Document Details Document Type : Article In Journal  Document Title : in febrile neutropenic patients with acute myeloid leukemia. in febrile neutropenic patients with acute myeloid leukemia.   Document Language : English  Abstract : Objective: To evaluate the value of routinely obtaining blood culture with an Isolator system (Isol) along with the BacT/Alert (BT) system from febrile neutropenic patients with acute myeloid leukemia (AML) Design: When an infection was suspected, one aerobic BT bottle from each lumen of double or triple lumen central lines and an anaerobic BT and one Isol tube from a peripheral vein were obtained. The three to four BT bottles and one Isol tube constituted one set of blood culture. Results: Of the 291 sets obtained, microorganisms were isolated from 94 sets (32%), of which 68% (64 of 94) were considered pathogens and 32% (30 of 94) contaminants. Of the pathogens, 51% were detected by BT only and 16% by Isol only. There were nine episodes of candidemia; eight detected by BT only and none by Isol only. Of 56 Gram-positive cocci and nine Gram-negative bacilli, 50% and 60% were detected by BT only and 16% and none by Isol only, respectively. Contamination rates were 2.4% and 11.7% for BT and Isol, respectively (P<0.0001). Conclusion: Routine procurement of Isol in addition to BT blood culture was of limited value and was associated with a high rate of contamination, the consequences of which may be deleterious in the immunocompromised host.  ISSN : 0940-5429  Journal Name : Canadian Journal of Infectious Diseases  Volume : 9  Issue Number : 5  Publishing Year : 1998 AH 1988 AD  Article Type : Article  Added Date : Saturday, May 15, 2010  Researchers Researcher Name (Arabic) Researcher Name (English) Researcher Type Dr Grade Email طارق مدني Madani, Tariq Researcher Doctorate tmadani@kau.edu.sa Files File Name Type Description  26670.doc doc   Back To Researches Page