血培养标准操作规(国外英文资料).docVIP

血培养标准操作规(国外英文资料) Blood culture standard operating rules (SOP) First, blood extraction:?? Patients with the following one or several at the same time when clinical blood culture as an important indications: (1) heat (38 ℃ or higher) or low temperature (36 ℃ or less), type in intermittent chi zhang, gram-negative bacilli, such as e. coli infections caused by visible bimodal hot; (2) chills; Increased white blood cells ( 10.0 * 109 / L, especially when the nuclear left); Reduction of granulocytes ( 1.0 x 109 / L); Thrombocytopenia; 6 of the skin, mucous membrane bleeding, found in bacteremia hemolytic streptococcus infection, typhoid fever patient 4 ~ 10 days can appear the rose rash, typhus 4 ~ 6 days can appear dark red spots high blood rash; All landowners coma; Multiple organ failure; Lower blood pressure; Breathing quickens (respiratory rate 20 / minute or CO2 partial pressure 32mmHg); And liver splenomegaly; Joint pain; C-reactive protein, endotoxin and calcitonin were raised. ????? The urine and cerebrospinal fluid culture should also be developed at the same time. ????? The patient may not be febrile or hypothermia, such as with physical discomfort, muscle pain, or stroke, may be an important sign of infective endocarditis. Timing of specimen collection: As long as suspected patients may have a blood flow infection, blood culture specimens should be collected immediately before considering the use of antimicrobial agents. If the patient has been treated with antimicrobial drugs, they should choose to develop a bottle containing antibacterial drug adsorption and develop blood before the next antimicrobial application. The bacteria usually enter the blood one hour before the cold war and fever, at this time, the best time to develop the pathogenic bacteria for the collection of blood culture specimens. The standard procedure for extracting blood Specimen collection site ????? Requirement: from bilateral upper limb vein extraction, double bottle double side blo