“…Because blood culture systems are generally closed, the metabolic products from the organisms accumulate in the vial and distribute between the vapour (head space), the liquid (culture media and plasma), and the solid (immobilized indicator, particulates) phases present. The particulates in this case are primarily the red blood cells (RBCs), although initially there will also be white blood cells, platelets, and microorganisms which are capable of respiration (Daland and Isaacs, 1927; Kitchens and Newcomb, 1968; Andersen and Vonmeyenburg, 1980). As time evolves the number of contaminant organisms will increase and give rise to increasing concentrations of their metabolic products which interact with different blood components.…”