A vérben esetlegesen jelen levő baktériumok vagy gombák kitenyésztésére és azonosítására.
Olyan tünetek vagy vizsgálati eredmények esetén, amelyek szepszisre (vérmérgezésre) utalhatnak: láz, hidegrázás, elesettség, szapora légzés és/vagy szapora szívverés, illetve a vérben emelkedett vagy csökkent fehérvérsejtszám.
Legalább két vérvétel történik, különböző helyről, általában a könyökvénákból.
Nincs teendő. Ha esetleg korábban már szedett antibiotikumot, mindenképpen szóljon.
Aktuális áttekintésben használt források
(2017 August 25, Updated). Sepsis. CDC. Available online at https://www.cdc.gov/sepsis/basic/index.html. Accessed on 8/27/17.
Cunha, B. (2017 May 22, Updated). Bacterial Sepsis. Medscape Drugs and Diseases. Available online at http://emedicine.medscape.com/article/234587-workup#showall. Accessed on 8/27/17.
Adeyiga, O. and Ei Carlo, D. (2017 June 22). New technologies for diagnosing bloodstream infection and measuring antimicrobial resistance. MLO.2017;49(7):54-56. Available online at https://www.mlo-online.com/new-technologies-diagnosing-bloodstream-infection-measuring-antimicrobial-resistance. Accessed on 8/27/17.
Couturier, M. et. al. (2017 August, Updated). Sepsis. ARUP Consult. Available online at https://arupconsult.com/content/sepsis. Accessed on 8/27/17.
Lehman, C. (2017 August, Updated). Sepsis in Newborns - Neonatal Sepsis. ARUP Consult. Available online at https://arupconsult.com/content/sepsis-newborns. Accessed on 8/27/17.
Koyfman, A. and Long, B. (2016). Best Clinical Practice: Blood Culture Utility in the Emergency Department. J Emerg Med. 2016;51(5):529-539. Available online at http://www.medscape.com/viewarticle/871933. Accessed on 8/27/17.
(2014 August 1, Updated). Blood Culture. Medscape Laboratory Medicine. Available online at http://emedicine.medscape.com/article/2093349-overview#showall. Accessed on 8/27/17.
Brusch, J. (2017 August 09, Updated). Infective Endocarditis. Medscape Drugs and Diseases. Available online at http://emedicine.medscape.com/article/216650-workup#c9. Accessed on 8/27/17.
Korábbi áttekintések során használt források
Thomas, Clayton L., Editor (1997). Taber's Cyclopedic Medical Dictionary. F.A. Davis Company, Philadelphia, PA [18th Edition].
Pagana, Kathleen D. & Pagana, Timothy J. (2001). Mosby's Diagnostic and Laboratory Test Reference 5th Edition: Mosby, Inc., Saint Louis, MO.
Bonow, R. (Committee Member) et. al. (1998). ACC/AHA Guidelines for the Management of Patients With Valvular Heart Disease -- IV. Evaluation and Management of Infective Endocarditis -- A. Antimicrobial Therapy. American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Valvular Heart Disease) [On-line report]. Available online at http://216.185.112.5/presenter.jhtml?identifier=9500.
Medical Encyclopedia. Sepsis. Drkoop.com [On-line information]. Available online at http://www.drkoop.com/conditions/ency/article/000666.htm.
Bailey and Scott's Diagnostic Microbiology, 10th ed. (1998) B.A. Forbes, D.F. Sahm, and A. S. Weissfeld (ed.), Mosby, Inc. Pg. 283-304.
Pagana, K. D. & Pagana, T. J. (© 2007). Mosby's Diagnostic and Laboratory Test Reference 8th Edition: Mosby, Inc., Saint Louis, MO. Pp 172-173.
Wu, A. (© 2006). Tietz Clinical Guide to Laboratory Tests, 4th Edition: Saunders Elsevier, St. Louis, MO. Pp 1532-1535.
Forbes, B. et. al. (© 2007). Bailey & Scott's Diagnostic Microbiology, 12th Edition: Mosby Elsevier Press, St. Louis, MO. Pp 778-797.
Shapiro, N. et. al. (2008 November 06). Who Needs a Blood Culture? A Prospective Derived and Validated Prediction Rule. Medscape from the Journal of Emergency Medicine [On-line information] Available online at http://www.medscape.com/viewarticle/581631. Accessed May 2009.
Smith, D. S. (Updated 2007 December 03). Blood Culture. MedlinePlus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003744.htm. Accessed May 2009.
