2011
DOI: 10.1136/thx.2010.157842
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Abstract: Background Pleural infection is common, and has a >30% major morbidity and mortalitydparticularly when infection is caused by Gram-negative, Staphylococcus aureus or mixed aerobic pathogens. Standard pleural fluid culture is negative in w40% of cases. Culturing pleural fluid in blood culture bottles may increase microbial yield, and is cheap and easy to perform. Objectives To determine whether inoculating pleural fluid into blood culture bottles increases the culture positivity of pleural infection over standa… Show more

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Cited by 135 publications
(100 citation statements)
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“…A Study from Hyderabad [5] found an increased culture yield by 10.33% using BacT/ALERT culture over direct culture of body fluids like ascitic, pleural and pericardial fluid. Menzies et al [17] in 2011, have recently shown that for pleural fluids, enrichment in blood culture bottles was useful. In another recent study utilizing the BacT/Alert system, Yoon et al [14] have also reported a significant increase in culture positivity of peritoneal dialysis fluid (78.6%) as compared to the conventional method (50%).…”
Section: Discussionmentioning
confidence: 99%
“…A Study from Hyderabad [5] found an increased culture yield by 10.33% using BacT/ALERT culture over direct culture of body fluids like ascitic, pleural and pericardial fluid. Menzies et al [17] in 2011, have recently shown that for pleural fluids, enrichment in blood culture bottles was useful. In another recent study utilizing the BacT/Alert system, Yoon et al [14] have also reported a significant increase in culture positivity of peritoneal dialysis fluid (78.6%) as compared to the conventional method (50%).…”
Section: Discussionmentioning
confidence: 99%
“…In another study (11) the bacterial isolation rates on inoculating in standard culture was 38%, i.e. 20 positive out of 53.…”
Section: Discussionmentioning
confidence: 99%
“…If microbiological analysis is indicated, inoculation of 2 to 5 mL pleural fluid into aerobic and anaerobic blood culture bottles, in addition to sending samples in a sterile tube for Gram stain and standard processing, increases the sensitivity of bacterial cultures by 20% (9). For pleural tuberculosis, the inoculation of 5 mL into liquid culture media is as beneficial (50% positivity) as the use of larger volumes (10).…”
Section: öZetmentioning
confidence: 99%
“…Usually, blood agar, chocolate agar, MacConkey agar and, if the sample has been properly obtained, fastidious anaerobic agar plates are prepared, incubated at 35-37ºC and monitored for microbial growth for a minimum of 4 days. Alternatively, blood culture bottles containing pleural fluid are incubated and, if positive, subcultures are then performed on the appropriate solid media to identify the microorganism (9). For mycobacterial identification, the use of liquid culture-based techniques, such as BACTEC and microscopic-observation drugsusceptibility (MODS) systems, provides higher yields and faster results than solid conventional media (Lowenstein-Jensen) (14).…”
Section: Handling Pleural Fluid Samples For Routine Analysesmentioning
confidence: 99%