title: A novel culturing system for fluid samples.
abstract: BACKGROUND
  Large-volume culture methods for sterile body fluids employing automated blood-culture systems increase the recovery of microorganisms compared with traditional plate medium methods. However, in many instances a laboratory receives only small-volume samples.
  
  
  METHODS
  The URO-QUICK system (now HBandL), originally used to process urine samples, was evaluated for organism enrichment and determination of microbial count of fluid samples. Fluid specimens were also evaluated for their residual antimicrobial activity (RAA). The procedures were compared with results from a conventional culture procedure. The 546 samples included 106 endotracheal aspirate, 63 bronchoalveolar lavage, 139 sputum, 47 blood, 105 pleural fluid, 26 cerebrospinal fluids, and 41 peritoneal fluid samples as well as 19 other fluids including synovial fluid (n=5), ascitic fluid (n=9), fluids from the drainage of an infected central venous catheter (n=3), abdominal drainage fluid (n=1), and cholecystic fluid (n=1).
  
  
  RESULTS
  The URO-QUICK system allowed the culture of an additional 44 samples (8%, p=0.007) compared with the traditional culturing method. The RAA test demonstrated good concordance with the reference method, showing specificity and positive predictive value of 100% for each, while the sensitivity and the negative predictive value were 67% and 76%, respectively. The microbial counts evaluated using the URO-QUICK system showed excellent agreement with traditional enumeration methods.
  
  
  CONCLUSIONS
  The URO-QUICK system may well represent an excellent alternative to solid medium-based recovery and enumeration methods.
authors.affiliation: Department of Experimental Medicine and Biochemical Sciences, Tor Vergata, University of Rome, Rome, Italy. carla.fontana@uniroma2.it
authors.forename: Carla
authors.initials: C
authors.lastname: Fontana
authors.forename: Marco
authors.initials: M
authors.lastname: Favaro
authors.forename: Silvia
authors.initials: S
authors.lastname: Minelli
authors.forename: Maria C
authors.initials: MC
authors.lastname: Bossa
authors.forename: Anna
authors.initials: A
authors.lastname: Altieri
authors.forename: Cartesio
authors.initials: C
authors.lastname: Favalli
mesh_terms: D001419:Bacteria / Q000302:isolation & purification; D001826:Body Fluids / Q000382:microbiology*; D015169:Colony Count, Microbial; D006801:Humans; D008828:Microbiological Techniques / Q000379:methods*; D011933:Reagent Kits, Diagnostic; D015003:Yeasts / Q000302:isolation & purification
chemical_list: D011933:Reagent Kits, Diagnostic