ArticleFrontiers in cellular and infection microbiology2026
Performance comparison and clinical validation of two rapid direct identification and antimicrobial susceptibility testing approaches for pathogens isolated from positive blood cultures in children.
Article in Frontiers in cellular and infection microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Rapid species identification and antimicrobial susceptibility testing (AST) for bloodstream infections (BSIs) are critical for timely and targeted therapy. This study evaluated the clinical performance of two rapid methods (HBL rapid method and rapid method with short-term culture) against the routine standard blood culture (BC) method. Methods: A total of 162 monobacterial BC samples were enrolled. These samples were processed either using the HBL system (subcultured within 2 hours) or incubated on agar plates for short-term culture (6-8 hours). Subsequent species identification and AST were also performed. Essential agreement (EA), categorical agreement (CA), and error rates were calculated as compared to the conventional method. Results: Among 162 isolates, Gram-negative bacteria comprised 66.7% (108/162) of the isolates, predominantly Conclusions: The two rapid methods exhibit exceptional accuracy and reliability for species identification and AST directly from positive blood cultures, which can significantly shorten the TAT for BSI diagnosis, offering clinicians to optimize timely and appropriate clinical treatment.
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