Clinical Usefulness of Routine Use of Anaerobic Blood Culture Bottle.
- Author:
Sae Am SONG
1
;
Ji Hyun KIM
;
Jeong Hwan SHIN
;
Si Hyun KIM
;
Nam Yong LEE
;
Mi Na KIM
;
Sunjoo KIM
Author Information
- Publication Type:Original Article
- Keywords: Bacteremia; Blood culture; Fungemia; Isolation
- MeSH: Adult; Bacteremia; Diagnosis; Fungemia; Fungi; Humans; Yeasts
- From:Annals of Clinical Microbiology 2014;17(2):35-41
- CountryRepublic of Korea
- Language:Korean
- Abstract: BACKGROUND: Blood culture for diagnosis of bacteremia and fungemia comprises aerobic and anaerobic cultures. The clinical utility of routine anaerobic blood culture has been questioned for a long time and was evaluated in this study. METHODS: A total of 9,028 positive blood cultures were collected from adults at four university-affiliated hospitals. We recorded the species distribution according to growth in aerobic or anaerobic culture. RESULTS: Among the 9,028 positive results, 3,239 cases (35.9%) occurred in aerobic culture, 1,543 cases (17.1%) in anaerobic culture and 4,246 cases (47.0%) in both cultures. The species grown only in the anaerobic cultures consisted of 81.4% facultative anaerobes, 2.0% strict anaerobes, 8.5% strict aerobes, and 8.1% yeasts. CONCLUSION: Routine use of paired aerobic/anaerobic blood culture is essential because a considerable number of facultative anaerobes and yeasts grow only in anaerobic blood culture. Strict aerobes and fungi were more commonly isolated in the anaerobic bottles than were strict anaerobes.
