Evidence map›Paper›PMID 25031441›Full record

ArticleJournal of clinical microbiology2014

Performance of two resin-containing blood culture media in detection of bloodstream infections and in direct matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) broth assays for isolate identification: clinical comparison of the BacT/Alert Plus and Bactec Plus systems.

Barbara Fiori, Tiziana D'Inzeo, Viviana Di Florio, Flavio De Maio, Giulia De Angelis, Alessia Giaquinto, Lara Campana, Eloisa Tanzarella, Mario Tumbarello, Massimo Antonelli and 2 more

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Seasonal variations in blood culture numbers and time to positivity and potential impact of reducing incubation periods.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Article
  6. Article
  7. Article
  8. Performance of a new combination of blood culture vials in sepsis detection: a 2-year retrospective comparison.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019
    Article
  9. Article
  10. Article
  11. Frontiers in microbiology · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. A controlled comparison of the BacT/ALERT® 3D and VIRTUO™ microbial detection systems.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017
    Article
  17. Article
  18. Antimicrobial binding and growth kinetics in BacT/ALERT® FA Plus and BACTEC® Aerobic/F Plus blood culture media.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2016
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Barbara FioriInstitute of Microbiology, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Tiziana D'InzeoInstitute of Microbiology, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Viviana Di FlorioInstitute of Microbiology, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Flavio De MaioInstitute of Microbiology, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Giulia De AngelisInstitute of Microbiology, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Alessia GiaquintoInstitute of Microbiology, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Lara CampanaInstitute of Infectious Diseases, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Eloisa TanzarellaDepartment of Clinical Anesthesiology and Intensive Care, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Mario TumbarelloInstitute of Infectious Diseases, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Massimo AntonelliDepartment of Clinical Anesthesiology and Intensive Care, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.
Maurizio SanguinettiInstitute of Microbiology, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy msanguinetti@rm.unicatt.it.
Teresa SpanuInstitute of Microbiology, Catholic University of the Sacred Heart, Gemelli Hospital, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compared the clinical performances of the BacT/Alert Plus (bioMérieux) and Bactec Plus (Becton Dickinson) aerobic and anaerobic blood culture (BC) media with adsorbent polymeric beads. Patients ≥ 16 years old with suspected bloodstream infections (BSIs) were enrolled in intensive care units and infectious disease wards. A single 40-ml blood sample was collected from each and used to inoculate (10 ml/bottle) one set of BacT/Alert Plus cultures and one set of Bactec Plus cultures, each set consisting of one aerobic and one anaerobic bottle. Cultures were incubated ≤ 5 days in the BacT/Alert 3D and Bactec FX instruments, respectively. A total of 128 unique BSI episodes were identified based on the recovery of clinically significant growth in 212 aerobic cultures (106 BacT/Alert and 106 Bactec) and 151 anaerobic cultures (82 BacT/Alert and 69 Bactec). The BacT/Alert aerobic medium had higher recovery rates for Gram-positive cocci (P = 0.024), whereas the Bactec aerobic medium was superior for recovery of Gram-negative bacilli (P = 0.006). BacT/Alert anaerobic medium recovery rates exceeded those of the Bactec anaerobic medium for total organisms (P = 0.003), Gram-positive cocci (P = 0.013), and Escherichia coli (P = 0.030). In terms of capacity for diagnosing the 128 septic episodes, the BacT/Alert and Bactec sets were comparable, although the former sets diagnosed more BSIs caused by Gram-positive cocci (P = 0.008). They also allowed earlier identification of coagulase-negative staphylococcal growth (mean, 2.8 h; P = 0.003) and growth in samples from patients not on antimicrobial therapy that yielded positive results (mean, 1.3 h; P < 0.001). Similarly high percentages of microorganisms in BacT/Alert and Bactec cultures (93.8% and 93.3%, respectively) were identified by direct matrix-assisted laser desorption ionization-time of flight mass spectrometry assay of BC broths. The BacT/Alert Plus media line appears to be a reliable, timesaving tool for routine detection of BSIs in the population we studied, although further studies are needed to evaluate their performance in other settings.

Indexed as

AdolescentAdultAgedAged, 80 and overBacteriaBloodCulture MediaFemaleHumansMaleMicrobiological TechniquesMiddle AgedProspective StudiesSensitivity and SpecificitySepsisSpectrometry, Mass, Matrix-Assisted Laser Desorption-IonizationCulture Media

Identifiers

PMID25031441
PMCPMC4187791

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.