[The differential microbiological diagnosis of bacteremia and sepsis and the results of its practical use].
A rapid method for the detection of classical forms of bacteria and their cell-wall defective (CWD) variants in the blood has been developed and approved. The method is based on the kinetic analysis of bacterial growth with the use of nephelometry. The analysis lasts 3-10 hours. The method permits the differential microbiological diagnosis of bacteremia and sepsis, as well as the rapid control of the effectiveness of antibacterial therapy. The rapid method has revealed that in the presence of antibacterial therapy infective agents persist in the blood as CWD variants and not in the classical bacterial form, which sharply decreases the reliability of the traditional diagnostic method. CWD variants have been detected in the blood of patients treated with the preparations of cephalosporin, chinolon, aminoglycoside, dioxydin, etc.
G A
GA
Kotliarova
E M
EM
Kondrat'eva
N A
NA
Lopatkin
A F
AF
Darenkov
D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D001419:Bacteria / Q000254:growth & development / Q000302:isolation & purification; D002473:Cell Wall; D003937:Diagnosis, Differential; D005334:Fever / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D009391:Nephelometry and Turbidimetry / Q000379:methods; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D013997:Time Factors
Differentsial'naia mikrobiologicheskaia diagnostika bakteriemii i sepsisa i rezul'taty ee prakticheskogo ispol'zovaniia.