Evidence map›Paper›PMID 28495585›Full record

ArticleJournal of microbiological methods2017

Rapid separation of very low concentrations of bacteria from blood.

Clara M Buchanan, Ryan L Wood, Taalin R Hoj, Mahsa Alizadeh, Colin G Bledsoe, Madison E Wood, Daniel S McClellan, Rae Blanco, Caroline L Hickey, Tanner V Ravsten and 3 more

Abstract read
In one paragraph

Article in Journal of microbiological methods, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Review
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  11. Article
  12. Article
  13. Direct Blood Culturing ofJournal of clinical microbiology · 2020
    Article
  14. Article
  15. 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

13 authors.

Clara M BuchananChemical Engineering Department, Brigham Young University, Provo, UT, USA.
Ryan L WoodChemical Engineering Department, Brigham Young University, Provo, UT, USA.
Taalin R HojDepartment of Microbiology and Molecular Biology, Brigham Young University, Provo, UT, USA.
Mahsa AlizadehChemical Engineering Department, Brigham Young University, Provo, UT, USA.
Colin G BledsoeChemical Engineering Department, Brigham Young University, Provo, UT, USA.
Madison E WoodDepartment of Microbiology and Molecular Biology, Brigham Young University, Provo, UT, USA.
Daniel S McClellanChemical Engineering Department, Brigham Young University, Provo, UT, USA.
Rae BlancoChemical Engineering Department, Brigham Young University, Provo, UT, USA.
Caroline L HickeyChemical Engineering Department, Brigham Young University, Provo, UT, USA.
Tanner V RavstenChemical Engineering Department, Brigham Young University, Provo, UT, USA.
Ghaleb A HusseiniChemical Engineering Department, American University of Sharjah, Sharjah, United Arab Emirates.
Richard A RobisonDepartment of Microbiology and Molecular Biology, Brigham Young University, Provo, UT, USA.
William G PittChemical Engineering Department, Brigham Young University, Provo, UT, USA. Electronic address: pitt@byu.edu.

Funding

Multiplexed, Non-Amplified, Nucleic Acid-Based Identification of Multidrug Resistant Pathogens Using an Integrated Optofluidic PlatformR01AI116989 · NIAID · BRIGHAM YOUNG UNIVERSITY · PI HAWKINS, AARON R., PITT, WILLIAM G · 2015 to 2019
$5.4M
NIAID NIH HHS R01 AI116989
6 · The paper itself

Abstract

A rapid and accurate diagnosis of the species and antibiotic resistance of bacteria in septic blood is vital to increase survival rates of patients with bloodstream infections, particularly those with carbapenem-resistant enterobacteriaceae (CRE) infections. The extremely low levels in blood (1 to 100CFU/ml) make rapid diagnosis difficult. In this study, very low concentrations of bacteria (6 to 200CFU/ml) were separated from 7ml of whole blood using rapid sedimentation in a spinning hollow disk that separated plasma from red and white cells, leaving most of the bacteria suspended in the plasma. Following less than a minute of spinning, the disk was slowed, the plasma was recovered, and the bacteria were isolated by vacuum filtration. The filters were grown on nutrient plates to determine the number of bacteria recovered from the blood. Experiments were done without red blood cell (RBC) lysis and with RBC lysis in the recovered plasma. While there was scatter in the data from blood with low bacterial concentrations, the mean average recovery was 69%. The gender of the blood donor made no statistical difference in bacterial recovery. These results show that this rapid technique recovers a significant amount of bacteria from blood containing clinically relevant low levels of bacteria, producing the bacteria in minutes. These bacteria could subsequently be identified by molecular techniques to quickly identify the infectious organism and its resistance profile, thus greatly reducing the time needed to correctly diagnose and treat a blood infection.

Indexed as

Bacteriological TechniquesAnti-Bacterial AgentsBloodBlood SedimentationCarbapenemsEnterobacteriaceaeEnterobacteriaceae InfectionsEscherichia coliFemaleFiltrationHumansMaleTime FactorsAnti-Bacterial AgentsCarbapenemsBacterial infectionBlood sepsisCarbapenem-resistant enterobacteriaceaeE. coliRapid diagnosisSedimentation

Identifiers

PMID28495585
PMCPMC5533616

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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.