medicina58巻5号

2021年04月発行

特集 その考えはもう古い！—最新・感染症診療 感染症検査の今

血液培養—いま改めて知っておきたい事柄

著者： 篠原浩¹

所属機関： ¹京都大学大学院医学研究科臨床病態検査学

ページ範囲：P.584 - P.589

Point
◎抗菌薬の前投与，1セットのみの採取，少ない採血量は血液培養の感度を下げる．
◎感染性心内膜炎などの血管内感染症や黄色ブドウ球菌菌血症，カンジダ真菌血症では血液培養の再検が必須である．
◎血液培養で検出された微生物をコンタミネーションと判定する絶対的な指標はない．結果の解釈には病態のアセスメントが不可欠である．

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