ACRIDINE-ORANGE LEUKOCYTE CYTOSPIN (AOLC) TEST AS AN IN-SITU METHOD FOR THE DIAGNOSIS OF CENTRAL VENOUS CATHETER (CVC)-RELATED SEPSIS IN ADULT RISK PATIENTS
H. Vonbaum et al., ACRIDINE-ORANGE LEUKOCYTE CYTOSPIN (AOLC) TEST AS AN IN-SITU METHOD FOR THE DIAGNOSIS OF CENTRAL VENOUS CATHETER (CVC)-RELATED SEPSIS IN ADULT RISK PATIENTS, Zentralblatt fur Bakteriologie, 287(1-2), 1998, pp. 117-123
The AOLC method for the in-situ diagnosis of catheter-associated septi
cemia was evaluated in adult intensive care patients. 55 blood samples
and corresponding CVC tips were examined using the AOLC method, the s
emiquantitative roll plate method and the broth immersion method. In 4
patients (7.3%), a CVC-related septicemia was diagnosed, 10 patients
(18.2%) showed a colonisation of their central venous access. The AOLC
method was positive in 50% of the cases with CVC-related septicemia a
nd in 20% of the colonized patients. Thus, we do not recommend the AOL
C test as a routine method for the diagnosis of suspected CVC-related
infection but as a facultative additional diagnostic measure for certa
in risk patients.