USEFULNESS OF GRAM STAINING OF BLOOD COLLECTED FROM TOTAL PARENTERAL-NUTRITION CATHETER FOR RAPID DIAGNOSIS OF CATHETER-RELATED SEPSIS

Authors
MOONENS F ELALAMI S VANGOSSUM A STRUELENS MJ SERRUYS E
Citation
F. Moonens et al., USEFULNESS OF GRAM STAINING OF BLOOD COLLECTED FROM TOTAL PARENTERAL-NUTRITION CATHETER FOR RAPID DIAGNOSIS OF CATHETER-RELATED SEPSIS, Journal of clinical microbiology, 32(6), 1994, pp. 1578-1579
Citations number
9
Categorie Soggetti
Microbiology
Journal title
Journal of clinical microbiology → ACNP
ISSN journal
00951137
Volume
32
Issue
6
Year of publication
1994
Pages
1578 - 1579
Database
ISI
SICI code
0095-1137(1994)32:6<1578:UOGSOB>2.0.ZU;2-7
Abstract
The accuracy of Gram staining of blood drawn from catheters used to ad minister total parenteral nutrition was compared,vith paired quantitat ive blood cultures for the diagnosis of catheter-related sepsis. Gram staining was positive in 11 of 18 episodes of catheter-related sepsis documented by quantitative culture (sensitivity, 61%) but in none of t he 5 episodes of fever unrelated to catheter infection. Thus, this pro cedure enabled the rapid presumptive diagnosis and guidance of antimic robial therapy for total parenteral nutrition catheter sepsis, with a positive predictive value of 100% and a negative predictive value of 4 2%.