Barenfanger, J. et. al. (2009 January 27). Decreased Mortality Associated With Prompt Gram Staining of Blood Cultures. Medscape from American Journal of Clinical Pathology [On-line information]. Available online at http://www.medscape.com/viewarticle/585709. Accessed May 2009.
Cunha, B. (2008 August 1). Sepsis, Bacterial. eMedicine [On-line information]. Available online at http://emedicine.medscape.com/article/234587-overview. Accessed May 2009.
Weil, M. H. (Revised 2007 December). Sepsis and Septic Shock. Merck Manual for Healthcare Professionals [On-line information]. Available online at http://www.merck.com/mmpe/sec06/ch068/ch068a.html. Accessed May 2009.
Anderson-Berry, A. et. al. (Updated 2008 November 6). Neonatal Sepsis. eMedicine [On-line information]. Available online at http://emedicine.medscape.com/article/978352-overview. Accessed May 2009.
Diab, M. et. al. (2008 May 28). Rapid Identification of Methicillin-Resistant Staphylococci Bacteremia Among Intensive Care Unit Patients. Medscape Today from The Medscape Journal of Medicine [On-line information]. Available online at http://www.medscape.com/viewarticle/572647. Accessed May 2009.
(January 2, 2008) US Food and Drug Administration. Press Release: FDA Clears First Quick Test For Drug-Resistant Staph Infections. Available online at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm161552.htm. Accessed July 2009.
Lin, J. (Updated 20012 February 13). Blood Culture. Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/2093349-overview. Accessed August 2013.
Hazen, K. (Revised 2013 February). Culture. Merck Manual for Healthcare Professionals [On-line information]. Available online through http://www.merckmanuals.com. Accessed August 2013.
Fisher, M. et. al. (Updated 2013 March 20). Sepsis. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/Sepsis.html. Accessed August 2013.
Durani, Y. (Reviewed 2012 May). Blood Culture. KidsHealth from Nemours [On-line information]. Available online at http://kidshealth.org/parent/general/sick/labtest3.html. Accessed August 2013.
Vorvick, L. (Updated 2011 October 26). Blood culture. MedlinePlus Medical Encyclopedia [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/003744.htm. Accessed August 2013.
Flayhart, D. (2012 March). Blood cultures and detection of sepsis. Medical Laboratory Observer [On-line information]. Available online at http://www.mlo-online.com/articles/201203/blood-cultures-and-detection-of-sepsis.php. Accessed August 2013.
Andrew Hemmert, A. and Garrone, N. (2013 June) Rapid methods for pathogen detection in bloodstream infections. Medical Laboratory Observer [On-line information]. Available online at http://www.mlo-online.com/articles/201306/rapid-methods-for-pathogen-detection-in-bloodstream-infections.php. Accessed August 2013.
Pagana, K. D. & Pagana, T. J. (© 2011). Mosby's Diagnostic and Laboratory Test Reference 10th Edition: Mosby, Inc., Saint Louis, MO. Pp 166-167.
Henry's Clinical Diagnosis and Management by Laboratory Methods. 21st ed. McPherson R, Pincus M, eds. Philadelphia, PA: Saunders Elsevier: 2007 Pp 1189-1191.
Forbes BA, Sahm DF, Weissfeld AS, Bailey & Scott's Diagnostic Microbiology 12th Edition: Mosby Elsevier, St. Louis, MO; 2007, Pp 778-781.
Cunha B (July 13, 2012). Bacterial Sepsis. Medscape Reference article. Avaialble online at http://emedicine.medscape.com/article/234587-overview. Accessed September 2013.
(June 27, 2012) FDA Press Release. FDA allows marketing of first test to identify certain bacteria associated with bloodstream infections. Available online at http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm309950.htm. Accessed September 2013.
Tests
Antibiotikum érzékenységi vizsgálat
Conditions
Agyhártya- és agyvelőgyulladás (meningoencephalitis)
MRSA (Methicillin Rezisztens Staphylococcus aureus)
Fertőzéses ízületi gyulladás (Septikus arthritis)
https://medlineplus.gov/ency/article/001355.htm
https://www.nhlbi.nih.gov/health-topics/heart-inflammation
https://www.cdc.gov/fungal/diseases/candidiasis/invasive/
https://www.mayoclinic.org/diseases-conditions/sepsis/symptoms-causes/syc-20351…
https://www.tankonyvtar.hu/hu/tartalom/tamop425/2011_0001_524_Mikrobiologia/ch0…