0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Inoculation of Blood Culture Bottles With Ascitic Fluid: Improved Detection of Spontaneous Bacterial Peritonitis

Blai Dalmau, MD; Antoni Nogueras, MD; Pere Mas, MD; Ferran Segura, MD
Arch Intern Med. 1987;147(10):1849. doi:10.1001/archinte.1987.00370100163032.
Text Size: A A A
Published online

To the Editor.  —The spontaneous bacterial peritonitis (SBP) with negative culture has been described and accepted as a variant of SBP.1 We have read with great interest the article by Runyon and coworkers in the January 1987 issue of the Archives2 and noted the improved culture sensitivity to 91% by direct inoculation of blood culture bottles (BCB) with ascitic fluid. We describe our experience with a similar method.Our hospital is a 123-ward community hospital. Since March 1985, we have been using direct inoculation of BCB with ascitic fluid (10 mL) at the bedside as part of a prospective study on SBP. Our results before and after using BCB are shown in the Table. The differences we have found are not statistically significant (P=.11, exact probability test, even including three cases of spontaneous umbilical perforation).Although this method increased ascitic culture sensitivity at our hospital, we have

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();