Journal

The Journal of the Japanese Society for Clinical Microbiology

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[Vol.20 No.1 contents]
Japanese / English

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Article in Japanese

ArticleTitle Everyday Surveillance System of Blood Culture Samples without Exception: Clinical and Economical Contribution
Language J
AuthorList Hiroko Yoshinaga1), Masanori Ohkuma1), Katsuyoshi Ikeda1), Konen Obayashi1,2), Yukio Ando1,2)
Affiliation 1) Department of Laboratory Medicine, Kumamoto University Hospital
2) Department of Diagnostic Medicine, Graduate School of Medical Sciences, Kumamoto University
Publication J.J.C.M.: 20 (1), 20-27, 2010
Received June 12, 2009
Accepted November 9, 2009
Abstract Blood culture is very important to make a definitive diagnosis for bacteremia, sepsis, infective endocarditis, meningitis, contagiousness arthritis, and serious bacterial pneumonia. Quick reporting system on blood culture testing has a big impact on the recovery of those patients. However, in Japan, few clinical laboratories at hospitals have the examination and reporting system every day without exception through a year. For the strong requirement from clinical sides, in October 2007, we started to prepare the system of processing blood cultures as overtime examination at Department of Laboratory Medicine, Kumamoto University Hospital. After we started the system, the therapeutic performance, such as C-reactive protein improvement, was effecturely improved in patients with sepsis, and the mean medical expense of each patient was diminished in comparison with pre-introduction of the new system. Everyday surveillance of blood culture samples is an excellent system not only to contribute the therapy but also to reduce the medical expenses in patients with sepsis.
Keywords blood culture, sepsis, bacteremia, overtime examination, antibiotics
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