Comparison of the Lysis Centrifugation Method with the Conventional Blood Culture Method in Cases of Sepsis in a Tertiary Care Hospital

Abstract

Introduction:Physicians and microbiologists have long recognized that the presence of living microorganisms in the blood of a patient carries with it considerable morbidity and mortality. Hence, blood cultures have become critically important and frequently performed test in clinical microbiology laboratories for diagnosis of sepsis.Objectives:To compare the conventional blood culture method with the lysis centrifugation method in cases of sepsis.Materials and Methods:Two hundred nonduplicate blood cultures from cases of sepsis were analyzed using two blood culture methods concurrently for recovery of bacteria from patients diagnosed clinically with sepsis – the conventional blood culture method using trypticase soy broth and the lysis centrifugation method using saponin by centrifuging at 3000 g for 30 minutes.Results:Overall bacteria recovered from 200 blood cultures were 17.5%. The conventional blood culture method had a higher yield of organisms, especially Gram positive cocci. The lysis centrifugation method was comparable with the former method with respect to Gram negative bacilli. The sensitivity of lysis centrifugation method in comparison to conventional blood culture method was 49.75% in this study, specificity was 98.21% and diagnostic accuracy was 89.5%. In almost every instance, the time required for detection of the growth was earlier by lysis centrifugation method, which was statistically significant. Contamination by lysis centrifugation was minimal, while that by conventional method was high. Time to growth by the lysis centrifugation method was highly significant (P value 0.000) as compared to time to growth by the conventional blood culture method.Conclusion:For the diagnosis of sepsis, combination of the lysis centrifugation method and the conventional blood culture method with trypticase soy broth or biphasic media is advocable, in order to achieve faster recovery and a better yield of microorganisms.

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“…Similar findings were reported from other studies conducted in India and Netherlands which highlighted that patients’ age and gender have an impact on the HRQoL. [ 9 10 ] Furthermore, the results of the present study revealed that among patients with asthma those with higher qualification had better HRQoL. This might be due to inadequate knowledge of disease due to low literacy level.…”

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Comparison Between Conventional Blood Culture and Lysis-Centrifugation Method in Suspected Cases of Sepsis in Children in Katihar, Bihar

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“…Similar findings were reported by Parikh et al (2018). 8 As far as the growth of contaminants was concerned Micrococcus species and Bacillus species accounted for 37.0% each. Staphylococcus epidermidis and diphtheroids accounted for 14.8% and 11.1% of contaminants respectively.…”