICA 2022; 17:311-316. [PMID: 36032604 PMCID: PMC9375895 DOI: 10.26574/maedica.2022.17.2.311] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Introduction: Blood culture test is the gold standard test to diagnose bloodstream infections, but contamination is the main problem in this valuable test. False positive results in blood cultures are mainly due to contamination that occurs mostly during pre-analytical procedures like sample collection and sometimes during sample processing. Materials and method:Our prospective observational study was undertaken at St. Theresa Hospital, Hyderabad, India, during January 2020-June 2020. Blood cultures received from inpatient departments (IPD) and outpatient departments (OPD) are included. Sample size: The contamination rate was calculated by dividing the total number of contaminated blood cultures by the total number of cultures multiplied by 100. Results:Blood culture contamination rate is 2.4%, which is within the limit as per the standard guideline. Conclusion:Contamination occurred mainly due to improper disinfection of the skin and environmental contamination.
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Affiliation(s)
- Rathod Gunvanti
- Department of Pathology & Lab Medicine, All India Institute of Medical Sciences (AIIMS), Bibinagar, Telangana, India
| | - Jyothi Tadi Lakshmi
- Department of Microbiology, All India Institute of Medical Sciences, Bibinagar, India
| | - Kaliappan Ariyanachi
- Department of Anatomy, All India Institute of Medical Sciences, Bibinagar, India
| | - Mallamgunta Saranya
- Department of Microbiology, ESIC Medical College & Hospitals, Hyderabad, India
| | - Sarvam Kamlakar
- Department of Microbiology, All India Institute of Medical Sciences, Bibinagar, India
| | | | - Archana Gaur
- Department of Physiology, All India Institute of Medical Sciences, Bibinagar, India
| | - Shalam Shireen Nikhat
- Department of Microbiology, All India Institute of Medical Sciences, Bibinagar, India
| | - Triveni Sagar
- Department of Medicine, ESIC Medical College & Hospitals, Hyderabad, India
| | - Kesavulu Chenna
- Department of Medicine, ESIC Medical College & Hospitals, Hyderabad, India
| | - Meena S Vidya
- Department of Anatomy, Tiruvallur Medical College, Tamil Nadu, India
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Blood Culture Contamination: A Single General Hospital Experience of 2-Year Retrospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19053009. [PMID: 35270715 PMCID: PMC8910491 DOI: 10.3390/ijerph19053009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 02/24/2022] [Accepted: 02/28/2022] [Indexed: 01/25/2023]
Abstract
In the event of blood culture contamination (BCC), blood culture (BC) needs to be repeated. This may delay appropriate treatment, prolong hospitalization and, consequently, increase its costs. The aim of the study was to assess the frequency of BCC and associated factors in a general hospital in Poland based on reports of BC in samples submitted for laboratory testing in 2019−2020. BCC is recognized when bacteria (especially those belonging to natural human microbiota) are isolated from a single sample and no clinical signs indicated infection. True positive BC is confirmed by the growth of bacteria in more than one set of blood samples with the corresponding clinical signs present. The structure of BC sets, microorganisms, and laboratory costs of BCC were analyzed. Out of 2274 total BC cases, 11.5% were true positive BC and 9.5% were BCC. Of all the BCC identified in the entire hospital, 72% was from Internal Medicine (IM) and Intensive Care Unit (ICU) combined. When single sets for BC were used in IM in 2020, the use increased to 85% compared with 2019 (p < 0.05). The predominant isolates were coagulase-negative staphylococci (84%). The estimated extra laboratory costs of BCC exceeded EUR 268,000. The BCC was a more serious problem than expected, including non-recommended using of single BC sets. Compliance with the BC collection procedure should be increased in order to reduce BCC and thus extra hospital costs.
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