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01.06.2017 | original article | Ausgabe 11-12/2017 Open Access

Wiener klinische Wochenschrift 11-12/2017

SeptiFast versus blood culture in clinical routine – A report on 3 years experience

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 11-12/2017
Autoren:
Florian Korber, Iris Zeller, Michaela Grünstäudl, Birgit Willinger, Petra Apfalter, Alexander M. Hirschl, Athanasios Makristathis

Summary

Background

In recent years a multiplex real-time PCR (SeptiFast) has been introduced, allowing detection of 25 common blood pathogens considerably faster than conventional blood culture.

Methods

SeptiFast was applied routinely in addition to blood culture in cases of critically ill patients with fever and other signs of severe systemic infections. In this study data of 470 episodes were retrospectively analysed to assess the impact of various parameters, such as clinical indications, assigning ward and antimicrobial treatment on test outcome using a multivariate logistic model.

Results

After exclusion of microorganisms classified as contaminants, the concordance between SeptiFast and blood culture was 85.5%. SeptiFast detected 98 out of 120, while blood culture merely found 63 out of 120 potential pathogens. In comparison to blood culture, SeptiFast showed considerably higher positivity rates in sepsis, pneumonia and febrile immunosuppression and a lower rate in endocarditis. The highest positivity and concordance between tests was shown in patients from the emergency room (P = 0.007).

Conclusions

The results obtained in this study are similar to those from prospective settings confirming the robustness of the SeptiFast assay in routine use. Our data suggest that SeptiFast is a valuable add-on to blood culture and may increase the diagnostic efficiency of a microbiological laboratory.
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